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3 results

  • Chapter 10 - Counseling Nonidentified Gamete Donors

  • from III - Third Party Reproduction: Assessment and Preparation
  • Edited by Sharon N. Covington
  • Book:
    Fertility Counseling: Clinical Guide
    Published online:
    24 November 2022
    Print publication:
    08 December 2022, pp 106-114

  • Summary

    The egg donor or sperm donor plays a very important role in the reproductive medicine practice. The donor is both a patient and not a patient. He or she is a patient in that he/she must be taken care of both physically and psychologically. He or she is not a patient, in that the donor is not presenting for his/her own treatment. When the gamete donor enters the consultation room, the fertility counselor will be challenged in his/her many different roles and responsibilities which we will identify and discuss in the chapter. In addition, we will highlight key issues in how to prepare for and conduct the clinical interview, the usefulness of, and decision making, regarding psychological testing, how to ensure informed consent can be given, discuss the short- and long-term implications of gamete donation and zoom in on the experience of the gamete donor.

  • The impact of service user’s suicide on mental health professionals

  • P. T. Murphy, L. Clogher, A. van Laar, R. O’Regan, S. McManus, A. McIntyre, A. O’Connell, M. Geraghty, G. Henry, B. Hallahan
  • Journal:
    Irish Journal of Psychological Medicine / Volume 39 / Issue 1 / March 2022
    Published online by Cambridge University Press:
    19 February 2019, pp. 74-84
    Print publication:
    March 2022
  • Objectives

    Our principle objective was to examine the personal and professional impact of service user (SU) suicide on mental health professionals (MHPs). We also wished to explore putative demographic or clinical factors relating to SUs or MPHs that could influence the impact of SU suicide for MHPs and explore factors MHPs report as helpful in reducing distress following SU suicide.

    Methods

    A mixed-method questionnaire with quantitative and thematic analysis was utilised.

    Results

    Quantitative data indicated SU suicide was associated with personal and professional distress with sadness (79.5%), shock (74.5%) and surprise (68.7%) particularly evident with these phenomena lasting less than a year for more than 90% of MHPs. MHPs also reported guilt, reduced self-confidence and a fear of negative publicity. Thematic analysis indicated that some MHPs had greater expertise when addressing SU suicidal ideation and in supporting colleagues after experiencing a SU suicide. Only 17.7% of MHPs were offered formal support following SU suicide.

    Conclusion

    SU suicide impacts MHPs personally and professionally in both a positive and negative fashion. A culture and clear pathway of formal support for MHPs to ascertain the most appropriate individualised support dependent on the distress they experience following SU suicide would be optimal.