Reeves Gloria
University of Maryland, Baltimore 21201, USA.
J Am Acad Psychoanal Dyn Psychiatry. 2003 Fall;31(3):429-41. doi: 10.1521/jaap.31.3.429.22135.
Suicide prevention efforts are a major focus of psychiatry residency training. Residents are taught to identify suicide risk factors, monitor for suicidal ideation, and develop crisis stabilization plans for patients at risk for self harm. In contrast, training and support for dealing with suicide completion is often lacking. Although suicide remains a predictable outcome for many patients with severe mental illness, this topic may be avoided or reviewed only with residents who are directly affected by patient suicide. The purpose of this paper is to present a psychiatry resident's experience of dealing with a patient suicide and identify obstacles to developing this aspect of training. Options for "preventative" training in helping trainees deal with this unfortunate outcome of mental illness will be reviewed.
自杀预防工作是精神科住院医师培训的一个主要重点。住院医师被教导要识别自杀风险因素，监测自杀意念，并为有自我伤害风险的患者制定危机稳定计划。相比之下，处理自杀死亡情况的培训和支持往往不足。尽管自杀对于许多患有严重精神疾病的患者来说仍然是一个可预测的结果，但这个话题可能会被回避，或者只与直接受到患者自杀影响的住院医师进行讨论。本文的目的是介绍一位精神科住院医师处理患者自杀的经历，并确定在开展这方面培训时遇到的障碍。将探讨在帮助受训人员应对精神疾病这一不幸后果方面进行 “预防性” 培训的选项。
