Academic Psychiatry

, Volume 22, Issue 1, pp 21–28 | Cite as

Pediatric Residents’ Experiences With Suicidal Patients

Implications for Training
  • Neil W. Boris
  • Gregory K. Fritz
Research Article


The increased prevalence of attempted and completed suicide in childhood and adolescence, combined with recent emphasis on secondary prevention by primary care physicians, underscores the need for effective training of pediatricians and other primary care providers in assessment of suicidal risk. It is probable that psychiatrists will play a leading role in this training. This descriptive study uses interview data from a unique cohort of 19 graduating pediatric residents from 2 programs to document qualitative and quantitative aspects of their clinical experience with suicidal children and adolescents. The implications of these findings for those involved in resident training are discussed in light of pertinent literature.


Primary Care Physician Suicidal Ideation Suicide Attempt Academic Psychiatry Child Psychiatry 
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  1. 1.
    Aschkenasy JR, Clark DC, Zinn LD, et al: The nonpsychiatric physician’s responsibilities for the suicidal adolescent. New York State Journal of Medicine 1992; 92:87–104Google Scholar
  2. 2.
    American Academy of Pediatrics, Committee on adolescence: Suicide and suicide attempts in adolescents and young adults. Pediatrics 1988; 81:322–324Google Scholar
  3. 3.
    Dulcan MK, Costello EJ, Costello AJ, et al: The pediatrician as gatekeeper to mental health care for children: Do parents’ concerns open the gate? J Am Acad Child Adolesc Psychiatry 1990; 29:453–458PubMedCrossRefGoogle Scholar
  4. 4.
    Hergenroeder AC, Kastner L, Farrow JA, et al: The pediatrician’s role in adolescent suicide. Pediatr Ann 1986; 15:787–798PubMedGoogle Scholar
  5. 5.
    Ebbage J, Farr C, Skinner DV, et al: The psychosocial assessment of patients discharged from accident and emergency departments after deliberate self-poisoning. Journal of the Royal Society of Medicine 1994; 87:515–516PubMedCentralPubMedGoogle Scholar
  6. 6.
    Black D, Creed F: Assessment of self-poisoning patients by psychiatrists and junior medical staff. Journal of the Royal Society of Medicine 1988; 81:97–99PubMedCentralPubMedGoogle Scholar
  7. 7.
    Enzer NB: Recent trends in the recruitment of child and adolescent psychiatrists: an overview of general and faculty needs. Academic Psychiatry 1993; 13:176–188Google Scholar
  8. 8.
    Enzer NB, Singleton DS, Snellman LA, et al: Interferences in collaboration between child psychiatrists and pediatricians: a fundamental difference in attitude toward childhood. J Dev Behav Pediatr 1986; 7:186–193PubMedCrossRefGoogle Scholar
  9. 9.
    Deutsch CJ: Self-reports of stress among psychotherapists. Professional Psychology 1984; 15:833–845Google Scholar
  10. 10.
    Weissberg M: The meagerness of physicians’ training in emergency psychiatric intervention. Acad Med 1990; 65:747–750PubMedCrossRefGoogle Scholar
  11. 11.
    Gonzales JJ, Magruder KM, Keith SJ: Mental disorders in primary care services: an update. Public Health Rep 1994; 109:251–258PubMedCentralPubMedGoogle Scholar
  12. 12.
    Katon W, Gonzales J: A review of randomized trials of psychiatric consultation-liaison studies in primary care. Psychosomatics 1994; 35:268–278PubMedCrossRefGoogle Scholar
  13. 13.
    McIntire MS, Angle CR, Wilcoff RL: Recurrent adolescent suicide behavior. Pediatrics 1977; 60:747–750Google Scholar
  14. 14.
    Patterson WM, Dohn HH, Bird J: Evaluation of suicidal patients, the SAD PERSONS scale. Psychosomatics 1983; 24:343–349PubMedCrossRefGoogle Scholar
  15. 15.
    Wissow LS, Roter DL, Modena EHW: Pediatrician interview style and mothers’ disclosure of psychosocial issues. Pediatrics 1994; 93:289–295PubMedGoogle Scholar

Copyright information

© Academic Psychiatry 1998

Authors and Affiliations

  • Neil W. Boris
    • 1
  • Gregory K. Fritz
    • 1
  1. 1.Department of Psychiatry and Human Behavior and the Division of Child and Adolescent PsychiatryBrown University School of Medicine and Rhode Island HospitalProvidenceUSA

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