ORIGINAL ARTICLE
Impact of Client Suicide on Psychologists in Australia
Melissa Finlayson and Janette Graetz Simmonds
Psychology Programs, Faculty of Education, Monash University
Objective: This research aimed to assess the frequency and impact of client suicides on psychologists in Australia.
Method: Participants were 178 psychologists who completed an online self-report questionnaire concerning the frequency of occurrence
and impact of client suicide.
Results: Fifty six (31.5%) participants reported one or more client suicides. Psychologists with more years of experience reported more client
suicides. Participants who had experienced a client suicide reported a range of emotional, cognitive and behavioural reactions as well as pro-
fessional impacts. Ratings of responsibility, preventability and predictability of a client suicide were associated with emotional and/or profes-
sional impacts. Beneficial coping responses included talking to supervisors and colleagues, recognising the psychologist is not responsible
and having increased acceptance of a client suicide.
Conclusions: The findings have important implications for training, workplace practices and research.
Key words: bereavement; coping; postvention; psychologists; suicide; support needs.
What is already known on this topic
1 Client suicide affects psychologists on a personal
level with commonly reported emotional reactions
being shock, anger, guilt, helplessness and sadness.
2 Client suicides affect psychologists on a profes-
sional level with psychologists typically reporting
increased attention to suicidal cues, increased con-
sultation with colleagues and peers, and greater
attention to legal requirements as well as a more
conservative approach to record keeping
3 Psychologists frequently access supervisors and
colleagues for support.
What this paper adds
1 Heightened feelings of responsibility for a client’s
death by suicide is associated with greater emo-
tional and professional impacts.
2 Where a client’s suicide is unexpected and contradicts
the psychologists’ assessment of their client’s risk,
this is associated with increased shock and confusion.
3 A need for a review of current training of supervi-
sors in terms of how to best engage with psycholo-
gists who have experienced a client suicide is
evident. The findings indicated that nearly one in
five psychologists in this study did not use supervi-
sors as a support, and one in four psychologists
found it not helpful or of little help talking to
supervisors.
Previous research has indicated that client suicides are an “occu-
pational hazard” in that they have serious personal and profes-
sional impacts on psychologists (Chemtob, Hamada, Bauer,
Kinney, & Torigoe, 1988a). There is however only one known
published study in Australia, that was conducted by Trimble,
Jackson, and Harvey (2000), which has reported on the
frequency and impact of client suicides on psychologists. Trim-
ble et al. found that in their sample, over one third (38.9%;
n = 170) of psychologists had experienced one or more client
suicides. In comparison to Trimble et al.’s study, a landmark
study undertaken in the USA by Chemtob et al. (1988a), had
reported lower frequency rates with approximately 22% of psy-
chologists having experienced a client suicide. Of these psychol-
ogists, 39% had experienced more than one suicide. The studies
of Trimble et al. (2000) and Chemtob et al. (1988a) both
reported no differences in gender, age and years of service
between psychologists who had experienced a client suicide to
those who had not. As both the Trimble et al. and Chemtob
et al. studies relied on self-selection of participation, this may
have inflated the estimated incidence. It is possible that
Correspondence: Janette Graetz Simmonds, Psychology Programs,
Faculty of Education, 29 Ancora Imparo Way, Monash University, Melbourne,
VIC 3800, Australia.
Email: mfinlayson@live.com.au
Accepted for publication 2 July 2016
doi:10.1111/ap.12240
Australian Psychologist (2016)
© 2016 The Australian Psychological Society
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