Braam A W, Tijdink D W G M
Tijdschr Psychiatr. 2018;60(9):637-641.
After the suicide of a psychiatry resident, the coordinators of her trainee program had to face several questions.
AIM: To articulate some of the main questions and to describe our course of action as a way of 'suicide postvention'.
METHOD: Reflection on an anonymized residency situation.
RESULTS: The central question pertained to the dilemma whether the coordinator, supervisor, or other residents should consider the situation from a therapist viewpoint or as employer-colleague. The last option was formally the most valid, but the dilemma related to other questions, such as about our professional identity as psychiatrists. Postvention occurred in several phases (immediate, recovery, reconstruction) and included several meetings with the residents and supervisors. One meeting was facilitated by the spiritual counseler of the institution.
CONCLUSION: A self-critical approach and our postvention approach seemed to supply a need of attention and care for all residency colleagues involved.
一名精神科住院医师自杀后,其培训项目的协调员不得不面对几个问题。
阐明一些主要问题,并描述我们作为“自杀后干预”的行动过程。
对一个匿名的住院医师情况进行反思。
核心问题在于协调员、导师或其他住院医师是应从治疗师角度还是雇主同事角度看待该情况这一困境。最后一种选择在形式上最合理,但该困境还涉及其他问题,比如我们作为精神科医生的职业身份问题。后干预分几个阶段进行(即时、恢复、重建),包括与住院医师和导师的几次会面。其中一次会面由机构的心灵顾问协助进行。
自我批评的方法以及我们的后干预方法似乎满足了所有相关住院医师同事对关注和关爱的需求。