Client Suicide: What Now?

Ellis, Thomas E.; Patel, Amee B.

doi:10.1016/j.cbpra.2010.12.004

Cited by 36 publications

(49 citation statements)

References 43 publications

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“…Self‐doubts about professional competency have also been indicated (Fox & Cooper, ; Hendin et al, ; Sanders, Jacobson, & Ting, ). Reluctance to accept further clients with suicidal risk, and leaving the profession, have also been reported to a lesser extent (Ellis & Patel, ; Hendin et al, ).…”

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confidence: 99%

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Impact of Client Suicide on Psychologists in Australia

Finlayson

Simmonds

2018

Australian Psychologist

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Objective: This research aimed to assess the frequency and impact of client suicides on psychologists in Australia. Method: Participants were 178 psychologists who completed an online self-report questionnaire concerning the frequency of occurrence and impact of client suicide. Results: Fifty six (31.5%) participants reported one or more client suicides. Psychologists with more years of experience reported more client suicides. Participants who had experienced a client suicide reported a range of emotional, cognitive and behavioural reactions as well as professional impacts. Ratings of responsibility, preventability and predictability of a client suicide were associated with emotional and/or professional impacts. Beneficial coping responses included talking to supervisors and colleagues, recognising the psychologist is not responsible and having increased acceptance of a client suicide. Conclusions: The findings have important implications for training, workplace practices and research.

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confidence: 99%

“…While coping responses towards a client suicide are likely to be highly individual for each psychologist, common trends in coping responses has been found across the literature (Ellis & Patel, ). Trimble et al () found that two of the most helpful coping strategies for psychologists were speaking to colleagues and/or supervisors.…”

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confidence: 99%

Impact of Client Suicide on Psychologists in Australia

Finlayson

Simmonds

2018

Australian Psychologist

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“…Several recommendations have been made in this case and include addressing the need for social support, taking advantage of resources that are available, seeking psychotherapy if it is indicated, and receiving support from clinical supervisors and administrators. 42 Additionally, the American Association of Suicidology has a Web site for "clinician survivors" that provides resources and readings on the topic that many have found helpful. 43…”

Section: Crisis Resources For Providers Experiencing Death Of a Patiementioning

confidence: 99%

Recognizing and Reacting to Risk Signs for Patient Suicide

Zitelli

Palmer

2018

Semin Hear

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Evidence-based suggestions for developing an effective clinician-client relationship built upon trust and honesty will be shared, as well as a review of relevant scope of practice issues for audiologists. Audiologists need to be prepared if a patient threatens self-harm. Many patients do not spontaneously report their suicidal thoughts and intentions to their care providers, so we need to be alert to warning signs. Information about the strongest predictors of suicide, how to ask about suicidal intentions, and how to assess the risk of suicide will be presented. Although it is our responsibility to recognize suicidal tendencies and have a plan for preventive intervention, it is not our responsibility to conduct a suicide evaluation. Tips for collecting critical information to be provided to qualified professionals will be shared, as well as additional information about how and to whom to disclose this information. A list of suicide warning signs will be reviewed as well as some additional suggestions for how to react when a patient discloses his or her suicidal intent. A review of available resources (for both the patient and the clinician) will be provided, along with instructions for how and when it is appropriate to access them.

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“…Working with suicidal patients can lead to a range of distressful feelings, such as anxiety, panic, and doubts about professional competence (Reeves & Mintz, ) and, in some cases, may lead to harmful actions for treatment (Hendin, Haas, Maltsberger, Koestner, & Szanto, ). Losing a patient due to a suicidal act can evoke feelings of shame, guilt, anxiety (Ellis & Patel, ), failure, doubting one's expertise, incompetence, and fear of criticism and legal repercussions (Campbell & Fahy, ; Farberow, ; Hendin, Lipschitz, Maltsberger, Haas, & Wynecoop, ).…”

Section: Introductionmentioning

confidence: 99%

“Will you treat me? I'm suicidal!” The effect of patient gender, suicidal severity, and therapist characteristics on the therapist's likelihood to treat a hypothetical suicidal patient

Almaliah-Rauscher

Ettinger

Levi‐Belz

et al. 2020

Clin Psychology and Psychoth

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The purpose of our study was to broaden the understanding regarding mental health professionals' willingness to treat and likeliness to refer suicidal patients to other professionals. More specifically, our aim was to examine the effect of the patient's gender and suicidal severity, as well as the mental health professionals' personal and professional characteristics, on the willingness to treat and likeliness to refer. A total of 331 mental health professionals were randomly exposed to one of four case descriptions of a hypothetical patient in a crisis. The cases shared a common background story; however, they differed in terms of the patient's gender and suicidal condition (high vs. low). The exposure was followed by questionnaires aimed to reflect the subject's evaluation of the patient's suicidal severity, the subject's sense of competence and responsibility, willingness to treat or likeliness to refer, emotional contagion, and depression. The results indicate a lower willingness to treat and higher likelihood to refer suicidal patients compared with depressed patients. In addition, subjects exposed to the high suicidality cases showed a greater willingness to treat and refer female patients compared with male patients. A sense of competence was found as the strongest predictor of mental health professionals' willingness to treat and likelihood to refer, and emotional contagion was found as a predictor of likelihood to refer. It is important that mental health professionals be aware of the low tendency to treat suicidal patients especially if they are male. Further research should explore suitable training programmes and their application in the mental health curriculum.

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Client Suicide: What Now?

Cited by 36 publications

References 43 publications

Impact of Client Suicide on Psychologists in Australia

Impact of Client Suicide on Psychologists in Australia

Recognizing and Reacting to Risk Signs for Patient Suicide

“Will you treat me? I'm suicidal!” The effect of patient gender, suicidal severity, and therapist characteristics on the therapist's likelihood to treat a hypothetical suicidal patient

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