Clinicians and trainees experiencing psychological or emotional distress after adverse events are often referred to as “second victims.” This scoping review found that majority of the literature on nurses and nursing students as second victims focuses on psychological distress and symptomology, coping responses, and support-seeking behaviors. The authors discuss support strategies for second victims and the role of nursing leadership in supporting the well-being and mental health of nurses, such as peer-support programs and assessing workload allocation.