Professionals’ Reactions Following a Patient’s Suicide: Review and Future Investigation

Archives of Suicide Research

Volumn 18, Issue 4, 2014, Pages 340-362

  Séguin, Monique ^a,b   Bordeleau, Vincent ^c   Drouin, Marc Simon ^c   Castelli Dransart, Dolores Angela ^d   Giasson, François ^a,b  

^a UNIVERSITÉ DU QUÉBEC EN OUTAOUAIS   (Canada)

^b MCGILL UNIVERSITY   (Canada)

^c UNIVERSITÉ DU QUÉBEC À MONTRÉAL   (Canada)

^d UNIVERSITY OF APPLIED SCIENCES WESTERN SWITZERLAND   (Switzerland)

Author keywords

mental health professionals; patient suicide; suicide

Indexed keywords

HEALTH PERSONNEL ATTITUDE; HUMAN; HUMAN RELATION; MENTAL DISORDERS; PSYCHOLOGY; PSYCHOTHERAPY; SUICIDE;

ATTITUDE OF HEALTH PERSONNEL; HUMANS; MENTAL DISORDERS; PROFESSIONAL-PATIENT RELATIONS; PSYCHOTHERAPEUTIC PROCESSES; SUICIDE;

EID: 84911961562     PISSN: 13811118     EISSN: 15436136     Source Type: Journal    
DOI: 10.1080/13811118.2013.833151     Document Type: Review

References (109)

