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Suicide postvention

Pat Dudgeon, Christopher Holland
OBJECTIVES: Suicide is an Aboriginal and Torres Strait Islander (hereafter 'Indigenous') population health issue. Over 2015-2016, the Aboriginal and Torres Strait Islander Suicide Prevention Project (ATSISPEP) aimed to identify success factors in Indigenous suicide prevention. CONCLUSIONS: For non-Indigenous practitioners working with indigenous clients at risk of suicide, ATSISPEP identified important considerations to make treatment more effective. The start is acknowledging the differences in the historical, cultural, political, social and economic experiences of Indigenous peoples, and their greater exposure to trauma, psychological distress and risks to mental health...
March 1, 2018: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
Madelyn S Gould, Alison M Lake, Marjorie Kleinman, Hanga Galfalvy, Saba Chowdhury, Alison Madnick
Adolescents' exposure to a peer's suicide has been found to be associated with, as well as to predict, suicidal ideation and behavior. Although postvention efforts tend to be school-based, little is known about the impact of a schoolmate's suicide on the school's student population overall. The present study seeks to determine whether there is excess psychological morbidity among students in a school where a schoolmate has died by suicide, and whether students' attitudes about coping and help-seeking strategies are more or less problematic in such schools...
March 6, 2018: International Journal of Environmental Research and Public Health
Kyna Pak, Kelly E Ferreira, Marjan Ghahramanlou-Holloway
Suicide continues to be a significant public health problem in the United States and the Department of Defense (DoD). Timely and systematic postvention efforts can play an instrumental role in helping family members, peers, and military command to best manage the aftermath of a suicide. To date, several postvention efforts have been implemented in the military. However, there continues to be an overall lack of understanding of the specific short- and long-term effects of exposure to military suicide. In addition, more emphasis needs to be placed on empirically driven approaches to postvention and program evaluation...
February 2, 2018: Archives of Suicide Research: Official Journal of the International Academy for Suicide Research
Kairi Kõlves, Diego de Leo
OBJECTIVES: The pilot study were (1) to test the technical and administrative feasibility of a full-scale study, including recruitment process, response and retention rate, questionnaire design for an investigation to improve understanding of the suicide bereavement processes compared with bereavement by sudden deaths and (2) to present the differences and changes in the main outcomes-grief reactions of close relatives exposed to suicide and sudden death over 2 years. DESIGN: A longitudinal prospective study comparing bereavement by suicide to other types of sudden deaths over time (6, 12 and 24 months)...
January 27, 2018: BMJ Open
Jill Harrington-LaMorie, John R Jordan, Kim Ruocco, Julie Cerel
The United States military began to experience a steady increase in suicide rates across all service branches at the inception of the wars in Afghanistan (2001) and Iraq (2003). As the number of suicide deaths increased, so did the number of affected survivors who seek postvention support. Unique issues that accompany suicide death may expose survivors to a more distressing and complicated grief process. Peer support has clinically been observed to be widely utilized by suicide loss survivors. This article explores unique issues accompanying military suicide loss, potential benefits of postvention peer-based support, clinical considerations, and future directions...
January 4, 2018: Death Studies
Mónika Ditta Tóth, Szilvia Ádám, Tamás Zonda, Emma Birkás, György Purebl
In recent years, suicide rates in Hungary have been among the highest in the European Union. Attempted suicide rates in the Roma population are 2-3 times higher than in the non-Roma population. Since individuals making multiple attempts have a higher pro-bability of eventual death by suicide, and there are limited data on suicidal behaviour of the Roma population, the aim of this study was to explore the sociodemographic and psychological background factors of multiple suicide attempts in the Hungarian Roma population...
January 1, 2017: Transcultural Psychiatry
Rui C Campos, Ronald R Holden, Sara Santos
OBJECTIVE: The aim of the present study was to compare a sample of Portuguese individuals exposed to suicide in their families with a control group, for lifetime suicidality. This study also evaluated the incremental value of psychache (i.e., extreme psychological pain) in determining suicide risk beyond the contribution associated with having lost a family member by suicide. METHOD: A total of 225 community adults participated. Two groups were defined: a group exposed to suicide (n = 53), and a control group (n = 172)...
September 7, 2017: Journal of Clinical Psychology
John R Jordan
This article provides an introduction to this special issue of Death Studies on suicide postvention. The articles in the issue are derived from a document released by the National Action Alliance for Suicide Prevention, titled Responding to Grief, Trauma, and Distress after Suicide: U.S. National Guidelines. The article provides data and a rationale for considering suicide as a serious public health issue in the USA and around the world, and the need for postvention after a suicide occurs. A brief description of each of the articles in the special issue then follows...
