Suicide and the air force mental health provider: frequency and impact.

Although suicide is relatively common among mental health patients, few studies have been published detailing the effects of a patient's suicide on his or her mental health provider. We reviewed data from 97 active duty, Air Force, mental health providers who responded to an anonymous survey. Forty-eight percent of the providers had experienced a patient's suicide. One-third of them reported a sense of responsibility for that patient's death. More than 20% reported significant emotional or behavioral changes following the death. Many providers experienced alterations in their self-esteem and their use of peer consultation following the suicide. Speaking to clergy members, friends, and other providers was generally beneficial following the suicide of a patient. Recommendations are given to minimize the impact of this tragedy on providers.