Umgang mit dem Patientensuizid in therapeutischen Teams psychiatrischer Kliniken - Ergebnisse einer Umfrage -

Abstract

Mainly for the nursing team there seems to be a need to further improve procedures for suicide postvention to gain more team satisfaction with regard to how the situation is managed.

The Therapist’s Reaction to a Patient’s Suicide

“…These findings are in line with other studies (Hendin et al, 2000, 2004) and support the postulate (Gitlin, 1999; Shneidman, 1969) that training programs should prepare trainees for these tragic events. Postvention practices still need to be improved, as the impact of emotional distress can be tremendous (Brown, 1987a, 1987b; Cambell & Fahy, 2002; Ellis, Dickey, & Jones, 1998; Shneidman, 1971; Vogel et al, 2001).…”

“…Relevant differences among professional suicide survivors are described with regard to sex (Grad et al, 1997) and years of professional experience (Brown, 1987a, 1987b). Based on a review of the literature (Alexander et al, 2000; Chemtob et al, 1988; Goldstein & Buongiorno, 1984; Hendin et al, 2000, 2004; Kolody, Binder, Bronstein, & Friend, 1979; Marshall, 1980; Michel, Armson, Fleming, Rosenbauer, & Takahashi, 1997; Tilman, 2006; Vogel, Wolfersdorf, & Wurst, 2001) and considering items of the questionnaire of the Working Group Suicidality and Psychiatric Hospital, Germany, a 63-item questionnaire was developed as described below.…”

Nach dem Suizid eines Patienten - Erfahrungen mit Angehörigen von Suizidenten in der psychiatrischen Klinik

“…Erschwert wird die Situation, wenn zu den eigenen Schuldgefühlen zusätzliche Schuldzuweisungen von auûerhalb hinzukommen, was insbesondere dann belastend wird, wenn es in der eigenen Familie geschieht. ¾hnliche Abläufe kennt man in psychiatrischen Kliniken nach dem Suizidtod eines Patienten; hier wird Supervision i. S. von Postvention zum Mittel, therapeutisch-pflegerische Arbeitsfähigkeit zu erhalten [23,24,26].…”