Abstract

Objective

To provide a conceptual overview of how medical doctors and nurses experience patient suicide.

Method

A systematic search identified ten qualitative papers for this interpretive meta-synthesis. Constructs were elicited and synthesized via reciprocal translational analysis.

Results

Findings comprised four inter-related themes: (1) Intrinsic but taboo: patient suicide perceived as inevitable yet difficult to discuss. (2) Significant emotional impact: clinicians deeply affected, with resilience important for mitigating impact. (3) Failure and accountability: intense self-scrutiny, guilt and shame, with blame attributed differently across professions. (4) Legacy of patient suicide: opportunities for growth but lack of postvention guidance.

Conclusions

Patient suicide affects clinicians profoundly. Further research should evaluate postvention procedures to inform effective guidance and support, acknowledging professional differences.

• Highlights

• Patient suicide profoundly affects doctors and nurses as “suicide survivors.”

• Despite common themes, professions differed in blame attributions.

• Organizations must develop postvention responses to meet clinicians’ pastoral needs.

中文翻译：

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患者自杀对医生和护士的影响：一个重要的解释性综合综合

摘要

客观的

提供关于医生和护士如何体验患者自杀的概念性概述。

方法

系统搜索确定了十篇用于这种解释性综合综合的定性论文。通过互惠翻译分析引出和合成构建体。

结果

调查结果包括四个相互关联的主题：（1）内在但禁忌：患者自杀被视为不可避免但难以讨论。(2) 显着的情绪影响：临床医生深受影响，恢复力对于减轻影响很重要。(3) 失败和问责：强烈的自我审视、内疚和羞耻，不同职业的指责不同。(4) 患者自杀遗留问题：成长机会但缺乏干预后指导。

结论

患者自杀对临床医生的影响深远。进一步的研究应评估术后程序，以提供有效的指导和支持，承认专业差异。

• 强调

• 患者自杀对医生和护士作为“自杀幸存者”产生了深远的影响。

• 尽管有共同的主题，但职业在责任归属方面存在差异。

• 组织必须制定干预后的应对措施，以满足临床医生的教牧需求。