TY - JOUR AU - Bostwick, J Michael AB - I want to believe that I was realistic rather than nihilistic when I agreed to take the worst kind of referral, as a favor for a friend: a man with a hopelessly recalcitrant depression. From the best of motives, I had been set up and selected as the right psychiatrist for an especially miserable man, who knew long before we ever met that nothing and no one could help him. I want to believe I gave the patient – I'll call him Sgt. X – my best shot anyway, even though it feels many years later that his suicide was inevitable. Sgt. X was a middle‐aged man whose wife knew a co‐worker of mine. She had had concerns for years about her husband's depression, and confided in my colleague her fears that he might be suicidal. My friend called and asked if I'd be willing to see a man who had previously been unwilling to visit with any psychiatrist. I said I would, and Sgt. X kept the appointment because his wife assured him that I had been handpicked just for him . There was almost no suicide risk factor Sgt. X did not have . Biologically, he TI - After a doomed patient kills himself: a psychiatrist's reflections JF - Bipolar Disorders DO - 10.1111/bdi.12051 DA - 2013-08-01 UR - https://www.deepdyve.com/lp/wiley/after-a-doomed-patient-kills-himself-a-psychiatrist-s-reflections-NVj40h2lS5 SP - 628 EP - 631 VL - 15 IS - 5 DP - DeepDyve ER -