The Case of Tammy Dohada: When a Fellow Resident and Close Friend Commits Suicide

  • Anna MiariEmail author


The suicide of a fellow medical student or resident is not uncommon during medical training. Exposure to this event can lead to the development of a host of pathological conditions in the peers of the suicide victim, among which posttraumatic stress disorder, adjustment disorders, and complicated grief. Survivors of suicide victims are at higher risk for suicide. Physicians in training may experience shame about pursuing psychiatric treatment. Shame may be related to the expectation that inherent to the medical profession is the capability to withstand exposure to traumatic events without psychological and emotional consequences which may impact functioning and to the expectation that physicians should be psychologically more resilient than patients and therefore should invest time in their patients’ care before their own. Adequate treatment of the psychological sequelae related to exposure to traumatic events during medical training not only will preempt the long-standing impact of such exposure on the personal and professional functioning of a physician, but will strengthen the physician’s care-taking skills essential to the profession of medicine.


Adjustment disorder Posttraumatic stress disorder Complicated grief Suicide Imitative suicide Shame Psychodynamic psychotherapy 


  1. 1.
    American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Publishing; 2013.CrossRefGoogle Scholar
  2. 2.
    Hawton K. Complicated grief after bereavement. BMJ. 2007;334:962.CrossRefGoogle Scholar
  3. 3.
    Mitchell AM, Kim Y, Prigerson HG, Mortimer-Stephens M. Complicated grief in suicide survivors. Crisis. 2004;25(1):12–8.CrossRefGoogle Scholar
  4. 4.
    Bartik W, Maple M, Edwards H, Keirnan M. The psychological impact of losing a friend to suicide. Australas Psychiatry. 2013;21(6):545–9.CrossRefGoogle Scholar
  5. 5.
    Stack S. Media coverage as a risk factor in suicide. J Epidemiol Community Health. 2003;57:238–40.CrossRefGoogle Scholar
  6. 6.
    Brown CR, Andrews B, Valentine JD. Meta-analysis of risk factors for post-traumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000;68:748–66.CrossRefGoogle Scholar

Suggested Reading

  1. Beck JS. Cognitive behavior therapy: basics and beyond. 2nd ed. New York: Guilford Press; 2011.Google Scholar
  2. Jordan JR. Is suicide bereavement different? A reassessment of the literature. Suicide Life Threat Behav. 2001;31:91–102.CrossRefGoogle Scholar
  3. Markowitz JC, Petkova E, Neria Y, et al. Is exposure necessary? A randomized clinical trial of interpersonal therapy for PTSD. Am J Psychiatry. 2015;172:430.CrossRefGoogle Scholar
  4. Shelder J. The efficacy of psychodynamic psychotherapy. Am Psychol. 2010;65:98.CrossRefGoogle Scholar
  5. Winston A, Pinsker H, McCullogh L. A review of supportive psychotherapy. Hosp Community Psychiatry. 1986;37:1105.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Weill Cornell Medical College/New York-Presbyterian HospitalNew YorkUSA

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