Skip to main content
SpringerLink
Log in
Book cover

Suicide Prevention pp 265–283Cite as

Teaching Psychiatry Residents About Suicide Prevention and Postvention

  • Chapter
  • First Online:

  • 1624 Accesses

Abstract

The identification and management of suicidal risk are some of the most anxiety-provoking patient care challenges for trainees to master. The unexpected suicide of a patient during residency poses additional stress on trainees. As educators, we not only teach, but we also serve as role models, mentors, and counselors when trainees experience the loss of a patient to suicide. The information presented in this chapter will serve as practical guide for educators and will review the relevant literature on psychiatry residency education about suicide risk assessment, methods of suicide prevention, and how to deal with the aftermath of a patient suicide or postvention.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Danz TM. The gatekeeper. Acad Psychiatry. 2017;41(3):434–5. https://doi.org/10.1007/s40596-016-0645-5.

    Article  PubMed  Google Scholar 

  2. Silverman MM, Berman AL. Training for suicide risk assessment and suicide risk formulation. Acad Psychiatry. 2014;38(5):526–37.

    Article  PubMed  Google Scholar 

  3. Jacobs D, Brewer M. APA practice guideline provides recommendations for assessing and treating patients with suicidal behaviors. Psychiatr Ann. 2004;34(5):373–80.

    Article  Google Scholar 

  4. Bernert RA, Hom MA, Roberts LW. A review of multidisciplinary clinical practice guidelines in suicide prevention: toward an emerging standard in suicide risk assessment and management, training and practice. Acad Psychiatry. 2014;38(5):585–92.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Shea SC. Psychiatric interviewing: the art of understanding. 2nd ed. Philadelphia: Elsevier Health Sciences; 1998.

    Google Scholar 

  6. Barney C, Shea SC. The art of effectively teaching clinical interviewing skills using role-playing: a primer. Psychiatr Clin North Am. 2007;30(2):e31–50.

    Article  PubMed  Google Scholar 

  7. Shea SC. My favorite tips for uncovering sensitive and taboo information from antisocial behavior to suicidal ideation. Psychiatr Clin North Am. 2007;30(2):253–9.

    Article  PubMed  Google Scholar 

  8. Hyler SE, Moore J. Teaching psychiatry? Let Hollywood help! Acad Psychiatry. 1996;20(4):212–9.

    Article  CAS  PubMed  Google Scholar 

  9. Retamero C, Walsh L, Otero-Perez G. Use of the film the bridge to augment the suicide curriculum in undergraduate medical education. Acad Psychiatry. 2014;38(5):605–10.

    Article  PubMed  Google Scholar 

  10. Foster A, Chaudhary N, Murphy J, Lok B, Waller J, Buckley PF. The use of simulation to teach suicide risk assessment to health profession trainees: rationale, methodology, and a proof of concept demonstration with a virtual patient. Acad Psychiatry. 2014;39(6):620–9.

    Article  PubMed  Google Scholar 

  11. Melton BB, Coverdale JH. What do we teach psychiatric residents about suicide? A national survey of chief residents. Acad Psychiatry. 2009;33(1):47–50.

    Article  PubMed  Google Scholar 

  12. Pisani AR, Murrie DC, Silverman MM. Reformulating suicide risk formulation: from prediction to prevention. Acad Psychiatry. 2015;40(4):623–9. https://doi.org/10.1007/s40596-015-0434-6.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Lomax JW. A proposed curriculum on suicide care for psychiatry residency. Suicide Life Threat Behav. 1986;16(1):56–64.

    Article  CAS  PubMed  Google Scholar 

  14. Cornette MM, Schlotthauer AE, Berlin JS, Clark DC, French LM, Miller ML, et al. The public health approach to reducing suicide: opportunities for curriculum development in psychiatry residency training programs. Acad Psychiatry. 2014;38(5):575–84.

    Article  PubMed  Google Scholar 

  15. Zisook S, Downs N, Moutier C, Clayton P. College students and suicide risk: prevention and the role of academic psychiatry. Acad Psychiatry. 2012;36(1):1–6.

    Article  PubMed  Google Scholar 

  16. Price JH, Thompson AJ, Khubchandani J, Mrdjenovich AJ. Firearm anticipatory guidance training in psychiatric residency programs. Acad Psychiatry. 2010;34(6):417–23.

    Article  PubMed  Google Scholar 

  17. Coverdale JH, Roberts LW, Balon R. The public health priority to address the accessibility and safety of firearms: recommendations for training. Acad Psychiatry. 2010;34(6):405–8.

    Article  PubMed  Google Scholar 

  18. Pheister M, Kangas G, Thompson C, Lehrmann J, Berger B, Kemp J. Suicide prevention and postvention resources: what psychiatry residencies can learn from the veteran’s administration experience. Acad Psychiatry. 2014;38(5):600–4.

    Article  PubMed  Google Scholar 

  19. Coverdale JH, Roberts LW, Louie AK. Encountering patient suicide: emotional responses, ethics, and implications for training programs. Acad Psychiatry. 2007;31(5):329–32.

    Article  PubMed  Google Scholar 

  20. US Department of Veterans Affairs. VISN 2 Center of Excellence for suicide prevention. 2016. http://www.mirecc.va.gov/suicideprevention/fellowship.asp. Accessed 24 Jan 2017.