1. Akeshi , T. , Kato , H. , & Kawamura , N. (2003). Reliability and validity of the Japanese-language version of the impact of event scale-revised (IES-R-J): Four studies of different traumatic events . Journal of Nervous and Mental Disease , 190 , 175 – 182 .
2. Alexander , D. , Klein , S. , Gray , N. M. , Dewar , I. G. , & Eagles , J. M. (2000). Suicide by patients: Questionnaire study ofitseffect on consultant psychiatrists . British Medical Journal , 320 , 1571 – 1574 .
3. Alston , M. H., & Robinson , B. H. (1992). Nurses' attitude toward suicide. Omega: Journal of Death and Dying, 23, 205–215.
4. Anderson , N. , Standen , P. , Nazir , S. , & Noon , J. P. (2000). Nurse's and doctor's attitude toward suicidal behavior in young people . International Journal of Nursing Studies , 37 , 1 – 11 .
5. Arsenault-Lapierre , G. , Kim , C. , & Turecki , G. (2004). Psychiatric diagnoses in 3275 suicides: A meta-analysis . BMC Psychiatry , 4 , 37 .
6. Barrett , T. W. , & Scott , T. B. (1989). Development of the Grief Experience Questionnaire . Suicide and Life-Threatening Behavior , 19 , 201 – 215 .
7. Bohan , F. , & Doyle , L. (2008). Nurses' experiences of patient suicide and suicide attempts in an acute unit . Mental Health Practice , 11 , 12 – 16 .
8. Bowlby , J. (1978). Attachement et perte . Paris : Presses universitaires de France .
9. Brent , D. A. , Perper , J. A. , Moritz , G. , Allman , C. J. , Friend , A. , Roth , C. , … Baugher , M. (1993). Psychiatric risk factors for adolescent suicide: A case–control study . Journal of the American Academy of Child and Adolescent Psychiatry , 32 , 521 – 529 .
10. Brown , H. N. (1989). Patient suicide and therapists in training . In D. Jacobs & H. N. Brown (Eds.), Suicide understanding and responding (pp. 415 – 434). Madison , CT : International Universities Press, Inc .
11. Bultema , J. K. (1994). Healing process for the multidisciplinary team: Recovering post-inpatient suicide . Journal of Psychosocial Nursing , 32 , 19 – 24 .
12. Campbell , C. , & Fahy , T. (2002). The role of the doctor when a patient commits suicide . Psychiatric Bulletin , 26 , 44 – 49 .
13. Castelli-Dransart , D. A. , Gutjahr , E. , Gulfi , A. , Kaufmann , N. , & Séguin , M. (2014). Patient suicide in institutions: Emotional responses and traumatic impact on Swiss mental health professionals . Death Studies , 38 (5), 315 – 321 .
14. Cavanagh , J. T. O. , Carson , A. J. , Sharpe , M. , & Lawrie , S. M. (2003). Psychological autopsy studies of suicide: A systematic review . Psychological Medicine , 33 , 395 – 405 .
15. Chemtob , C. M. , Bauer , G. , Hamada , R. S. , Pelowski , M. , & Muraoka , S. R. (1989). Patient suicide: Occupational hazard for psychologists and psychiatrists . Professional Psychology: Research and Practice , 20 , 294 – 300 .
16. Chemtob , C. M. , Hamada , R. S. , Bauer , G. , Kinney , B. , & Torigoe , R. Y. (1988a). Patients' suicides: Frequency and impact on psychiatrists . American Journal of Psychiatry , 145 , 224 – 228 .
17. Chemtob , C. M. , Hamada , R. S. , Bauer , G. , Torigoe , R. Y. , & Kinney , B. (1988b). Patient suicide: Frequency and impact on psychologists . Professional Psychology: Research and Practice , 19 , 416 – 420 .
18. Collins , J. M. (2003). Impact of patient suicide on clinicians . Journal of the American Psychiatric Nurses Association , 9 , 159 – 162 .
19. Cooper , C. (1995). Psychiatric stress debriefing: Alleviating the impact of patient suicide and assault . Journal of Psychosocial Nursing , 33 , 21 – 25 .
20. Cotton , P. , Drake , R. , Whitaker , A. , & Potter , J. (1983). Dealing with suicide on a psychiatric inpatient unit . Hospital and Community Psychiatry , 34 , 55 – 58 .
21. Courtenay , K. P. , & Stephens , J. P. (2001). The experience of patient suicide among trainees in psychiatry . Psychiatric Bulletin , 21 , 51 – 52 .
