精神科医生经历精神病人自杀死亡的调查研究
A Research of Psychiatrists Experiencing Death by Suicide in Psychopaths
DOI: 10.12677/ACM.2023.1351011, PDF,   
作者: 叶佳瑜：济宁医学院精神卫生学院，山东 济宁；万晓娜：青岛市精神卫生中心老年病房，山东 青岛；黎媛媛：青岛大学青岛医学院，山东 青岛；孔伶俐*：青岛市精神卫生中心医务科，山东 青岛
关键词: 精神病人；自杀死亡；精神科医生；情绪反应；Psychopaths； Death by Suicide； Psychiatrists； Emotional Reaction
摘要: 目的：了解精神科医生职业生涯中病人自杀死亡经历及对其产生的影响。方法：采用自制问卷作为调查工具，开展网上调查。结果：参与研究的189名精神科医生中有91人(48.15%)经历过病人自杀死亡。当得知病人自杀死亡时，精神科医生的情绪反应依次为震惊(68.13%)、挫败(41.76%)和紧张(39.56%)。出现的生理和心理反应包括影响睡眠(45.05%)和情绪不稳(41.76%)。45名(49.45%)精神科医生的工作实践产生变化，主要表现为变得对自杀问题更敏感。18名(19.78%)精神科医生的个人生活产生变化，主要表现为更关心自己和他人的心理健康。结论：精神病人自杀死亡的经历在精神科医生这一群体中并不少见，会带给他们情绪反应、生理和心理反应，促成一系列包括工作实践和个人生活上的变化。
Abstract: Objective: To learn the experience and impact of psychopaths’ death by suicide in a psychiatrist’s career life. Methods: Use a self-made questionnaire as a tool, conduct online surveys. Result: Nine-ty-one (48.15%) of the 189 psychiatrists who participated in the research experienced death by su-icide in psychopaths. When knowing that the patient died by suicide, the psychiatrist’s emotional reaction included shock (68.13%), defeated (41.76%) and nervousness (39.56%). The physical and psychological reaction included sleeping affect (45.05%) and unstable emotion (41.76%). Forty-five (49.45%) psychiatrists had change in their work practice, mainly manifested as becoming more sensitive to suicide issues. Eighteen (19.78%) psychiatrists had change in their personal life, mainly manifested as be more concerned about their own and others’ mental health. Conclusion: The expe-rience of death by suicide in psychopaths is not uncommon among psychiatrists, which brings them emotional, physical and psychological reaction, leading to a series of change in work practice and personal life.
文章引用：叶佳瑜, 万晓娜, 黎媛媛, 孔伶俐. 精神科医生经历精神病人自杀死亡的调查研究[J]. 临床医学进展, 2023, 13(5): 7232-7239. https://doi.org/10.12677/ACM.2023.1351011

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