Kelleher Eric, Campbell Aisling
St James' University Hospital,Dublin 8,Ireland.
Cork University Hospital,Cork,Ireland.
Ir J Psychol Med. 2011 Mar;28(1):35-37. doi: 10.1017/S0790966700011952.
A patient's suicide is arguably the event of most concern to consultant psychiatrists. Given the rise in the rate of suicide in the Republic of Ireland, the impact it has should not be underestimated. The aims of the study were: to assess the effect a patient's suicide has on a consultant's personal and professional life; to identify what factors modulated or exacerbated their response to the suicide; and to highlight what was shown to be beneficial in coping with the aftermath.
Following a literature review, a questionnaire from a previous study was chosen. This was sent to 74 consultants working in the Munster province. It asked consultants to recall their 'most distressing' suicide and their response to it. The results were analysed using quantitative methodology. A further literature review was conducted on the issues raised.
The questionnaire response rate was 67.5%. A total of 80% of consultants had a patient commit suicide under their care. In the case of 27.5%, consultants said that their personal lives had been affected by the suicide and 32.5% said that their professional lives had been affected. The majority of those affected were recently appointed consultants. Consultants' peers and team were significant sources of support, as were team meetings. A total of 57.5% of consultants said that their management of future suicidal patients had changed following the suicide.
A proportion of consultants experience negative effects in their lives as a consequence of patient suicide. However the support of consultant peers, the team and team meetings may help in the aftermath.
患者自杀可谓是精神科顾问医生最为关注的事件。鉴于爱尔兰共和国自杀率上升，其影响不容小觑。本研究的目的是：评估患者自杀对顾问医生个人生活和职业生活的影响；确定哪些因素调节或加剧了他们对自杀事件的反应；并强调在应对自杀后果方面被证明有益的因素。
在进行文献综述后，选取了之前一项研究中的问卷。该问卷被发送给在芒斯特省工作的74位顾问医生。问卷要求顾问医生回忆他们“最痛苦的”自杀案例以及他们对此的反应。使用定量方法对结果进行分析。针对所提出的问题又进行了一次文献综述。
问卷回复率为67.5%。共有80%的顾问医生有患者在其照护下自杀。在27.5%的案例中，顾问医生表示他们的个人生活受到了自杀事件的影响，32.5%的顾问医生表示他们的职业生活受到了影响。受影响的大多数是最近被任命的顾问医生。顾问医生的同行和团队是重要的支持来源，团队会议也是如此。共有57.5%的顾问医生表示，自杀事件后他们对未来自杀患者的管理方式发生了改变。
一部分顾问医生因患者自杀而在生活中经历负面影响。然而，顾问医生同行、团队以及团队会议的支持可能有助于应对自杀后果。
