Abstract
The authors report the results of unstructured interviews with five psychiatric residents who treated patients who successfully committed suicide. The residents demonstrated feelings of guilt and anger which the authors argue were indicators of narcissistic injury occurring during a narcissistically vulnerable period in their careers. This insult to the residents’ self-esteem could engender countertransference hatred toward subsequent suicidal patients. Residents whose patients have suicided, therefore, must be provided with an opportunity to ventillate their feelings in a supervisory setting. The authors also report that the experience with suicide results in the resident becoming a more cautious and independent clinician.
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