Psychiatrists’ Emotional Reactions to Patient Suicidal Behavior

Scocco, Paolo; Toffol, Elena; Pilotto, Elisa; Pertile, Riccardo

doi:10.1097/01.pra.0000413275.09305.d5

Cited by 27 publications

(24 citation statements)

References 32 publications

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“…[1][2][3] Adverse psychological outcomes include feelings of anger, sadness, anxiety, guilt, embar-rassment, helplessness, and symptoms of posttraumatic stress disorder. 1,2,[4][5][6][7][8][9][10][11][12][13] Effects on professional behaviors include the loss of self-confidence in professional judgment, having difficulty with decision making, hospitalizing patients more often to prevent further suicides, increased interest in suiciderelated issues, hypervigilance regarding patient suicide, and preoccupation with medico-legal concerns. [10][11][12][13][14] In order to cope with patient suicide, clinicians often request further training in recognizing signs and symptoms of suicide, seek clear professional guidelines regarding how to deal with suicide, and look for new ways to support the bereaved family.…”

Section: Introductionmentioning

confidence: 99%

What Did I Miss? A Qualitative Assessment of the Impact of Patient Suicide on Hospice Clinical Staff

Fairman

Thomas

Whitmore

et al. 2014

Journal of Palliative Medicine

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Section: Introductionmentioning

confidence: 99%

What Did I Miss? A Qualitative Assessment of the Impact of Patient Suicide on Hospice Clinical Staff

Fairman

Thomas

Whitmore

et al. 2014

Journal of Palliative Medicine

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“…Many studies have documented clinicians' intense negative emotional responses (e.g., anxiety, guilt, anger, helplessness, and hopelessness) when working with suicidal patients (Birtchnell, ; Goldblatt, ; Hendin, Lipschitz, Maltsberger, Haas, & Wynecoop, ; Kleespies & Dettmer, ; Kleespies, Penk, & Forsyth, ; Modestin, ; Scocco, Toffol, Pilotto, & Pertile, ). In a series of studies further exploring this interaction, our group found moderate to strong associations between clinicians' emotional responses to high‐risk patients, specifically conflicting emotional responses, and patients' subsequent suicidal behavior (Hawes et al., ; Yaseen, Galynker, Cohen, & Briggs, ; Yaseen et al., ).…”

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confidence: 99%

Determinants and Predictive Value of Clinician Assessment of Short‐Term Suicide Risk

Barzilay

Yaseen

Hawes

et al. 2018

Suicide & Life Threat Behav

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We examine the interrelations among clinicians' judgment of patients' suicide risk, clinicians' emotional responses, and standard risk factors in the short-term prediction of suicidal thoughts and behaviors. Psychiatric outpatients (n = 153) with a lifetime history of suicide ideation/attempt and their treating clinicians (n = 67) were evaluated at intake. Clinicians completed a standard suicide risk instrument (modified SAD PERSONS scale), a 10-point Likert scale assessment of judgment of patient suicide risk (Clinician Prediction Scale), and a measure of their emotional responses to the patient (Therapist Response Questionnaire-Suicide Form). The Columbia Suicide Severity Rating Scale and the Beck Scale for Suicide Ideation were administered at a one-month follow-up assessment (n = 114, 74.5%). Clinician judgment of risk significantly predicted suicidal thoughts and behaviors at follow-up. Both the standard suicide risk instrument and clinician emotional responses contributed independently to the clinician assessment of risk, which, in turn, mediated their relationships with suicidal thoughts and behaviors. Our findings validate the importance of clinical judgment in assessing suicide risk. Clinical judgment appears to be informed both by concrete risk factors and clinicians' emotional responses to suicidal patients, highlighting emotional awareness as a promising area for research and training.

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“…; Scocco et al . ; Yaseen et al . ) and experience difficulty both in controlling and in sharing their emotions, which can lead to negative attitudes and effects (Vedana et al .…”

Section: Discussionmentioning

confidence: 99%

The meaning of suicidal behaviour from the perspective of senior nursing undergraduate students

Vedana

Pereira

Santos

et al. 2017

Int J Mental Health Nurs

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The meaning ascribed to suicidal behaviours may influence the quality of the care provided to people at risk of suicide. Such a phenomenon has yet to be properly investigated amongst nursing undergraduate students, the aim of this study being to gain an understanding of the meanings of suicidal behaviour for a particular group of nurses. The study, which utilized grounded theory, was conducted in Brazil in 2016-2017 with 30 undergraduate students. The findings indicated that suicidal behaviour, classified according to the individual beliefs and judgements of the participants, presented a significant barrier to the delivery of care and was complex and multifaceted care phenomenon. Participants were often reluctant to discuss the topic, seemingly wanting to distance themselves from the care of persons exhibiting suicidal behaviour, and to avoid professional engagements relating to suicide prevention. Significant work is required in raising both an awareness and knowledge of suicidal behaviour befitting the promotion of tolerance, emotional competency, resilience, and empathy amongst nursing students.

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Psychiatrists’ Emotional Reactions to Patient Suicidal Behavior

Abstract: Attempted and completed suicides have a significant impact on psychiatrists. The impact of an attempted suicide is usually less severe. The patterns of reaction differ between consultant and trainee psychiatrists.

Cited by 27 publications

References 32 publications

What Did I Miss? A Qualitative Assessment of the Impact of Patient Suicide on Hospice Clinical Staff

What Did I Miss? A Qualitative Assessment of the Impact of Patient Suicide on Hospice Clinical Staff

Determinants and Predictive Value of Clinician Assessment of Short‐Term Suicide Risk

The meaning of suicidal behaviour from the perspective of senior nursing undergraduate students

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