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Many doctors experience considerable work related stress, and
psychiatrists report especially high levels. One potential stressor is
patients committing suicide, although the effects of this have not been
systematically evaluated in Britain. On p 1571 Alexander et al report
the results of a confidential questionnaire on patient suicide sent to
all consultant psychiatrists in Scotland. They found that patient
suicide had a substantial effect on doctors' health, relationships,
and professional practice. Family, friends, and colleagues were the
most effective personal sources of help. Team and other reviews were
also helpful provided that they were not conducted in a climate of blame.