{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"omics_type":["Unknown"],"volume":["320(7249)"],"submitter":["Alexander DA"],"pubmed_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."],"journal":["BMJ (Clinical research ed.)"],"pagination":["1571-4"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC27400"],"repository":["biostudies-literature"],"pubmed_title":["Suicide by patients: questionnaire study of its effect on consultant psychiatrists."],"pmcid":["PMC27400"],"pubmed_authors":["Eagles JM","Klein S","Dewar IG","Alexander DA","Gray NM"],"additional_accession":[]},"is_claimable":false,"name":"Suicide by patients: questionnaire study of its effect on consultant psychiatrists.","description":"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.","dates":{"release":"2000-01-01T00:00:00Z","publication":"2000 Jun","modification":"2020-08-30T07:00:58Z","creation":"2019-03-27T00:17:55Z"},"accession":"S-EPMC27400","cross_references":{"pubmed":["10845964"],"doi":["10.1136/bmj.320.7249.1571"]}}