Malik Sameen, Gunn Sarah, Robertson Noelle
Arch Suicide Res. 2022 Jul-Sep;26(3):1266-1285. doi: 10.1080/13811118.2021.1885533. Epub 2021 Feb 25.
To provide a conceptual overview of how medical doctors and nurses experience patient suicide.
A systematic search identified ten qualitative papers for this interpretive meta-synthesis. Constructs were elicited and synthesized via reciprocal translational analysis.
Findings comprised four inter-related themes: (1) Intrinsic but taboo: patient suicide perceived as inevitable yet difficult to discuss. (2) Significant emotional impact: clinicians deeply affected, with resilience important for mitigating impact. (3) Failure and accountability: intense self-scrutiny, guilt and shame, with blame attributed differently across professions. (4) Legacy of patient suicide: opportunities for growth but lack of postvention guidance.
Patient suicide affects clinicians profoundly. Further research should evaluate postvention procedures to inform effective guidance and support, acknowledging professional differences.HighlightsPatient suicide profoundly affects doctors and nurses as "suicide survivors."Despite common themes, professions differed in blame attributions.Organizations must develop postvention responses to meet clinicians' pastoral needs.
提供关于医生和护士如何体验患者自杀的概念性概述。
通过系统检索确定了十篇定性论文用于此次解释性元综合分析。通过相互翻译分析引出并综合构建概念。
研究结果包括四个相互关联的主题：（1）内在但禁忌：患者自杀被视为不可避免但难以讨论。（2）重大情感影响：临床医生深受影响，恢复力对于减轻影响很重要。（3）失败与问责：强烈的自我审视、内疚和羞耻感，不同职业对责任归咎的看法不同。（4）患者自杀的遗留影响：成长机会但缺乏事后干预指导。
患者自杀对临床医生影响深远。进一步的研究应评估事后干预程序，以提供有效的指导和支持，同时承认职业差异。
要点
患者自杀作为“自杀幸存者”对医生和护士影响深远。
尽管存在共同主题，但不同职业对责任归咎的看法不同。
各机构必须制定事后干预措施，以满足临床医生的精神需求。
