Experiences of Community Mental Health Nurses Who Lost Patients to Suicide: A Qualitative Study.

Abstract

Patient suicide has a profound impact on mental health professionals. While existing research has explored the experiences of hospital-based professionals, knowledge of community mental health nurses (CMHNs) who work in different contexts remains limited. This qualitative study explored the experiences of seven CMHNs who lost patients to suicide within the past four years through interviews, analysed using the KJ Method. The experiences of CMHNs revealed a complex interplay between emotions and thoughts. They attempted to cope with two interrelated aspects: emotions and coping with those they could not save; and thoughts and coping with being unable to save them. Their close, family-like relationships with patients intensified these experiences. While supported by informal conversations, some nurses carried their burden alone. The community setting complicated their experience through limited support access despite high autonomy, the inability to provide continuous safety monitoring, and a deeper emotional impact of long-term relationships. CMHNs sought redemption by modifying their practices-distinct from professional growth. The findings emphasised the need for accessible support systems, acknowledging the unique challenges of CMHNs in community settings. Healthcare organisations should promote a culture where staff are encouraged to discuss their concerns openly.