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Impact of suicide on health professionals in psychiatric care mental healthcare professionals' perceptions of suicide during ongoing psychiatric care and its impacts on their continued care work.
International Journal of Mental Health Nursing ( IF 5.6 ) Pub Date : 2020-05-18 , DOI: 10.1111/inm.12738
Patrik Rytterström 1 , Säidi Margot Ovox 2 , Rikard Wärdig 1 , Sally Hultsjö 1, 3
Affiliation  

People who attempt suicide as well as those who actually take their own life often have communicated their suicidal thoughts and feelings to healthcare professionals in some form. Suicidality is one of the most challenging caring situations and the impacts of suicide care affect both the professional and personal lives of healthcare professionals. This study investigates how mental health professionals perceive suicide while providing psychiatric care and how this perception impacts their continued care work. This qualitative exploratory study includes 19 mental health professionals in psychiatry who had provided care for patients who had taken their own life. Analysis followed the principle of phenomenography. The findings reveal that these healthcare professionals experienced an internal conflict that affected them both personally and professionally. In response to these conflicts, the healthcare professionals developed strategies that involved a safety zone and increased vigilance. Those who were able to commute and balance a safe spot and learning to be more vigilant seem to have developed as a result of patient's suicide. These findings have the potential to help establish a post‐suicide caring process where healthcare professionals learn to make better suicide assessments, become more open to talking about death with patients, and develop a humbler approach to understanding a patient's suicide.

中文翻译:

自杀对精神病医疗保健专业人员的影响精神卫生保健专业人员在进行持续的精神病护理期间对自杀的看法及其对他们继续护理工作的影响。

企图自杀的人以及实际自杀的人经常以某种形式将其自杀念头和感受传达给医疗保健专业人员。自杀是最富挑战性的护理情况之一,自杀护理的影响会影响医疗保健专业人员的职业和个人生活。这项研究调查了精神卫生专业人员在提供精神科护理时如何感知自杀,以及这种感知如何影响他们的继续护理工作。这项定性的探索性研究包括19位精神病学方面的精神卫生专业人员,他们为自杀者提供了护理。分析遵循现象学原理。调查结果表明,这些医疗保健专业人员经历了内部冲突,从而影响了他们个人和职业。针对这些冲突,医护人员制定了涉及安全区并提高警惕性的策略。那些能够通勤和平衡安全地点并学会保持警惕的人似乎是患者自杀的结果。这些发现有可能帮助建立自杀后护理过程,医护人员可以学会更好地评估自杀情况,更愿意与患者讨论死亡问题,并开发出一种谦逊的方法来了解患者的自杀情况。那些能够通勤和平衡安全地点并学会保持警惕的人似乎是患者自杀的结果。这些发现有可能帮助建立自杀后护理过程,医护人员可以学会进行更好的自杀评估,更愿意与患者谈论死亡,并开发出一种谦逊的方法来理解患者的自杀。那些能够通勤和平衡安全地点并学会保持警惕的人似乎是患者自杀的结果。这些发现有可能帮助建立自杀后护理过程,医护人员可以学会更好地评估自杀情况,更愿意与患者讨论死亡问题,并开发出一种谦逊的方法来了解患者的自杀情况。
更新日期:2020-05-18
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