22. Coverdale , J. H. , Roberts , L. W. , & Louie , A. K. (2007). Encountering patient suicide: Emotional responses, ethics, and implications for training programs . Academic Psychiatry , 31 , 329 – 332 .
23. Cryan , E. M. J. , Kelly , P. , & McCaffrey , B. (1995). The experience of patient suicide among Irish psychiatrists . Psychiatric Bulletin , 19 , 4 – 7 .
24. Cutrona , C. E. , & Russell , D. W. (1987). The provisions of social relationships and adaptation to stress . Advances in Personal Relationships , 1 , 37 – 67 .
25. Davidsen , A. S. (2010). “And then one day he'd shot himself. Then I was really shocked”: General practitioners' reaction to patient suicide . Patient Education and Counseling , 85 , 113 – 8 .
26. Dewar , I. , Eagles , J. , Klein , S. , Gray , N. , & Alexander , D. A. (2000). Psychiatric trainees' experiences of, and reactions to, patient suicide . Psychiatric Bulletin , 24 , 20 – 23 .
27. Ellis , T. E. , & Dickey III , T. O. (1998). Patient suicide in psychiatry residency programs: A national survey of training and postvention practices . Academic Psychiatry . 22 , 181 – 189 .
28. Fang , F. , Kemp , J. , Jawandha , A. , Juros , J. , Long , L. , Nanayakkara , S. , … Anzia , J. (2007). Encountering patient suicide: A resident's experience . Academic Psychiatry , 31 , 340 – 344 .
29. Farberow , N. L. (2005). The mental health professional as suicide survivor . Clinical Neuropsychiatry , 2 , 13 – 20 .
30. Foley , S. R., & Kelly , B. D. (2007). When a patient dies by suicide: Incidence, implications and coping strategies. Advances in psychiatric treatment, 13, 134–138.
31. Foster , V. A. , & McAdams , III , C. R. (1999). The impact of client suicide in counselor training: Implications for counselor education and supervision . Counselor Education and Supervision , 39 , 22 – 33 .
32. Gaffney , P. , Russell , V. , Collins , K. , Bergin , A. , Halligan , P. , Carey , C. , & Coyle , S. (2009). Impact of patient suicide on front-line staff in Ireland . Death Studies , 33 , 639 – 656 .
33. Gitlin , M. (1999). A psychiatrist's reaction to a patient's suicide . American Journal of Psychiatry , 156 , 1630 – 1634 .
34. Gitlin , M. J. (2007). Aftermath of a tragedy: Reaction of psychiatrists to patient suicides . Psychiatric Annals , 37 , 684 – 688 .
35. Goldstein , L. S. , & Buongiorno , P. A. (1984). Psychotherapists and suicide survivors . American Journal of Psychotherapy , 38 , 392 – 398 .
36. Goodman , J. H. (1995). How therapists cope with client suicidal behavior. Dissertation Abstracts International.
37. Gorkin , M. (1985). On the suicide of one's patient . Bulletin of the Menninger Clinic , 49 , 1 – 9 .
38. Grad , O. T. , & Michel , K. (2005). Therapists as client suicide survivors . Women & Therapy , 281 , 71 – 81 .
39. Grad , O. T. , Zavasnik , A. , & Groleger , U. (1997). Suicide of a patient: Gender differences in bereavement reactions of therapists . Suicide and Life-Threatening Behavior , 27 , 379 – 386 .
40. Gulfi , A. , Castelli-Dransart , D. A. , Heeb , J. L. , & Gutjahr , E. (2010). The impact of patient suicide on the professional reactions and practices of mental health caregivers and social workers . Crisis: Journal of Crisis Intervention and Suicide , 31 , 202 – 10 .
41. Halligan , P. , & Corcoran , P. (2001). The impact of patient suicide on rural general practitioners . British Journal of General Practice , 51 , 295 – 296 .
42. Harris , E. C. , & Barraclough , B. (1997). Suicide as an outcome for mental disorders . British Journal of Psychiatry , 170 , 205 – 8 .
43. Hendin , H. , Haas , A. P. , Maltsberger , J. T. , Szanto , K. , & Rabinowicz , H. (2004). Factors contributing to therapists' distress after the suicide of a patient . American Journal of Psychiatry , 161 , 1442 – 1446 .
44. Hendin , H. , Lipschitz , A. , Maltsberger , J. T. , Haas , A. P. , & Wynecoop , S. (2000). Therapists' reactions to patients' suicide . American Journal of Psychiatry , 157 , 2022 – 2027 .
