Greenberg David, Shefler Gabi
North Jerusalem Mental Health Center, Herzog Hospital, Jerusalem, Israel and The Hebrew University of Jerusalem, Jerusalem, Israel.
Isr J Psychiatry Relat Sci. 2014;51(3):193-8.
A series of studies reveals that patient suicide is experienced by most psychiatrists, particularly adult psychiatrists in the public sector. Psychiatrists respond to patient suicide with symptoms of grief, with an intensity in 25-50% of cases similar to those who have lost a parent and sought help, although the duration is more brief. Patient suicide usually results in psychiatrists becoming more defensive in their practice: extra careful to ask about suicidal ideation, more likely to suggest hospitalization and compulsory care, and seek colleagues' consultation. The frequency of patient suicide and its emotional and professional impact have lead to recommendations that the psychiatrist is supported during the early phase of shock and grief, and receives ongoing support for a period after the suicide. Most families of suicide patients would wish to have contact with the psychiatrist after the event. While distress and fear of litigation may influence the psychiatrist's actions, meeting with the family should be seen as part of care, and the psychiatrist should receive guidance and support in this process.
一系列研究表明，大多数精神科医生都经历过患者自杀事件，尤其是公共部门的成年精神科医生。精神科医生会以悲伤症状来应对患者自杀，在25%至50%的案例中，其强度与失去父母并寻求帮助的人相似，尽管持续时间较短。患者自杀通常会导致精神科医生在执业中变得更加戒备：格外谨慎地询问自杀念头，更有可能建议住院和强制治疗，并寻求同事的咨询。患者自杀的频率及其情感和职业影响已促使人们建议，在震惊和悲伤的早期阶段给予精神科医生支持，并在自杀事件发生后的一段时间内持续提供支持。大多数自杀患者的家属都希望在事件发生后与精神科医生取得联系。虽然痛苦和对诉讼的恐惧可能会影响精神科医生的行为，但与家属会面应被视为护理的一部分，在此过程中精神科医生应获得指导和支持。
