The therapist's reaction to a patient's suicide: results of a survey and implicationsfor health care professionals’well-being.
The therapist's reaction to a patient's suicide: results of a survey and implicationsfor health care professionals’well-being.
复制标题
治疗师对患者自杀的反应：调查结果及其对医疗保健专业人员福祉的影响。
作者：
F. Wurst;Isabella Kunz;G. Skipper;M. Wolfersdorf;K. Beine;N. Thon
背景
相当一部分治疗师在其职业生涯的某个时候经历过病人自杀的损失。
旨在
评估（1）随着时间的推移，患者自杀对治疗师的痛苦和幸福感的影响，（2）哪些因素导致了反应，以及（3）自杀后哪些亚组可能需要特殊干预。
方法
一份包含63个项目的问卷被发送到德国所有185家综合医院的精神科诊所。治疗师对患者自杀的情绪反应在治疗后即刻、治疗后2周、治疗后6个月进行测量。
结果
十分之三的治疗师在病人自杀后会感到严重的痛苦。自杀后立即出现的“总体痛苦”项目可以预测情绪反应和行为变化。在回归分析中，自杀后的情绪反应解释了总痛苦方差的43.5%。
限制
本研究的回顾性性质是其主要局限性。
结论
我们的数据表明，确定严重困扰亚组可以使用视觉模拟量表的整体困扰。因此，可以向这些专业人员提供更具体和更深入的帮助。
BACKGROUND
A substantial proportion of therapists experience the loss of a patient to suicide at some point during their professional life.
AIMS
To assess (1) the impact of a patient's suicide on therapists distress and well-being over time, (2) which factors contribute to the reaction, and (3) which subgroup might need special interventions in the aftermath of suicide.
METHODS
A 63-item questionnaire was sent to all 185 Psychiatric Clinics at General Hospitals in Germany. The emotional reaction of therapists to patient's suicide was measured immediately, after 2 weeks, and after 6 months.
RESULTS
Three out of ten therapists suffer from severe distress after a patients' suicide. The item "overall distress" immediately after the suicide predicts emotional reactions and changes in behavior. The emotional responses immediately after the suicide explained 43.5% of the variance of total distress in a regression analysis.
LIMITATIONS
The retrospective nature of the study is its primary limitation.
CONCLUSIONS
Our data suggest that identifying the severely distressed subgroup could be done using a visual analog scale for overall distress. As a consequence, more specific and intensified help could be provided to these professionals.