Figueroa Sara, Dalack Gregory W
University of Michigan, Ann Arbor, Michigan 48105, USA.
J Psychiatr Pract. 2013 Jan;19(1):72-7. doi: 10.1097/01.pra.0000426330.41773.15.
We developed an every other year, scheduled retreat model for clinicians and trainees to explore emotional and professional reactions that they may face after a patient's suicide.
Psychiatry ambulatory clinical staff, residents, and faculty participated in a halfday retreat, which consisted of an opening panel discussion, in which panel members related their experiences of patient suicide, break out groups, and a final panel discussion. Unlinked preand post-retreat surveys were electronically sent to all potential participants.
The pre-retreat survey was completed by 103 clinicians; 20% of the respondents were trainees or fellows, and 47% reported that they had experienced a patient suicide. Text responses to the pre-retreat survey reflected the wish to obtain a better understanding of the impact of patient suicide on caregivers, to cope with the event from a personal and professional standpoint, and to get a clearer understanding of what supports are available within the department. The post-retreat survey was completed by 45 clinicians. Comments after the retreat reflected an increased awareness of both shortand long-term effects on clinicians after a patient suicide and the extensive impact that a patient suicide can have on providers within their ambulatory care department.
An alldepartment ambulatory retreat model has value in providing clinicians with support and information in a structured, educational setting to help reduce the sense of stigma and provide an increased awareness of the magnitude of the impact on clinicians who experience the death of a patient by suicide.
我们为临床医生和实习生开发了一种每两年一次的定期务虚会模式，以探讨他们在患者自杀后可能面临的情绪和职业反应。
精神科门诊临床工作人员、住院医师和教员参加了为期半天的务虚会，其中包括开场小组讨论，小组成员分享他们在患者自杀方面的经历、分组讨论以及最后的小组讨论。会前和会后不关联的调查问卷以电子方式发送给所有潜在参与者。
103名临床医生完成了会前调查；20%的受访者是实习生或研究员，47%的人报告称他们经历过患者自杀。对会前调查的文字回复反映出，希望更好地了解患者自杀对护理人员的影响，从个人和职业角度应对这一事件，并更清楚地了解部门内可获得哪些支持。45名临床医生完成了会后调查。务虚会后的评论反映出，人们对患者自杀后对临床医生的短期和长期影响以及患者自杀对其门诊护理部门内的提供者可能产生的广泛影响有了更高的认识。
全部门门诊务虚会模式在为临床医生提供结构化教育环境中的支持和信息方面具有价值，有助于减少耻辱感，并提高对自杀患者死亡对临床医生影响程度的认识。
