• Military medicine · Jan 2024

    Scoping Review of Postvention for Mental Health Providers Following Patient Suicide.

    • Kelly A Daly, Anna Segura, Richard E Heyman, Salomi Aladia, and SlepAmy M SmithAMS0000-0002-6321-1740Family Translational Research Group, New York University, New York, NY 10010, USA..
    • Family Translational Research Group, New York University, New York, NY 10010, USA.
    • Mil Med. 2024 Jan 23; 189 (1-2): e90e100e90-e100.

    IntroductionAs suicides among military personnel continue to climb, we sought to determine best practices for supporting military mental health clinicians following patient suicide loss (i.e., postvention).Materials And MethodsWe conducted a scoping review of the literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Our initial search of academic databases generated 2,374 studies, of which 122 were included in our final review. We categorized postvention recommendations based on the socioecological model (i.e., recommendations at the individual provider, supervisory/managerial, organizational, and discipline levels) and analyzed them using a narrative synthesizing approach.ResultsExtracted recommendations (N = 358) comprised those at the provider (n = 94), supervisory/managerial (n = 90), organization (n = 105), and discipline (n = 69) levels.ConclusionsThe literature converges on the need for formal postvention protocols that prioritize (1) training and education and (2) emotional and instrumental support for the clinician. Based on the scoped literature, we propose a simple postvention model for military mental health clinicians and recommend a controlled trial testing of its effectiveness.© The Association of Military Surgeons of the United States 2023. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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