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"As doctors, we deal with death and grief as part of our job. We help others navigate through it, prepare them for it. But when it’s one of us, it hits differently. You’d think we’d be able to handle it, but it’s just not that simple. There’s something profound about losing a medical colleague; it shakes us to our core.”

When a doctor dies: Responding after an Unexpected Death or Suicide

This pdf document is a guide to support NSW hospital managers and leaders in responding to the unexpected death of a doctor, including by suicide.

 

 


Doctors Affected by Suicide Research Study 2024

Doctors' Health NSW in collaboration with The University of Notre Dame Australia, conducted a research study to explore doctors' experiences following the unexpected death of a medical colleague due to suicide, misadventure or other causes.

The study aimed to understand the personal and occupational effects of such losses, identify available support structures, and determine what participating doctors found helpful or unhelpful. 

The research study is currently being submitted for publication and will be available here shortly. If you would like to request a copy of the research study publication, please contact Doctors' Health NSW

Support Services

If you or someone you know is in immediate danger, call Emergency Services on 000

For crisis support 

Lifeline Australia Call 13 11 14

Suicide Call Back Service Call 1300 659 467

GriefLine Call 1300 845 745

Beyond Blue Call 1300 22 4636

CRANA Bush Crisis Line for rural and remote health practitioners. Call 1800 805 391 

For ongoing support

Doctors' Health NSW 24/7 phoneline Call 02 9437 6552

Doctors' Health Line (national 24/7 phone service) Call 1800 006 888

StandBy - Support After Suicide Call 1300 727 247 

Black Dog Institute

The Essential Network for eligible Australian health professionals

Conversations Matter

R U OK?

QLife Call 1800 184 527

13YARN Call 13 92 76

Transcultural Mental Health Line Call 1800 648 911

The Suicide Safety Plan is a free app that allows users to create a digital suicide safety plan. A suicide safety plan can help to keep you safe when you are low, overwhelmed and having thoughts of suicide.

Suicide - Truths and Myths  

Professor Dame Clare Gerada is President of the Royal College of General Practitioners (RCGP). She is also Chair of the Charity Doctors in Distress, whose aim is to reduce the rate of suicide amongst health professionals.

Read Clare Gerada's paper; Suicide and the myth of Sisyphus published by the BMJ: 10 May 2021.

Dr Rachel Gibbons is a UK consultant psychiatrist and expert on suicide and the effect that a death by suicide has on clinicians. 

Watch Rachel Gibbon's presentationConfronting the 'truth' about suicide and challenging the myths Doctors' Health Alliance Conference Adelaide 2022

Read Rachel Gibbon's paperEight 'truths' about suicide published online by Cambridge University Press: 14 September 2023.

After Suicide: Postvention Resources

Responding to the Death by Suicide of a Colleague in Primary Care: A Postvention Framework - SOM UK (Supporting Occupational Health and Wellbeing Professionals)

A Manager's Guideline for the Sudden Death of a Colleague - from ACE (Anaesthesia Continuing Education), Wellbeing Special Interest Group

Life in Mind

StandBy - Support After Suicide - A workplace toolkit to assist people and communities bereaved or impacted by suicide

Postvention Australia Guidelines - A resource for organisations and individuals providing services to people bereaved by suicide

THIRRILI - Indigenous suicide postvention service

After Suicide: A resource for GPs - An RACGP resource to help GPs respond to suicide in their communities 

CHARLEE - A suicide prevention and postvention hub made by LGBTIQA+ people

Consensus Statement on Postvention Planning - Medical Deans Australia and New Zealand