45. Henry , M. , Séguin , M. , & Drouin , M.-S. (2003). L'impact du décès par suicide d'un patient chez des professionnels en santé mentale . Revue québécoise de psychologie , 24 , 227 – 242 .
46. Henry , M. , Séguin , M. , & Drouin , M.-S. (2004). Les réactions des professionnels en santé mentale au décès par suicide d'un patient . Revue québécoise de psychologie , 25 , 241 – 257 .
47. Hodelet , N. , & Hughson , M. (2001). What to do when a patient commits suicide . Psychiatric Bulletin , 25 , 43 – 45 .
48. Horn , P. J. , (1995). Therapists' psychological adaptation to client suicidal behavior . Chicago , IL : Loyola University .
49. Horowitz , M. J. , Wilner , N. , & Alvarez , W. (1979). Impact of event scale: A measure of subjective distress . Psychosomatic Medicine , 41 , 209 – 218 .
50. Howard , C. (2000). Suicide in the elderly . Advances in Psychiatric Treatment , 6 , 102 – 108 .
51. Inoue , M. , Tsukano , K. , Muraoka , M. , Kaneko , F. , & Okamura , H. (2006). Psychological impact of verbal abuse and violence by patients on nurses working in psychiatric departments . Psychiatry and Clinical Neurosciences . 60 , 29 – 36 .
52. Jacobson , J. M. , Ting , L. , & Sanders , S. (2004). Prevalence of and reactions to fatal and non-fatal client suicidal behavior: A national study of mental health social workers . Omega , 49 , 237 – 248 .
53. James , D. M. (2005). Surpassing the quota: Multiples suicides in a psychotherapy practice . In K. M. Weiner (Ed.), Therapeutic and legal issues for therapists who have survived a client suicide: Breaking the silence . New York , NY : Haworth Press .
54. Joyce , B. , & Wallbridge , H. (2003). Effects of suicidal behavior on a psychiatric unit nursing team . Journal of Psychosocial Nursing and Mental Health Services , 41 , 14 – 23 .
55. Kaye , N. S. , & Soreff , S. M. (1991). The psychiatrist's role, responses, and responsibilities when a patient commits suicide . American Journal of Psychiatry , 148 , 739 – 743 .
56. Kendall , K. , & Wiles , R. (2010). Resisting blame and managing emotion in general practice: The case of patient suicide . Social Science & Medecine , 70 , 1714 – 20 .
57. Kinsler , P. J. (1995). A story for Marcie . Dissociation , 8 , 101 – 104 .
58. Kleespies , P. M. , Niles , B. L. , & Mori , D. L. (1998). Emergencies with suicidal patients: The impact on the clinician . In P. M. Kleespies (Ed.), Emergencies in mental health practice: Evaluation and management (pp. 379 – 397). New York , NY : Guilford Press .
59. Kleespies , P. M., Penk , W. E., & Forsyth , J. P. (1993). The stress of patient suicidal behavior during clinical training: incidence, impact and recovery. Professional Psychology: Research and Practice, 24, 293–303.
60. Kleespies , P. M. , Smith , M. R. , & Becker , B. R. (1990). Psychology interns as patient suicide survivors: Incidence, impact, and recovery . Professional Psychology: Research and Practice , 21 , 257 – 263 .
61. Knox , S. , Burkard , A. W. , Jackson , J. A. , Schaack , A. M. , & Hess , S. A. (2001). Therapists-in- training who experience a client suicide: implications for supervision . Development , 80 , 380 – 384 .
62. Kolodny , S. (1979). The working through of patients' suicides by four therapists . Suicide and Life-Threatening Behavior , 9 , 33 – 46 .
63. Lafayette , J. , & Stern , T. (2004). The impact of a patient's suicide on psychiatric trainees: A case study and review of the literature . Harvard Review of Psychiatry , 12 , 49 – 55 .
64. Landers , A. , O'Brien , S. , & Phelan , D. (2010). Impact of patient suicide on consultant psychiatrists in Ireland . The Psychiatrist Online , 34 , 136 – 140 .
65. Lesage , A. , Boyer , R. , Grunberg , F. , & Vanier , C. (1994). Suicide and mental disorders: A case-control study of young men . The American Journal of Psychiatry , 151 , 1063 – 1068 .
