Helping Residents Cope with a Patient Suicide - reactions

TYPICAL REACTIONS TO PATIENT SUICIDE

Initial Reactions

Shock
Disbelief
Denial
Depersonalization

Second-phase Reactions
Grief
Shame
Guilt
Fear of blame
Anger
Relief
Finding of omens and subsequent behavioral changes
Conflicting feelings of specialness

[Adapted from Table 24-1 from Chapter 24: Psychiatrist Reactions to Patient Suicide by Dr. Michael Gitlin in Simon, RI and Hales, RE. Textbook of Suicide Assessment and Management. 2006. American Psychiatric Publishing, Inc. Washington, DC.]

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