The suicide of a patient is not an infrequent event in a psychiatrist's
practice, and it has a major impact on the clinician as well as on the
patient's family and the hospital staff. Dealing with a patient's suicide
is a neglected topic in residency training, and many psychiatrists are
never taught how to cope with such a situation. The authors review the
relevant literature and draw on this as well as on their own clinical
experience to recommend specific interventions. They point out that the
psychiatrist has a leadership role and a number of responsibilities in the
aftermath of a suicide, including notifying the family, the hospital staff,
hospital officials, and patients who knew the deceased patient; meeting
with the family, the staff, and the patients to encourage discussion and
venting of feelings; attending the funeral; and accurately documenting
events in the medical record. The psychiatrist should also attend to his or
her own needs by seeking support from a colleague and should ensure that a
psychological autopsy is performed in order to facilitate learning, improve
care of patients in the future, and help bring about closure for the
psychiatrist so that the quality of his or her care of other patients is
not compromised.Abstract Teaser