Suicide by patients: questionnaire study of its effect on consultant psychiatrists.

ABSTRACT:

Objective

To identify the effect of patients' suicide on consultant psychiatrists in Scotland.

Design

Confidential coded postal questionnaire survey.

Participants

Of 315 eligible consultant psychiatrists, 247 (78%) contributed.

Setting

Scotland.

Main outcome measures

Experience of patient suicide; the features and impact of "most distressing" suicide and what helped them to deal with it.

Results

167 (68%) consultants had had a patient commit suicide under their care. Fifty four (33%) reported being affected personally in terms of low mood, poor sleep, or irritability. Changes in professional practice were described by 69 (42%) of the psychiatrists-for example, a more structured approach to the management of patients at risk and increased use of mental health legislation. Twenty four (15%) doctors considered taking early retirement because of a patient's suicide. Colleagues and family or friends were the best sources of help, and team and critical incident reviews were also useful.

Conclusions

Suicide by patients has a substantial emotional and professional effect on consultant psychiatrists. Support from colleagues is helpful, and professional reviews provide opportunities for learning and improved management of suicide and its aftermath.

SUBMITTER: Alexander DA 

PROVIDER: S-EPMC27400 | biostudies-literature | 2000 Jun

REPOSITORIES: biostudies-literature