Biermann Bernard
Western Psychiatric Institute and Clinic, USA.
J Am Acad Psychoanal Dyn Psychiatry. 2003 Fall;31(3):443-57. doi: 10.1521/jaap.31.3.443.22130.
Patient suicide often results in profound personal and professional crises for the treating clinicians. Residency training in psychiatry represents a critical time for experiencing the death of patients by suicide. While residents often treat some of the most acutely ill, high-risk patients, during a uniquely vulnerable phase of professional development, many training programs do not have formalized procedures in place for aiding residents in the event of patient suicide. The working through of a suicide offers an opportunity for personal and professional growth. This paper examines this issue from the perspective of a resident-in-training who experienced the suicide of a long-term outpatient. Issues explored include personal and professional reactions to the patient's death as well as a discussion of the organizational response to the event.
患者自杀常常给负责治疗的临床医生带来深刻的个人和职业危机。精神病学住院医师培训阶段是经历患者自杀死亡的关键时期。虽然住院医师常常治疗一些病情最危急、风险最高的患者，且处于职业发展中特别脆弱的阶段，但许多培训项目并未制定正式程序，以便在患者自杀时帮助住院医师。经历自杀事件为个人和职业成长提供了契机。本文从一名经历了长期门诊患者自杀的住院医师培训学员的角度审视这一问题。探讨的问题包括对患者死亡的个人和职业反应，以及对该事件的组织应对措施的讨论。
