Clinician Response to a Child Who Completes Suicide

Al-Mateen, Cheryl S.; Jones, Kathryn; Linker, Julie; O'Keefe, Dorothy; Cimolai, Valentina

doi:10.1016/j.chc.2018.05.006

Cited by 6 publications

(4 citation statements)

References 62 publications

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“…MHFA improves mental health knowledge, attitudes and skills among diverse populations [ 60 ], including pharmacy students [ 61 ]. Adequate training may also be important for pharmacists’ own personal benefit as evidence suggests that healthcare professionals with less training and clinical practice experience are more likely to experience more severe reactions and distress in relation to patient suicides [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Suicide can have a profound impact on families and communities [ 3 – 5 ]. Those affected may experience grief, denial, blame, and question the reasons for suicide [ 4 , 6 ]. Stigma surrounding suicide and suicide loss may lead people to isolate, or be shunned [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Severe distress was reported by 38% of psychologists, psychiatrists, and social workers following a patient suicide [ 18 ]. Distress among healthcare professionals can be amplified when grieving is limited by concerns over patient confidentiality, or legal advice against discussing the suicide [ 6 , 19 ]. Fears of blame, litigation, and disrupted relationships with colleagues, as well as loss of confidence in clinical work have been reported [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

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Exploring the impact of suicide care experiences and post-intervention supports sought among community pharmacists: a cross-sectional survey

et al. 2022

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Background There is a need to appropriately train, support and remunerate pharmacists for their expanding roles in mental healthcare. Pharmacists often care for people experiencing mental health crises, including suicidal thoughts and behaviours, but little is known about pharmacists’ suicide care experiences. Aim This cross-sectional study aimed to explore the impact of professional experiences with people at risk of suicide and support accessed, among community pharmacists. Method A survey exploring pharmacists’ experiences with people at risk of suicide and post-intervention support-seeking was disseminated through Australian and Canadian professional associations, conferences and social media (June 2016-May 2017). Quantitative data were analysed using Chi-squared, Fisher’s exact and independent t-tests, where appropriate. Qualitative data exploring the impact of these experiences were thematically analysed, and reasons for not seeking help post-intervention were identified. Results Among 378 respondents, 84% had encountered patients at risk of suicide and 28% had lost patients to suicide. Some were negatively affected personally and/or professionally (11%), of which 88% did not seek professional support, mainly due to uncertainty about available services. Pharmacists were significantly more negatively affected if they had a personal mental health diagnosis (p = 0.017) and previous suicide care experiences (p = 0.001). Qualitative themes included: expanding knowledge and skills, role limitation and emotional impact and response. Conclusions A large proportion of pharmacists have interacted with suicidal patients and are impacted by these experiences, yet few seek help due to lack of awareness and access. There is a need to recognize pharmacists’ roles in suicide care, and develop pharmacist-specific post-intervention support.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring the impact of suicide care experiences and post-intervention supports sought among community pharmacists: a cross-sectional survey

et al. 2022

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“…Helpful factors to examine include therapeutic relationships and instilling a sense of hope for future patients struggling with suicidal urges ( 114 , 128 ). Primary care clinic administrators can help providers identify and go through the multiple elements of a comprehensive suicide postvention, including addressing emotional, professional, legal, and administrative consequences ( 129 ).…”

Section: Financing Suicide Preventionmentioning

confidence: 99%

Improving Suicide Prevention in Primary Care for Differing Levels of Behavioral Health Integration: A Review

et al. 2022

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ImportanceSuicide prevention implementation in primary care is needed due to the increasing rate of suicide in the past few decades, particularly for young and marginalized people. Primary care is the most likely point of contact for suicidal patients in the healthcare system. Attention to the level of medical integration with behavioral health is vital to suicide prevention and is applied throughout this review.MethodsA narrative review was performed.ObservationsMany interventions help improve suicide prevention care. PCP education, screening, safety planning/lethal means reduction, care transitions, psychotherapy, and medication management are all evidence-based strategies. Additionally, the pragmatic topics of financing suicide prevention, supporting providers, enacting suicide postvention, and preparing for future directions in the field at each level of primary care/behavioral health integration are discussed.Conclusions and RelevanceThe findings are clinically relevant for practices interested in implementing evidence-based suicide prevention strategies by attending to the behavioral health/medical interface. Leveraging the patient/provider relationship to allow for optimal suicide prevention care requires clinics to structure provider time to allow for emotionally present care. Defining clear roles for staff and giving attention to provider well being are also critical factors to supporting primary care-based suicide prevention efforts.

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The impact of adolescent suicide on professionals in secure residential youth care

Kaijadoe,

Nijhof,

Klip

et al. 2023

Residential Treatment For Children & Youth

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Clinician Response to a Child Who Completes Suicide

Cited by 6 publications

References 62 publications

Exploring the impact of suicide care experiences and post-intervention supports sought among community pharmacists: a cross-sectional survey

Exploring the impact of suicide care experiences and post-intervention supports sought among community pharmacists: a cross-sectional survey

Improving Suicide Prevention in Primary Care for Differing Levels of Behavioral Health Integration: A Review

The impact of adolescent suicide on professionals in secure residential youth care

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