title: The impact of patient suicide on the professional reactions and practices of mental health caregivers and social workers.
abstract: BACKGROUND
  Mental health and social professionals are at high risk of experiencing at least one patient suicide during their career.
  
  
  OBJECTIVE
  This paper investigates the impact of patient suicide on the reactions and working practices of mental health and social professionals. It also examines how such an impact may vary depending on the professionals' characteristics, their relationship with the patient, as well as the institutional setting in which they work.
  
  
  METHODS
  275 professionals working in sociomedical institutions in French-speaking Switzerland completed a questionnaire.
  
  
  RESULTS
  Patient suicide can cause a wide range of long-lasting reactions and changes in the working practices of mental health and social professionals. Professional's gender, place of suicide, as well as responsibility for and emotional attachment to the patient significantly influence the impact that a patient suicide has on such professionals. Professional's age, the type of profession, the number of suicides experienced, and previous suicide attempts by the deceased patient were also found to play a significant role with regard to changes in working practices.
  
  
  CONCLUSIONS
  Beyond the emotional and professional impact, patient suicide may have also a formative influence, encouraging professionals to review and improve their working practices. Recommendations to help mental health and social professionals who have experienced a patient suicide are discussed.
authors.affiliation: Department of Applied Research & Development (AR&D), University of Applied Sciences of Western Switzerland/Haute Ecole fribourgeoise de travail social, Fribourg, Switzerland. alida.gulfi@hef-ts.ch
authors.forename: Alida
authors.initials: A
authors.lastname: Gulfi
authors.forename: Dolores Angela
authors.initials: DA
authors.lastname: Castelli Dransart
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Heeb
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Gutjahr
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D005260:Female; D006801:Humans; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011364:Professional Practice / Q000706:statistics & numerical data; D011369:Professional-Patient Relations; D012947:Social Work; D013405:Suicide / Q000523:psychology*; D011795:Surveys and Questionnaires; D013557:Switzerland; D013997:Time Factors; D055815:Young Adult