@article{ref1,
title="The Stress of Patient Suicidal Behavior During Clinical Training: Incidence, Impact, and Recovery",
journal="Professional psychology: research and practice",
year="1993",
author="Kleespies, P.M. and Penk, W.E. and Forsyth, J.P.",
volume="24",
number="3",
pages="293-303",
abstract="This study enhances and replicates an earlier study (Kleespies, Smith, & Becker, 1990) on the incidence and impact of patient suicidal behavior on psychology interns/trainees, using a much larger sample, a broader spectrum of patient suicidal behaviors, and more adequate comparison groups. The findings indicate that more than 1: 4 interns/trainees needed to deal with a patient suicide attempt, and that 1: 9 had to cope with a patient suicide completion. Stress level followed a graduated increase in impact with increasing severity of patient suicidal behavior (i.e., from suicidal ideation to suicide attempt to suicide completion). Trainees who had a patient suicide were distinguished from those who experienced patient suicide ideation by significantly greater feelings of shock, disbelief, failure, sadness, self-blame, guilt, shame, and depression. <br><br>RESULTS are discussed in terms of the importance of developing mechanisms to assist trainees in anticipating and working through the strong psychological impact of losing a patient through a self-inflicted death.<p /><p>Language: en</p>",
language="en",
issn="0735-7028",
doi="10.1037/0735-7028.24.3.293",
url="http://dx.doi.org/10.1037/0735-7028.24.3.293"
}