Care for families after suicide loss: nursing academic experience

Silva, Lucía; Afonso, Beatriz Quirino; Santos, Maiara Rodrigues dos; Baliza, Michelle Freire; Rossato, Lisabelle Mariano; Bousso, Regina Szylit

doi:10.1590/0034-7167-2017-0445

Cited by 3 publications

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“…15,16 Compassion, embracing, listening, sensitivity and flexibility are regarded as important components in caring for those left behind. 20 To our knowledge research on experiences with the bereaved family members following suicide is scarce within the field.…”

Section: Introductionmentioning

confidence: 99%

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Caring for family members following suicide: Professionals’ experiences of responsibility

2023

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Background When a patient commits suicide while hospitalized in the psychiatric ward, the mental healthcare professionals (MHCPs) who have had the patient in their care encounter the family members immediately following the suicide. Professionals who encounter the bereaved in this first critical phase may have a significant impact on the grieving process. By providing ethically responsible and professionally competent care, they have the opportunity to influence what can alleviate and reduce suffering and promote health in a longer perspective. Aim The aim of this study is to investigate MHCPs’ experiences in the encounter with family members who has been bereaved by suicide. Methods Data material consists of text from in-depth interviews with six MHCPs belonging to a total of five different psychiatric units in two hospitals. The findings have emerged through analysis using a hermeneutical approach based on Gadamer’s philosophical hermeneutics. Ethical considerations The study was approved by the Ombudsman for Privacy of the Norwegian Social Science Data Services and is based on informed consent and confidentiality. Findings Three themes emerged: Confirming the suffering. Creating encounter through dialogue. Providing consolation and reconciliation. Findings illuminate how MHCPs understand their responsibilities and how they act in the encounter with the bereaved following suicide. Conclusion The participants appear to be led by the responsibility that grows through witnessing the suffering of the bereaved. Encountering the family member’s aggression and threats against staff members is an ethical challenge to the professional’s ability to confirm the bereaved, create dialogue and provide consolation and reconciliation at the start of their grieving process. MHCPs need to be aware of the different reactions and needs of family members following suicide. More research is needed about how to provide sensitive and flexible care in ways that can be perceived as helpful for those left behind.

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Section: Introductionmentioning

confidence: 99%

“…15,16 Compassion, embracing, listening, sensitivity and flexibility are regarded as important components in caring for those left behind. 20…”

Section: Introductionmentioning

confidence: 99%

Caring for family members following suicide: Professionals’ experiences of responsibility

2023

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“…is is an experience perceived as tragic both because of death and for the ambiguous feelings caused to those who are in deep grief such as shame, angry, pain and homesick. (5) In case of death by suicide of a child or an adolescent, this emotional impact can be even higher: how could a child attempt against his/her own life? What had happen within the last year that children and adolescent's dreams are turning into the wishing to die?…”

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confidence: 99%

“…It is important to reinforce that families, who still have weakness on their structure and function, should be not judged using an reductionist view focused on de ne them as responsible to the behavior of children and adolescents, but they should be recognize a single individual that requires professional health care. Such families should be encourage to provide mutual support to each member (5) in order to improve care potential, and respond to essential needs of their children, since their early young age.…”

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confidence: 99%

Suicídio entre crianças e adolescentes: um alerta para o cumprimento do imperativo global

Silva

2019

Acta paul. enferm.

