Seventeen Norwegian and two Danish registered nurses specialized in ps
ychiatric nursing narrated their experiences in caring for suicidal ps
ychiatric inpatients. The interview texts were transcribed and interpr
eted using a phenomenologic-hermeneutic method, inspired by the philos
ophy of Ricoeur. Two main themes with subthemes were found: Distance,
which included compassion without emotional identification, mistrustin
g the patient, being responsible for the patient's actions, feelings o
f guilt, rejecting the patient, being rejected by the patient, and foc
us on the nurse, and Closeness, which included compassion with emotion
al identification, trusting the patient through contact, responsibilit
y for the patient making his or her own agenda, being rejected by the
patient, temporarily, listening to the patient, and focus on the patie
nt. These findings were interpreted in relation to the ethical demand
made on the nurses in their interaction with suicidal patients.