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Suicide Exposure and the Impact of Client Suicide: A Structural Equation Modeling Approach
Archives of Suicide Research ( IF 2.833 ) Pub Date : 2021-12-28 , DOI: 10.1080/13811118.2021.2020190
Ruth Van der Hallen

Abstract

Objective

Client suicide, used to refer to situations where a mental health practitioner (MHP) is exposed, affected, or bereaved by a client’s suicide, is known to have a profound impact on MHPs. The current study investigated (1) the short- and long-term impact of client suicide and (2) to what extent gender, years of experience, therapeutic background, and exposure to suicidality predicted impact.

Methods

An international sample of 213 mental health practitioners completed an online survey on the impact of client suicide.

Results and Conclusion

Overall, results indicate MHPs are significantly affected by client suicide. A two-factor model in which impact of client suicide was predicted by two latent variables, MHP Characteristics and Exposure to Suicidality, explained 43% of short-term, 69% of long-term emotional, and 60% of long-term professional impact. Whereas MHP characteristics did not significantly predict any of the three impact variables (ps >.05), Exposure to Suicidality significantly predicted all three outcome variables (ps <.001). Interestingly, lived experience or exposure to suicidality of friends/family members predicted more impact, while exposure to suicidality at work predicted less impact of client suicide. Implications for both research and clinical practice are discussed.

  • HIGHLIGHTS

  • MHPs are significantly affected by client suicide;

  • Previous exposure to suicidality predicts the impact of client suicide;

  • MHP characteristics do not predict the impact of client suicide.



中文翻译:

自杀暴露和客户自杀的影响:结构方程建模方法

摘要

客观的

客户自杀,过去指的是心理健康从业者 (MHP) 因客户自杀而暴露、影响或失去亲人的情况,众所周知,这对 MHP 有深远的影响。目前的研究调查了 (1) 客户自杀的短期和长期影响,以及 (2) 性别、经验年限、治疗背景和自杀倾向在多大程度上预测了影响。

方法

一个由 213 名心理健康从业者组成的国际样本完成了一项关于客户自杀影响的在线调查。

结果与结论

总体而言,结果表明 MHP 受到客户自杀的显着影响。一个双因素模型,其中客户自杀的影响由两个潜在变量预测,MHP 特征自杀暴露,解释了 43% 的短期影响、69% 的长期情感影响和 60% 的长期职业影响. 尽管MHP 特征并未显着预测三个影响变量中的任何一个 ( ps >.05),但自杀暴露显着预测了所有三个结果变量 ( ps<.001). 有趣的是,朋友/家人的生活经历或自杀倾向预示着更大的影响,而工作中的自杀倾向预示着客户自杀的影响较小。讨论了对研究和临床实践的影响。

  • 强调

  • MHP 受客户自杀的显着影响;

  • 以前接触过自杀倾向可以预测客户自杀的影响;

  • MHP 特征不能预测来访者自杀的影响。

更新日期:2021-12-28
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