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EditorialSuicide among children and adolescents: a warning to accomplish a global imperative E very year, worldwide, over 800,000 people commit suicide, i.e., one death every 40 second. is is second leading cause of death among those aged 15 to 29 years. Considering the relevance of this problem, the World Health Organization had established as a global imperative the suicide prevention, and countries should consider suicide prevention as a high priority health care program. is program goal is to reduce suicide rates up to 10% by 2020. (1) e goal of this editorial is to be an alert as this deadline is approaching and because recent data have pointed out an opposite direction regarding the accomplishment of this global imperative, especially concerning Brazilian children and adolescent population.A study conducted in large Brazilian cities showed that suicide rate among adolescents increased by 24% between 2006 and 2015.(2) A total of 48,204 suicide attempts was registered in Brazil between 2011 to 2016. ese occurrences a ected 25.9% of women and 19.6% of men, considering only those aged 10 to 19 years. (3) e suicidal behavior involves events, throughout a sequence, which has as an intention to cause self-injury that will end up in death, including suicide ideation (without speci c plan or intention), suicide attempt, and suicide. e suicide ideation is prior to other events and, for this reason, it can be considered an important indicative of risk for suicide. is is related to someone's thinking of wishing to die by taken his/her own life, (4) not necessarily followed-up by preparation behavior. e younger the individual the lower this linear sequence of planning-ideation, especially for the own components related with human development.In case of children, the ideation can be less speci c and without planning due to own concept linked to death in this age range, which is even more limited among younger children. On the other hand, the impulsivity commonly in adolescence can be also contrary to suicide ideation with plan to bring about his/her own death.Suicide attempt is related to actions that lead to someone's own death, but with non-fatal outcome. ese actions could have been abandoned, fail or interrupted (4) and they constitute the most important risk factor that, at this time, is de ned as self-provoked violence, intentionally, that lead an individual to end with his/her own life. (1)

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“…O suicídio dispõe de variados motivos e finalidades atreladas a fatores de risco, como os transtornos psicológicos, aspectos geográficos e culturais, sexualidade e bullying. Entretanto, na contra mão dos fatores de risco, estão os Introdução __________________________________________________________________________________ fatores de proteção, como a família, os serviços de saúde e o suporte social, com potencial para empreender estratégias de manejos preventivos para o suicídio (Braga e Dell'Aglio, 2013;Silva et al, 2018 (Feinberg, Robey, 2010;Lieberman, Cowan, 2011).…”

Section: A Tentativa De Suicídio Em Crianças E Adolescentesunclassified

A experiência de profissionais da saúde frente à tentativa de suicídio em crianças e adolescentes

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Aos meus pais, Fátima e Dalton, pela dedicação, confiança, paciência e incondicional amor. Obrigada por me ensinar o significado da família e que família linda vocês construíram. Ao Benoni, obrigada por ser o meu amor. Seu companheirismo, dedicação para comigo e disponibilidade me ajudaram a finalizar mais esta etapa das nossas vidas. Sua disciplina e perseverança me inspiram. Aos meus queridos irmãos e amados familiares. Saibam que os tenho como incentivadores e apoiadores das minhas escolhas, obrigada por tudo e por tanto, sempre! À professora Dr a. Lisabelle Rossato. Não tenho palavras para descrever a minha gratidão pela senhora, que desde o início da minha trajetória acadêmica esteve sempre tão solícita e disposta a me ensinar. Obrigada por me receber de coração e braços abertos, entender as minhas dificuldades, me acolher em sua família e por ser um exemplo de mulher para mim. Obrigada por conduzir este trabalho com competência e paciência, apesar dos percalços no caminho. Simplesmente obrigada, Lisa! Aos amigos e colegas dos grupos de pesquisa e da pós-graduação. Não irei me arriscar em citar nomes, pois são muitos e valiosos. Obrigada pela parceria em todos os momentos e por compartilharem comigo suas vidas. Sem dúvida vocês deixaram meu caminho na pósgraduação mais leve e colorido. Muitos levarei pra vida e eles sabem quem são.

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Care for families after suicide loss: nursing academic experience

Cited by 3 publications

References 15 publications

Caring for family members following suicide: Professionals’ experiences of responsibility

Caring for family members following suicide: Professionals’ experiences of responsibility

Suicídio entre crianças e adolescentes: um alerta para o cumprimento do imperativo global

A experiência de profissionais da saúde frente à tentativa de suicídio em crianças e adolescentes

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