What are the physical and psychological health effects of suicide bereavement on family members? Protocol for an observational and interview mixed-methods study in Ireland.

作者: Ailbhe Spillane , Celine Larkin , Paul Corcoran , Karen Matvienko-Sikar , Ella Arensman

DOI: 10.1136/BMJOPEN-2016-014707

关键词: AnxietyMedicineSuicide preventionOccupational safety and healthGriefMental healthWell-beingPsychiatryPoison controlFamily support

摘要: Objectives Research focussing on the impact of suicide bereavement family members’ physical and psychological health is scarce. The aim this study was to examine how members have been physically psychologically affected following bereavement. A secondary objective describe needs bereaved by suicide. Design mixed-methods conducted, using qualitative semistructured interviews additional quantitative self-report measures depression, anxiety stress (DASS-21). Setting Consecutive cases next-of-kin were identified examining coroner’s records in Cork City County, Ireland from October 2014 May 2016. Participants Eighteen took part a interview. They recruited Suicide Support Information System: Case-Control Study (SSIS-ACE), where (n=33) completed structured their well-being. Results Qualitative findings indicated three superordinate themes relation experiences bereavement: (1) co-occurrence grief reactions; (2) disparity supports after (3) reconstructing life deceased’s Initial feelings guilt, blame, shame anger often manifested enduring physical, psychosomatic difficulties. diverse related availability or absence informal support friends. Quantitative results that proportion respondents above DASS-21 cut-offs respectively 24% for 18% 27% stress. Conclusions Healthcare professionals’ awareness adverse difficulties experienced essential. Proactively facilitating group could help reduce negative sequelae. effects are wide-ranging, including high levels stress,

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