Increasing Resident Support Following Patient Suicide: Assessing Resident Perceptions of a Longitudinal, Multimodal Patient Suicide Curriculum

Abstract

Objective Patient suicide is a common experience in psychiatry residency, and its effects on trainees can be profound. There are currently no ACGME Common Program Requirements for education about patient suicide, and a need exists for evidence-based curricula to prepare residents for this difficult outcome. Methods A comprehensive patient suicide curriculum was developed utilizing multiple modes of delivering content, including a training designed to foster built-in support among peers in the healthcare workplace. The content was delivered at intervals over the course of the 2019–2020 academic year for 43 psychiatry residents at The Ohio State University Wexner Medical Center. Pre- and post-curriculum surveys were obtained to assess the resident experience of the new curriculum. Results Twenty-seven residents completed the pre-curriculum survey and 25 completed the post-curriculum survey. Results demonstrated statistically significant improvements in ratings of preparedness to deal with the loss of a patient by suicide, preparedness to support a co-resident who has experienced the death of a patient by suicide, program-level support for residents, understanding systems-level and quality processes, and knowledge of what steps to take if finding out a patient has completed suicide. Conclusions A multimodal approach incorporating understanding emotional reactions, provision of support, delineation of procedural issues, and education regarding quality and risk management considerations was effective at improving resident preparedness to cope following a patient suicide.

Suicide-Related Knowledge among Italian Early Career Psychiatrists and Trainees: Results from a Cross-Sectional Survey

“…Gibbons et al, in a survey on 174 psychiatrists, found that, after a patient’s suicide, clinicians showed emotional and clinical distress [ 39 ]. Recently, McCutcheon et al, in a survey on 43 residents in psychiatry, underlined the necessity of improving clinicians’ coping strategies following a patient’s suicide [ 40 ].…”

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In This Issue: June 2021

“…Several papers focus on how to best support trainees through the painful and confusing reactions that follow a patient's suicide. McCutcheon and Hyman's brief report [12] describes the implementation and evaluation of a curriculum about the consequences to providers of a death by suicide, which covered both the emotional and the medico-legal implications. Agrawal et al [13] report their evaluation of a postvention protocol for residents who experience a patient's suicide.…”