监狱和法医精神卫生工作人员在其看护的人员自杀后的情况。对国际和德国国内证据的叙述性回顾

María Isabel Fontao, J. Bulla, Thomas Ross
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摘要

国际上有越来越多的研究在调查病人自杀对心理健康专业人员的影响。失去自杀病人的经历会对心理健康专业人员产生重大影响,在某些情况下甚至是长期的(负面)影响。然而,监狱工作人员或法医心理健康专业人员所受影响的性质和程度却不太清楚。本叙述性综述总结了这一领域的定量和定性研究以及主要发现,重点关注上述职业。我们使用 PsychInfo 和谷歌学术进行了文献检索,时间跨度从 2000 年开始。绝大多数研究结果都与一般心理健康专业人员有关。我们无法找到任何有关法医精神病学工作人员反应的公开报告。在已确定的监狱研究中,大多数都是定性研究。德语国家在监狱和心理健康方面的研究尤为匮乏。我们得出的结论是,对于客户/患者自杀对(德国)监狱和法医精神病学工作人员这两个亚群体的影响,我们还极度缺乏了解。显然,我们需要对自杀影响的性质和程度,以及有助于减轻自杀负面影响的具体组织和支持因素进行更多的研究。
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Prison and forensic mental health staff after suicides in their care. A narrative review of international and German national evidence
There is a growing body of international research investigating the impact of patient suicide on mental health professionals. The experience of losing a patient to suicide can have a significant and, in some cases, long-lasting (negative) impact on mental health professionals. However, the nature and extent of the impact on prison staff or forensic mental health professionals in particular is less clear. This narrative review summarises both quantitative and qualitative studies and key findings in this area, focusing on the above professions. A literature search was conducted using PsychInfo and Google Scholar, covering the period from 2000 onwards. The vast majority of findings relate to mental health professionals in general. We were unable to identify any published reports on the responses of forensic psychiatric staff. The majority of identified studies in the prison context are qualitative. Studies from German-speaking countries are particularly scarce in both the prison and mental health contexts. We conclude that there is a profound lack of knowledge about the impact of client/patient suicide on the subgroups of (German) prison and forensic psychiatric staff. Clearly, more research is needed on both the nature and extent of the impact, as well as on the specific organisational and supportive factors that help to mitigate the negative effects of suicide.
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