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Frequency and impact of patient suicide on psychiatric trainees

Published online by Cambridge University Press:  16 April 2020

Guido Pieters ,
Véronique De Gucht ,
Gustaaf Joos  and
Elke De Heyn
Guido Pieters*
Affiliation:
Behavior Therapy Department, University Center St. Jozef, Leuvensesteenweg 517, 3070Kortenberg, Belgium Center for Mental Health Care, Vlaams-Brabant Oost, Leuven, Belgium
Véronique De Gucht
Affiliation:
Department of Clinical Psychology, University Center St. Jozef, Kortenberg, Belgium Department of Clinical and Health Psychology, Leiden University, The Netherlands
Gustaaf Joos
Affiliation:
Department of Clinical Psychology, University Center St. Jozef, Kortenberg, Belgium
Elke De Heyn
Affiliation:
Center for Mental Health Care, Vlaams-Brabant Oost, Leuven, Belgium
*
*Corresponding author. E-mail address: guido.pieters@med.kuleuven.ac.be (G. Pieters).
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Abstract

The objective of the present study was to conduct a systematic inquiry into the frequency and impact of patients’ suicide on psychiatric trainees, and the availability and usefulness of training courses. Data were collected from 114 psychiatric trainees of the Dutch-speaking part of Belgium, representing a 70% response rate. A self-report questionnaire developed in the UK was adapted to the Flemish situation. A Dutch version of the Impact of Event Scale (IES) inquiring about post-traumatic stress symptoms was also used. The frequency of suicide experience was considerably higher in the present study than in similar studies in the USA and the UK. Thirty percent of first year trainees had been confronted with patient suicide. Personal and professional impact of patient suicide, as well as post-traumatic stress scores were considerably lower in Flemish psychiatric trainees. They considered informal support to be of more value than formal support to come to terms with the event. Finally, postgraduate training in post-suicide management was found to be largely insufficient. The results of the present study show that psychiatric trainees in the Dutch-speaking part of Belgium are at a high risk of experiencing patient suicide, whereas the impact of this experience appears to be relatively low. Only a small minority of trainees has received adequate training on procedures to follow after patient suicide.

Keywords

Psychiatric traineesSuicidePost-traumatic stressTraining
Type
Original article
Information
European Psychiatry , Volume 18 , Issue 7 , November 2003 , pp. 345 - 349
Copyright
Copyright © Éditions scientifiques et médicales Elsevier SAS.

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References

Chemtob, CMHamada, RSBauer, G, et al. Patients’ suicides: frequency and impact on psychiatrists. Am J Psychiatry 1988;145:224–8.Google ScholarPubMed
Cryan, AMJKelly, PMcCaffrey, B. The experience of patient suicide among Irish patients. Psychiatr Bull 1995;19:4–7.CrossRefGoogle Scholar
Brown, HN. Patient suicide during residency training: incidence, implications and program response. J Psychiatr Education 1987;11:201–16.Google Scholar
Courtenay, KPStephens, JP. The experience of patient suicide among trainees in psychiatry. Psychiatr Bull 2001;25:51–2.CrossRefGoogle Scholar
Dewar, IEagles, JKlein, S, et al. Psychiatric trainees’ experiences of, and reactions to, patient suicide. Psychiatr Bull 2000;24:20–3.CrossRefGoogle Scholar
Yousaf, FHawthorne, MSedgwick, P. Impact of patient suicide on psychiatric trainees. Psychiatr Bull 2002;26:53–5.CrossRefGoogle Scholar
Kozlowska, KNunn, KCousens, P. Adverse experiences in psychiatric training. Part 2. Aust New Zealand J Psychiatry 1997;31:641–52.CrossRefGoogle ScholarPubMed
Alexander, DAKlein, SGray, NM, et al. Suicide by patients: questionnaire study of its effect on consultant psychiatrists. Br Med J 2000;320:1571–4.CrossRefGoogle ScholarPubMed
Horowitz, MJWilner, NAlvarez, W. Impact of Event Scale: a measure of subjective stress. PsychosomaticMed 1979;41:209–18 [Brom D, Kleber RJ, Defares PB. Traumatische ervaringen en psychotherapie (Traumatic experiences and psychotherapy). Swets & Zeitlinger: Lisse; The Netherlands; 1986].CrossRefGoogle ScholarPubMed
Horowitz, MJWeiss, DSKaltreider, N, et al. Reactions to the death of a parent. Results from patients and field subjects. J Nerv Mental Dis 1984;172:383–92.CrossRefGoogle ScholarPubMed
Simon, GVon Korff, M. Recall of psychiatric history in cross-cultural surveys: implications for epidemiological research. Epidemiol Rev 1995;17:221–7.CrossRefGoogle Scholar
Johnson, JV. Control, collectivity and the psychosocial work environment. In: Sauter, SLHurrell, JJCooper, CL, editors. On control and worker health. Chichester: Wiley; 1989.Google Scholar
Karasek, RTheorell, T. Healthy work: stress, productivity, and the reconstruction of working life. New York: Basic Books; 1990.Google Scholar
Thomsen, SDallender, JSoares, J, et al. Predictors of a healthy workplace for Swedish and English psychiatrists. Br J Psychiatry 1998;173:80–4.CrossRefGoogle ScholarPubMed
Campbell, CFahy, T. The role of the doctor when a patient commits suicide. Psychiatr Bull 2002;26:44–9.CrossRefGoogle Scholar
Kaye, NSSoreff, SM. The psychiatrist’s role, responses and responsibilities when a patient commits suicide. Am J Psychiatry 1991;148:739–43.Google ScholarPubMed
Hodelet, NHughson, M . What to do when a patient commits suicide? Psychiatr Bull 2001;25:43–5.CrossRefGoogle Scholar
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