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Peer Reviewed Articles

  • Abbate L, Chopra J, Poole H, Saini P. Evaluating Postvention Services and the Acceptability of Models of Postvention: A Systematic Review. Omega (Westport). 2024 Dec;90(2):865-905.
  • Agrawal A, Gitlin M, Melancon SNT, Booth BI, Ghandhi J, DeBonis K. Responding to a Tragedy: Evaluation of a Postvention Protocol Among Adult Psychiatry Residents. Acad Psychiatry. 2021 Jun;45(3):262-271.
  • Andriessen K, Krysinska K. Essential questions on suicide bereavement and postvention. Int J Environ Res Public Health. 2012; 9(1):24-32.
  • Australian Institute for Suicide Research and Prevention & Postvention Australia. Postvention Australia Guidelines: A resource for organisations and individuals providing services to people bereaved by suicide. Brisbane: Australian Institute for Suicide Research and Prevention. 2017
  • Causer H, Spiers J, Efstathiou N, Aston S, Chew-Graham CA, Gopfert A, Grayling K, Maben J, van Hove M, Riley R. The Impact of Colleague Suicide and the Current State of Postvention Guidance for Affected Co-Workers: A Critical Integrative Review. Int J Environ Res Public Health. 2022; 19(18):11565.
  • Cazares PT, Santiago P, Moulton D, Moran S, Tsai A. Suicide Response Guidelines for Residency Trainees: A Novel Postvention Response for the Care and Teaching of Psychiatry Residents who Encounter Suicide in Their Patients. Acad Psychiatry. 2015 ; 39(4):393-7.
  • Duarte D, El-Hagrassy MM, Couto TCE, Gurgel W, Fregni F, Correa H. Male and Female Physician Suicidality: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2020; 77(6):587-597.
  • Dutheil F, Aubert C, Pereira B, Dambrun M, Moustafa F, Mermillod M, Baker JS, Trousselard M, Lesage FX, Navel V. Suicide among physicians and health-care workers: A systematic review and meta-analysis. PLoS One. 2019; 14(12):e0226361.
  • Gehrmann M, Dixon SD, Visser VS, Griffin M. Evaluating the Outcomes for Bereaved People Supported by a Community-Based Suicide Bereavement Service. Crisis. 2020; 41(6):437-444.
  • Gold KJ, Schwenk TL, Sen A. Physician Suicide in the United States:Updated Estimates from the National Violent Death Reporting System. Psychol Health Med. 2022; 27(7):1563-1575.
  • Harvey SB, Epstein RM, Glozier N, Petrie K, Strudwick J, Gayed A, Dean K, Henderson M. Mental illness and suicide among physicians. Lancet. 2021; 398(10303):920-930.
  • Kõlves K, De Leo D. Suicide in medical doctors and nurses: an analysis of the Queensland Suicide Register. J Nerv Ment Dis. 2013; 201(11):987-90.
  • Kõlves K, Zhao Q, Ross V, Hawgood J, Spence SH, de Leo D. Suicide and sudden death bereavement in Australia: A longitudinal study of family members over 2 years after death. Aust N Z J Psychiatry. 2020; 54(1):89-98.
  • Milner AJ, Maheen H, Bismark MM, Spittal MJ. Suicide by health professionals: a retrospective mortality study in Australia, 2001-2012. Med J Aust. 2016; 205(6):260-5.
  • Petrie K, Zeritis S, Phillips M, Chen N, Shand F, Spittal MJ, Harvey SB. Suicide among health professionals in Australia: A retrospective mortality study of trends over the last two decades. Aust N Z J Psychiatry. 2023; 57(7):983-993.
  • Pilgrim JL, Dorward R, Drummer OH. Drug-caused deaths in Australian medical practitioners and health-care professionals. Addiction. 2017; 112(3):486-493.
  • Pitman AL, Osborn DP, Rantell K, King MB. The stigma perceived by people bereaved by suicide and other sudden deaths: A cross-sectional UK study of 3432 bereaved adults. J Psychosom Res. 2016; 87:22-9.
  • Sansone RA, Sansone LA. Physician suicide: a fleeting moment of despair. Psychiatry (Edgmont). 2009; 6(1):18-22.
  • Spiers J, Causer H, Efstathiou N, Chew-Graham CA, Gopfert A, Grayling K, Maben J, van Hove M, Riley R. Negotiating the postvention situation: A grounded theory of NHS staff experiences when supporting their coworkers following a colleague's suicide. Death Stud. 2024; 48(9):937-947.
  • Visser V, Tretheway R. A Longitudinal Study of the Impact of a Suicide Bereavement Service on People Bereaved by Suicide. Omega (Westport). 2023 Jul 9:302228231188751.