  21. Sudak D, Roy A, Sudak H, Lipschitz A, Maltsberger J, Hendin H. Deficiencies in suicide training in primary care specialties: a survey of training directors. Acad Psychiatry. 2007;31(5):345–9.

    Article  PubMed  Google Scholar 

  22. Fallucco EM, Hanson MD, Glowinski AL. Teaching pediatric residents to assess adolescent suicide risk with a standardized patient module. Pediatrics. 2010;125(5):953–9.

    Article  PubMed  Google Scholar 

  23. Fallucco EM, Conlon MK, Gale G, Constantino JN, Glowinski AL. Use of a standardized patient paradigm to enhance proficiency in risk assessment for adolescent depression and suicide. J Adolesc Health. 2012;51(1):66–72.

    Article  PubMed  Google Scholar 

  24. Boris NW, Fritz GK. Pediatric residents’ experiences with suicidal patients. Acad Psychiatry. 1998;22(1):21–8.

    Article  CAS  PubMed  Google Scholar 

  25. DeHay T, Ross S, McFaul M. Training medical providers in evidence-based approaches to suicide prevention. Int J Psychiatry Med. 2015;50(1):73–80.

    Article  PubMed  Google Scholar 

  26. Kato TA, Suzuki Y, Sato R, Fujisawa D, Uehara K, Hashimoto N, et al. Development of 2-hour suicide intervention program among medical residents: first pilot trial. Psychiatry Clin Neurosci. 2010;64(5):531–40.

    Article  PubMed  Google Scholar 

  27. Fujisawa D, Suzuki Y, Kato TA, Hashimoto N, Sato R, Aoyama-Uehara K, et al. Suicide intervention skills among Japanese medical residents. Acad Psychiatry. 2013;37(6):402–7.

    Article  PubMed  Google Scholar 

  28. Ellis TE, Dickey TO, Jones EC. Patient suicide in psychiatry residency programs. Acad Psychiatry. 1998;22(3):181–9.

    Article  CAS  PubMed  Google Scholar 

  29. Pilkinton P. Encountering suicide: the experience of psychiatric residents. Acad Psychiatry. 2003;27(2):93–9.

    Article  PubMed  Google Scholar 

  30. Puttagunta R, Lomax ME, McGuinness JE, Coverdale J. What is the prevalence of the experience of death of a patient by suicide among medical students and residents? A systematic review. Acad Psychiatry. 2014;38(5):538–41.

    Article  CAS  PubMed  Google Scholar 

  31. Tsai A, Moran S, Shoemaker R, Bradley J. Patient suicides in psychiatric residencies and post-vention responses: a national survey of psychiatry chief residents and program directors. Acad Psychiatry. 2012;36(1):34–8.

    Article  PubMed  Google Scholar 

  32. Sacks M, Cohen A, Keats M, Turnquist K. Residency response to patient suicide. J Psychiatr Educ. 1987;11(4):217–26.

    Google Scholar 

  33. Ruskin R. Impact of patient suicide on psychiatrists and psychiatric trainees. Acad Psychiatry. 2004;28(2):104–10.

    Article  CAS  PubMed  Google Scholar 

  34. Fang F, Kemp J, Jawandha A, Juros J, Long L, Nanayakkara S, et al. Encountering patient suicide: a resident’s experience. Acad Psychiatry. 2007;31(5):340–4.

    Article  PubMed  Google Scholar 

  35. Mangurian C, Harre E, Reliford A, Booty A, Cournos F. Improving support of residents after a patient suicide: a residency case study. Acad Psychiatry. 2009;33(4):278–81.

    Article  PubMed  Google Scholar 

  36. Jefee-Bahloul H, Hanna RC, Brenner AM. Teaching psychiatry residents about suicide loss: impact of an educational program. Acad Psychiatry. 2014;38(6):768–70.

    Article  PubMed  Google Scholar 

  37. Prabhakar D, Anzia JM, Balon R, Gabbard G, Gray E, Hatzis N, et al. “Collateral damages”: preparing residents for coping with patient suicide. Acad Psychiatry. 2013;37(6):429–30.

    Article  PubMed  Google Scholar 

  38. Prabhakar D, Balon R, Anzia JM, Gabbard GO, Lomax JW, Bandstra BS, et al. Helping psychiatry residents cope with patient suicide. Acad Psychiatry. 2014;38(5):593–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA

    Farah Munir, Sarah Nagle-Yang & Cathleen Cerny

Authors
  1. Farah Munir
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Sarah Nagle-Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Cathleen Cerny
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Farah Munir .

Editor information

Editors and Affiliations

  1. Epilepsy Center/ Psychiatry Department, Neurological Institute - Cleveland Clinic, Cleveland, Ohio, USA

    Tatiana Falcone

  2. Begun Center for Violence Prevention Research and Education, Jack, Joseph, and Morton Mandel School of Applied Sciences School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA

    Jane Timmons-Mitchell

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Munir, F., Nagle-Yang, S., Cerny, C. (2018). Teaching Psychiatry Residents About Suicide Prevention and Postvention. In: Falcone, T., Timmons-Mitchell, J. (eds) Suicide Prevention. Springer, Cham. https://doi.org/10.1007/978-3-319-74391-2_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-74391-2_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74390-5

  • Online ISBN: 978-3-319-74391-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation