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Updated: Feb 5, 2026
09:12
The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
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[Suicide by a psychiatry resident - reflection and postvention]
Tijdschrift Voor Psychiatrie
|September 15, 2018
Summary
Following a psychiatry resident's suicide, this study outlines suicide postvention strategies. It addresses the ethical dilemma of therapist versus employer roles and emphasizes a phased approach for resident support.
Area of Science:
- Psychiatry
- Psychological Medicine
- Medical Education
Background:
- A psychiatry residency program faced profound challenges after the suicide of a trainee.
- This event necessitated immediate and structured support for remaining residents and staff.
Purpose of the Study:
- To identify key ethical and professional questions arising from a resident suicide.
- To describe a comprehensive suicide postvention strategy implemented within a psychiatry residency program.
Main Methods:
- A reflective analysis of an anonymized psychiatry residency case.
- The postvention process involved multiple phases: immediate response, recovery, and reconstruction.
Main Results:
- A central ethical dilemma involved balancing therapist roles with employer-colleague responsibilities.
- The postvention included facilitated meetings with residents and supervisors, addressing professional identity and support needs.
- Spiritual counsel was integrated into one of the support meetings.
Conclusions:
- A self-critical and phased postvention approach effectively addressed the psychological needs of the residency community.
- The strategy provided essential attention and care for all involved colleagues, fostering a supportive environment.
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