November 2017: Death Studies
Karen Mason, Monica Geist, Mollie Clark
Clergy have a key role in suicide prevention but report being undertrained, perhaps because a model that captures the competencies needed to engage suicide in faith communities and how these skills develop has not previously been available. Using grounded theory, this study addressed this gap by generating a developmental rubric based on interviews with 19 Protestant clergy, which were analyzed using a constant comparative method and were checked by interviewees operating at the highest level of development...
January 1, 2017: Omega
Matthew D Erlich, Stephanie A Rolin, Lisa B Dixon, David A Adler, David W Oslin, Bruce Levine, Jeffrey L Berlant, Beth Goldman, Steve Koh, Michael B First, Chaitanya Pabbati, Samuel G Siris
Suicide prevention efforts are increasing to enhance capabilities and better understand risk factors and etiologies. Postvention, or how clinicians manage the postsuicide aftermath, strengthens suicide prevention, destigmatizes the tragedy, operationalizes the confusing aftermath, and promotes caregiver recovery. However, studies regarding its efficacy are minimal. The Psychopathology Committee of the Group for the Advancement for Psychiatry surveyed a convenience sample of psychiatrists to better understand postvention activities...
July 2017: Journal of Nervous and Mental Disease
Franklin James Cook
This preparatory article to a special issue of Death Studies on Responding to Grief, Trauma and Distress After a Suicide: U.S. National Guidelines reproduces the document's Executive Summary and Goals and Objectives.
November 2017: Death Studies
John R Jordan
There is now convincing empirical evidence that exposure to suicide increases the risk of subsequent suicide, as well as other negative mental health sequelae, in those who have been exposed. This article provides a review of this empirical evidence. It also concludes that this substantial evidence base makes the compelling case that all suicide prevention programs need to include postvention services as a direct form of suicide prevention with a population of people known to be at heightened risk for suicide themselves: suicide loss survivors...
November 2017: Death Studies
John R Jordan, Vanessa McGann
The loss of a loved one to suicide can present difficult challenges for suicide loss survivors (people bereaved by suicide) as well as for clinicians who would seek to help them. Building on the recommendations in the new document Responding to Grief, Trauma, and Distress after a Suicide: U.S. National Guidelines, this article provides an overview of clinical work with suicide loss survivors. It includes discussions of the common themes of suicide bereavement, the psychological tasks for integration of a suicide loss, and the options for providing grief therapy after a suicide...
November 2017: Death Studies
Melissa Finlayson, Janette Simmonds
This research aimed to explore the role of workplace responses in psychologists' adaptation to client suicides. Participants were 178 psychologists who completed an online self-report questionnaire which included both open and closed questions yielding qualitative and quantitative data. Fifty-six (31.5%) participants reported one or more client suicides. Mixed results were found in terms of perceived support from the workplace following a client suicide. Psychologists reported a need for more open communication in the workplace, peer supports, space to grieve, as well as opportunities to engage in a learning process...
January 1, 2017: Omega
Winifred Asare-Doku, Joseph Osafo, Charity S Akotia
BACKGROUND: Ghana's socio-cultural landscape proscribes suicidal behaviour, and this has serious ramifications for attempt survivors and their families. The objective of this qualitative study was to understand the experiences of the families of attempt survivors and how they cope with the aftermath of the attempt. METHODS: Ten families with attempted suicides agreed to participate in the study, hence they were interviewed. The information gathered was manually analyzed according to Interpretative Phenomenological Analysis (IPA) resulting in three major thematic areas...
May 11, 2017: BMC Psychiatry
Karl Andriessen, Dolores Angela Castelli Dransart, Julie Cerel, Myfanwy Maple
BACKGROUND: Suicide can have a lasting impact on the social life as well as the physical and mental health of the bereaved. Targeted research is needed to better understand the nature of suicide bereavement and the effectiveness of support. AIMS: To take stock of ongoing studies, and to inquire about future research priorities regarding suicide bereavement and postvention. METHOD: In March 2015, an online survey was widely disseminated in the suicidology community...
May 2017: Crisis
Sophie Exbrayat, Clotilde Coudrot, Xavier Gourdon, Aurélia Gay, Jessica Sevos, Jacques Pellet, Béatrice Trombert-Paviot, Catherine Massoubre
BACKGROUND: Attempted suicide is a major public health problem, and the efficacies of current postvention protocols vary. We evaluated the effectiveness of telephone follow-up of patients referred to an emergency psychiatric unit for attempted suicide on any further attempt/s over the following year. METHOD: In a single-center, controlled study with intent to treat, we evaluated the efficacy of a protocol of telephone follow-up of 436 patients at 8, 30, and 60 days after they were treated for attempted suicide...
March 20, 2017: BMC Psychiatry
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