Welton Randon S, Blackman Lisa R
88th Medical Operations Squadron, Life Skills Support Center, Wright-Patterson Air Force Base, OH 45433, USA.
Mil Med. 2006 Sep;171(9):844-8. doi: 10.7205/milmed.171.9.844.
Although suicide is relatively common among mental health patients, few studies have been published detailing the effects of a patient's suicide on his or her mental health provider. We reviewed data from 97 active duty, Air Force, mental health providers who responded to an anonymous survey. Forty-eight percent of the providers had experienced a patient's suicide. One-third of them reported a sense of responsibility for that patient's death. More than 20% reported significant emotional or behavioral changes following the death. Many providers experienced alterations in their self-esteem and their use of peer consultation following the suicide. Speaking to clergy members, friends, and other providers was generally beneficial following the suicide of a patient. Recommendations are given to minimize the impact of this tragedy on providers.
尽管自杀在心理健康患者中相对常见，但详细阐述患者自杀对其心理健康提供者影响的研究却很少发表。我们回顾了97名现役空军心理健康提供者对一项匿名调查的回复数据。48%的提供者经历过患者自杀。其中三分之一的人报告对该患者的死亡负有责任感。超过20%的人报告在患者死亡后出现了明显的情绪或行为变化。许多提供者在患者自杀后自尊和同伴咨询的使用方面出现了改变。患者自杀后，与神职人员、朋友和其他提供者交谈通常是有益的。文中给出了一些建议，以尽量减少这一悲剧对提供者的影响。
