Is Separation from the Workplace a Psychiatric Emergency? The Role of the Clinician and the Consultant

摘要

Separation from the workplace is generally disruptive. Although weathered well by some, it can result in a literal lethal outcome for others. Psychiatry in general would benefit from greater awareness and understanding of how and when separation from work becomes a psychiatric emergency. Psychiatrists are well versed in handling psychiatric emergencies of possible harm to self or others. However, there is less training regarding how to address problems that are at high risk for occurring whenever a patient leaves work. Psychiatrists are in an ideal position to prevent disability and adverse health outcomes associated with unemployment. This article explores the health hazards of unemployment (including increased risk of death), positive consequences of working, and the important role psychiatrists play in setting appropriate expectations. Psychiatrists best serve patients and their employers by sustaining employment and helping their patients navigate workplace challenges and improve their work, which also likely to improve their self-efficacy.