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患者自杀对爱尔兰一线工作人员的影响。

Impact of patient suicide on front-line staff in Ireland.

作者信息

Gaffney Paul, Russell Vincent, Collins Katrina, Bergin Aedamar, Halligan Paddy, Carey Clionadh, Coyle Sabrina

机构信息

HSE Child & Adolescent Mental Health Service, Drumalee Cross, Cavan, Ireland.

出版信息

Death Stud. 2009 Aug;33(7):639-56. doi: 10.1080/07481180903011990.

DOI:10.1080/07481180903011990
PMID:19623765
Abstract

Research and anecdotal evidence suggests that coming to terms with the suicide of a patient can be extremely distressing for front-line professionals. Some research also suggests that exposure to such situations can undermine professionals' functioning and feelings of competence, cause them to question their professional standing and ultimately contribute to burnout. A survey of 447 front-line professionals' experiences of patient suicide was undertaken to further explore these issues. Thematic analysis of open-ended questionnaire items revealed that concerns for the bereaved family, feelings of responsibility for the death and having a close therapeutic relationship with the client are key factors that influence the adjustment and coping of a health professional in the aftermath of the death of a client by suicide. The results are discussed with a focus on the impact of suicide on front-line staff, the need for ongoing support and training and the development of specific post-suicide protocols.

摘要

研究和轶事证据表明,对于一线专业人员来说,接受患者自杀这一事实可能会极其痛苦。一些研究还表明,接触此类情况会损害专业人员的工作能力和胜任感,使他们质疑自己的职业地位,并最终导致职业倦怠。为了进一步探讨这些问题,对447名一线专业人员经历患者自杀的情况进行了调查。对开放式问卷项目的主题分析表明,对丧亲家庭的担忧、对死亡的责任感以及与患者建立密切的治疗关系是影响健康专业人员在患者自杀死亡后调整和应对的关键因素。将围绕自杀对一线工作人员的影响、持续支持和培训的必要性以及制定自杀后的具体方案来讨论研究结果。

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