The effects of suicide on the private practitioner: A professional and personal perspective

Author(s): Cooper, M.

Journal/Book: Clin Soc Work J. 1998; 26: 233 Spring St, New York, NY 10013-1578. Human Sci Press Inc. 143-157.

Abstract: A patient's suicide has a profound effect on the therapist and psychotherapy with a chronically suicidal patient is particularly troubling. Guilt over one's failure to recognize the warning signs, fear of one's incompetence or irresponsibility, shame that one has failed, and fear of being blamed by the patient's loved ones and by colleagues are feelings that frequently surface and that can result in isolating a practitioner from the very sources of peer support that are necessary in order to resolve the trauma. This article explores the effects of suicide on the private practitioner. It discusses how burnout and vicarious traumatization impact upon the therapist who treats the chronically suicidal patient. Two clinical examples illustrate the impact of working with imminent suicide and the aftermath of a patient's death from a personal perspective. Recommendations are made to help private practitioners maintain equilibrium when working with these overwhelming case situations.

Note: Article Fox R, Fordham Univ, Grad Sch Social Sci, 113 W 60TH St, New York,NY 10023 USA

Keyword(s): suicide; burn-out; vicarious traumatization; BURNOUT; PATIENT

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