Hidden in Plain Sight - Staff Exposure to Suicide and Responses to a New, Systemic Model of Workplace Postvention.

IF 1.7 4区 医学 Q3 PSYCHIATRY Crisis-The Journal of Crisis Intervention and Suicide Prevention Pub Date : 2025-01-01 Epub Date: 2024-12-10 DOI:10.1027/0227-5910/a000986
Alison Clements, Priscilla Ennals, Susan Young, Karl Andriessen
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Abstract

Background: Exposure to suicide is associated with a range of psychosocial harms which Australian employers have a legislated responsibility to mitigate. Aims: Examine the impact of suicide on staff, current workplace responses and the efficacy of a new, systemic model of workplace postvention. Method: Interviews and focus groups with 54 staff in 22 workplaces from the commercial, government, and not-for-profit sectors. Results: Every participant had experienced the suicide of a client or colleague and reported a range of short- and long-term negative impacts, including suicidal ideation. This contrasted with the overall lack of workplace postvention, which increased the risks of psychosocial harms to staff. The new model was effective in tailoring a systemic approach to workplace postvention. Limitations: The small size of the sample limits generalizability; however, the prevalence of exposure to suicide and lack of workplace preparedness were strikingly consistent. Conclusion: The impact of suicide on staff is significant and current workplace responses are ineffective and potentially harmful. The new model improves staff and workplace preparedness through tailored and co-designed training, governance and supports.

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隐藏在视线之中——员工面对自杀和对一种新的、系统性的工作场所后置模式的反应。
背景:暴露于自杀与一系列社会心理伤害有关,澳大利亚雇主有法律责任减轻这些伤害。目的:检查自杀对员工的影响,当前工作场所的反应和工作场所后防的新系统模型的有效性。方法:对来自商业、政府和非营利部门的22个工作场所的54名工作人员进行访谈和焦点小组。结果:每个参与者都经历过客户或同事的自杀,并报告了一系列短期和长期的负面影响,包括自杀意念。与此形成对比的是,工作场所总体上缺乏后撤措施,这增加了对工作人员造成心理伤害的风险。新模式有效地为工作场所的后撤制定了系统化的方法。局限性:样本量小限制了推广;然而,暴露于自杀的普遍程度和工作场所缺乏准备却惊人地一致。结论:自杀对员工的影响是显著的,目前的工作场所应对措施是无效的和潜在的有害的。新模式通过量身定制和共同设计的培训、治理和支持,改善了员工和工作场所的准备工作。
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来源期刊
CiteScore
5.10
自引率
6.70%
发文量
80
期刊介绍: A must for all who need to keep up on the latest findings from both basic research and practical experience in the fields of suicide prevention and crisis intervention! This well-established periodical’s reputation for publishing important articles on suicidology and crisis intervention from around the world is being further enhanced with the move to 6 issues per year (previously 4) in 2010. But over and above its scientific reputation, Crisis also publishes potentially life-saving information for all those involved in crisis intervention and suicide prevention, making it important reading for clinicians, counselors, hotlines, and crisis intervention centers.
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