Department of Psychiatry and Psychotherapy II, Christian-Doppler-Hospital, Paracelsus Medical University, A-5020 Salzburg, Austria.
Gen Hosp Psychiatry. 2013 Sep-Oct;35(5):565-70. doi: 10.1016/j.genhosppsych.2013.05.003. Epub 2013 Jul 3.
To test the robustness of the findings of previous studies in a large aggregated sample regarding (a) the impact of a patient's suicide on therapist's distress; (b) identify a potential subgroup of therapists needing special postvention; (c) and assess potential differences in overall distress between professional groups and at different levels of care.
A questionnaire, characterizing the therapists, their reactions and the patients, had been sent out to 201 psychiatric hospitals in Germany providing different levels of care. Aggregated data from previous studies have been used.
In 39.6% of all cases, therapists suffer from severe distress after a patients' suicide. The global item "overall distress" can be used as an indicator to identify a subgroup of therapists that might need individualized postvention. No significant difference in overall distress experienced was observed between professional groups and at different levels of care.
Our data suggest that identifying the severely distressed subgroup could be done using a visual analogue scale for overall distress. As a consequence, more specific, individualized and intensified help could be provided to these professionals, helping them to overcome distress and thereby ensuring delivery of high quality care to the patient.
在一个大型聚合样本中检验先前研究结果的稳健性，涉及：（a）患者自杀对治疗师困扰的影响；（b）确定需要特殊预防措施的潜在治疗师亚组；（c）评估不同专业群体和不同护理水平之间整体困扰的潜在差异。
向德国 201 家提供不同护理水平的精神病院发出问卷，描述治疗师、他们的反应和患者的情况。使用了先前研究的聚合数据。
在所有案例中，39.6%的治疗师在患者自杀后会感到严重困扰。总体项目“整体困扰”可用作识别可能需要个体化预防措施的治疗师亚组的指标。在不同专业群体和不同护理水平之间，整体困扰体验没有显著差异。
我们的数据表明，可以使用整体困扰的视觉模拟量表来识别严重困扰的亚组。因此，可以为这些专业人员提供更具体、个性化和强化的帮助，帮助他们克服困扰，从而确保为患者提供高质量的护理。
