title: Impact of death by suicide of patients on Thai psychiatrists.
abstract: The objective of this study was to identify the impact of a patient's suicide on psychiatrists in Thailand. A confidential coded postal questionnaire survey was sent to 320 eligible psychiatrists; with a response rate of 52.18%). The results showed that 94 (56.28%) of responding psychiatrists had a patient die by suicide, consistent with high rates found in similar large-scale studies in the United States and United Kingdom. Less than half (41.5%) of patients had been diagnosed with schizophrenia, 33% had a depressive disorder, and the others had a wide array of diagnoses. More than 50% of psychiatrists reported personally experiencing sadness, depression, hopelessness, and guilt; 74.5% reported professional reactions, most frequently a review of their practice (93.4% reported being more aggressive in assessment of suicidality). Respondents were diverse in their postvention; 90% of Thai psychiatrists reported that working through with colleagues was most helpful. Family and friends helped. A majority (72.4%) of psychiatrists prayed or did "merit" for the dead patient; 86.8% found it helpful. This finding suggests that cultural sensitivity may be needed to understand the impact of suicide on psychiatrists but also to its response.
authors.affiliation: Department of Psychiatry, Rajavithi Hospital, Rajavith Hospital, Rajathvee, Bangkok, Thailand. KARN249@yahoo.com
authors.forename: Prakarn
authors.initials: P
authors.lastname: Thomyangkoon
authors.forename: Antoon
authors.initials: A
authors.lastname: Leenaars
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001293:Attitude to Death; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000523:psychology*; D011570:Psychiatry / Q000706:statistics & numerical data*; D013405:Suicide / Q000706:statistics & numerical data*; D013785:Thailand / Q000453:epidemiology