66. Lesage , A. , Séguin , M. , Guy , A. , Daigle , F. , Bayle , M. F. , Turecki , G. , & Chawky , N. (2008). Systematic services audit of consecutive suicides in New Brunswick: The case for coordinating specialist mental health and addiction services . Canadian Journal of Psychiatry , 53 , 671 – 678 .
67. Litman , R. E. (1995). Standards of care . Suicide and Life-Threatening Behavior , 25 , 319 – 21 .
68. Little , J. D. (1992). Staff response to inpatient and outpatient suicide: What happened and what should we do? Australian and New Zealand Journal of Psychiatry , 26 , 162 – 167 .
69. Mangurian , C. , Harre , E. , Reliford , A. , Booty , A. , & Cournos , F. (2009). Improving support of residents after a patient suicide: A residence case study . Academic Psychiatry , 33 , 278 – 281 .
70. Markowitz , J. C. (1990). Attending the funeral of a patient who commits suicide . American Journal of Psychiatry , 147 , 122 – 123 .
71. McAdams , III , C. R. , & Foster , V. A. (2000). Client suicide: Its frequency and impact on counselors . Journal of Mental Health Counseling , 22 , 107 – 121 .
72. Menninger , W. W. (1991). Patient suicide and its impact on the psychotherapist . Bulletin of the Menninger Clinic , 55 , 216 – 227 .
73. O'Reilly R. L. , Truant , G. S. , & Donaldson , L. (1990). Psychiatrists' experience of suicide in their patients . Psychiatric Journal of University of Ottawa . 15 , 173 – 176 .
74. Orlinski , D. E. , & Rønnestad , M. H. (2005). How psychotherapists develop: A study of therapeutic work and professional growth . PsyCRITIQUES , 50 . doi: 10.1037/05177111
75. Pieters , G. , Gucht , V. D. , & Joos , G. (2003). Frequency and impact of patient suicide on psychiatric trainees . European Psychiatry , 18 , 345 – 349 .
76. Pilkington , P. , & Etkin , M. (2003). Encountering suicide: The experience of psychiatry residents . Academic Psychiatry , 27 , 93 – 99 .
77. Pompili , M. , Mancinelli , I. , Girardi , P. , & Tatarelli , R. (2003). Preventing suicide in schizophrenia inside the family environment . Crisis: The Journal of Crisis Intervention and Suicide Prevention , 24 , 181 – 182
78. Renaud , J. , Berlim , M. T. , McGirr , A. , Tousignant , M. , & Turecki , G. (2008). Current psychiatric morbidity, aggression/impulsivity, and personality dimensions in child and adolescent suicide: A case-control study . Journal of Affective Disorders , 105 , 221 – 228 .
79. Richter , D. , & Berger , K. (2006). Post-traumatic stress disorder following patient assaults among staff members of mental health hospitals: A prospective longitudinal study . BMC Psychiatry , 6 – 15 .
80. Rønnestad , M. H. , & Skovholt , T. M. (2001). Learning arenas for professional development: Retrospective accounts of senior psychotherapists . Professional Psychology: Research and Practice , 2 , 181 – 187 .
81. Rousset , I. , & Vacheron , M.-N. (2007). Le suicide dans l'institution. /Suicide in institution . Annales Médico-Psychologiques , 165 , 545 – 555 .
82. Roussow , G. , Smythe , E. , & Greener , P. (2011). Therapists' experience of working with suicidal client . Indo-Pacific Journal of Phenomenology , 11 , 12 .
83. Ruben , H. L. (1990). Surviving a suicide in your practice . In S. J. Blumenthal & D. J. Kupfer (Eds.), Suicide over the life cycle: Risk factors, assessment, and treatment of suicidal patients (pp. 619 – 636). Washington , DC : American Psychiatric Press .
84. Rubovits , J. S. (1993). Therapists' reactions to client suicide . Houston , TX : Houston .
85. Ruskin , R. , Sakinofsky , I. , & Bagby , R. M. (2004). Impact of patient suicide on psychiatrists and psychiatric trainees . Academic Psychiatry , 28 , 104 – 110 .
86. Sacks , M. H., Kibel , H. D., Cohen , A. M., Keats , M., & Turnquist , K. N. (1987). Resident response to treatment. Journal of Psychiatric Education, 11, 217–226.
87. Sanders , S. , Jacobson , J. , & Ting , L. (2005). Reactions of mental health social workers following a client suicide completion: A qualitative investigation . Omega , 51 , 197 – 216 .
