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医学生对住院患者自杀事件的反应:教育与支持的契机

Medical students' responses to an inpatient suicide: opportunities for education and support.

作者信息

Hamaoka Derrick A, Fullerton Carol S, Benedek David M, Gifford Robert, Nam Theodore, Ursano Robert J

机构信息

USUHS, Department of Psychiatry, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.

出版信息

Acad Psychiatry. 2007 Sep-Oct;31(5):350-3. doi: 10.1176/appi.ap.31.5.350.

Abstract

OBJECTIVE

The authors review third-year medical students' questionnaires to identify the perceptions, themes, and recommendations following an inpatient suicide.

METHOD

The authors reviewed the needs assessment information collected 1 year after an inpatient suicide. The information, originally gathered through responses to a voluntary e-mail questionnaire, was reviewed for general themes, types of responses, and general recommendations.

RESULTS

Nearly all students were sensitive to affected colleagues. Responses suggested general appreciation of offered support. They also related themes of prevention, personal education, being personally affected, identification, sense of loss, anger, and lack of support. Those involved in the code and on the inpatient service were more likely to feel personally affected. Anger and lack of support were derived exclusively from students on the inpatient service.

CONCLUSIONS

Results provide observations and preliminary suggestions regarding medical students' responses to patient suicides. Understanding these responses can assist medical student educators in responding to such events.

摘要

目的

作者回顾三年级医学生的调查问卷,以确定住院患者自杀事件后的看法、主题和建议。

方法

作者回顾了住院患者自杀事件发生1年后收集的需求评估信息。这些信息最初是通过对一份自愿电子邮件调查问卷的回复收集而来的,对其进行了总体主题、回复类型和总体建议方面的审查。

结果

几乎所有学生都对受影响的同事很敏感。回复表明对所提供支持普遍表示感激。他们还提到了预防、个人教育、个人受到影响、身份认同、失落感、愤怒和缺乏支持等主题。参与抢救和住院服务的学生更有可能感到个人受到影响。愤怒和缺乏支持完全来自住院服务部门的学生。

结论

研究结果提供了关于医学生对患者自杀反应的观察结果和初步建议。了解这些反应有助于医学生教育工作者应对此类事件。

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