88. Schnur , D. B. , & Levin , E. H. (1985). The impact of successfully completed suicides on psychiatric residents . Journal of Psychiatric Education , 9 , 127 – 136 .
89. Schore , A. N. (2002). Advances in neuropsychoanalysis, attachment theory and trauma research: Implications for self psychology . Psychoanalytic Inquiry , 22 (3), 433 – 484 .
90. Séguin , M. , Turecki , G. , & Lesage , A. (2007). Life trajectories and burden of adversity: Mapping the developmental profiles of suicide mortality . Psychological Medicine , 10 , 1 – 9 .
91. Shaffer , D. , Gould , M. S. , Fisher , P. , Trautman , P. , Moreau , D. , Kleinman , M. , & Flory , M. (1996). Psychiatric diagnosis in child and adolescent suicide . Archives of General Psychiatry , 53 , 339 – 348 .
92. Skovholt , T. M. , & Rønnestad , M. H. (1992). The evolving professional self (stages and themes in therapist and counselor development) . New York , NY : John Wiley & Sons .
93. Takahashi , C. , Chida , F. , & Nakamura , H. (2011). The impact of patient suicide on psychiatric nurses and their need for support . BioMed Central , 11 , 1 – 8 .
94. Tanney , B. (1992). Mental disorders, psychiatric patients, and suicide . In R. Maris , A. Berman , J. Maltsberger , & R. Yufit (Eds.), Assessment and prediction of suicide (pp. 277 – 320). New York , NY : Guilford Press .
95. Thomyangkoon , P. , & Leenaars , A. (2008). Impact of death by suicide of patients on Thai psychiatrists . Suicide and Life-Threatening Behavior , 38 , 728 – 740 .
96. Tillman , J. G. (2006). When a patient commits suicide: An empirical study of psychoanalytic clinicians . International Journal of Psychoanalytic , 87 , 1159 – 1177 .
97. Ting , L. , Jacobson , J. M. , & Sanders , S. (2011). Current levels of perceived stress among mental health social workers who work with suicidal clients . Social Work , 56 , 327 – 336 .
98. Ting , L. , Sanders , S. , Jacobson , J. M. , & Power , J. R. (2006). Dealing with the aftermath: A qualitative analysis of mental health social workers' reactions after a client suicide . Social Work , 51 (4), 329 – 341 .
99. Trimble , L. , Jackson , K. , & Harvey , D. (2000). Client suicidal behaviour: Impact, interventions, and implications for psychologists . Australian Psychologist , 35 , 227 – 232 .
100. Valente , S. M. (1994). Psychotherapist reactions to the suicide of a patient . American Journal of Orthopsychiatry , 64 , 614 – 621 .
101. Valente , S. M. (2003). “Aftermath of a patient's suicide: A case study.” Perspectives in Psychiatric Care , 39 , 17 – 22 .
102. Valentine , M. (2006), The last resort: Some note on the suicide of a patient . British Journal of Psychotherapy , 25 , 295 – 306 .
103. Weiss , D. , & Marmar , C. (1997). The Impact of Event Scale-Revised . In J. Wilson & T. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399 – 411). New York , NY : Guilford Press .
104. Weiss , D. S. (2004). The Impact of Event Scale-Revised . In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD: A practitioner's handbook (, 2nd ed. , pp 168 – 189). New York , NY : Guilford Press .
105. Worden , J. W. (1998). Tasks and mediators of mourning: A guideline for the mental health practitioner . In Session , 2 , 73 – 80 .
106. Worden , J. W. (2009). Grief counseling and grief therapy: A handbook for the mental health practitioner . New York , NY : Springer Publishing .
107. Wurst , F. M. , Kunz , I. , & Skipper , G. (2011). The therapist's reaction to a patient's suicide. Results of a survey and implications for health care professional's well-being . Crisis , 32 , 99 – 105 .
108. Wurst , F. M. , Mueller , S. , Petitjean , S. , Euler , S. , Thon , N. , Wiesbeck , G. , & Wolfersdorf , M. (2010). Patient suicide: A survey of therapists reactions . Suicide and Life-Threatening Behavior , 40 , 328 – 336 .
109. Yousaf , F. , Hawthorne , M. , & Sedgwick , P. (2002). Impact of patient suicide on psychiatric trainees . Psychiatric Bulletin , 26 , 53 – 55 .