Grief after Suicide: The Evolution of Suicide Postvention

Jordan, John R.

doi:10.1891/9780826171429.0025

Cited by 19 publications

(32 citation statements)

References 25 publications

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“…Regardless, individuals who attempt suicide appear to misestimate or misunderstand how to integrate interpersonal information in their decisions, as reflected in experiences of suicide loss survivors [78]. Loved ones of those who complete suicide often describe problems with interpersonal reactivity and difficulties in conveying social support.…”

Section: Social Decision-making: Pavlovian-to-instrumental Transfermentioning

confidence: 99%

The decision neuroscience perspective on suicidal behavior

Dombrovski

Hallquist²

2017

Current Opinion in Psychiatry

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Purpose of review Suicide attempts are usually regretted by people who survive them. Furthermore, addiction and gambling are over-represented among people who attempt or die by suicide, raising the question whether their decision-making is impaired. Advances in decision neuroscience have enabled us to investigate decision processes in suicidal people and to elucidate putative neural substrates of disadvantageous decision-making. Recent findings Early studies have linked attempted suicide to poor performance on gambling tasks. More recently, functional MRI augmented with a reinforcement learning computational model revealed that impaired decision-making in suicide attempters is paralleled by disrupted expected value (expected reward) signals in the ventromedial prefrontal cortex. Behavioral studies have linked increased delay discounting to low-lethality/poorly planned attempts, multiple attempts, and the co-occurrence of attempted suicide and addiction. This behavioral tendency may be related to altered integrity of the basal ganglia. By contrast, well-planned, serious suicide attempts were associated with intact/diminished delay discounting. One study has linked high-lethality suicide attempts and impaired social decision-making. Summary This emerging literature supports the notion that various impairments in decision-making – often broadly related to impulsivity – may mark different pathways to suicide. We propose that aggressive and self-destructive responses to social stressors in people prone to suicide result from a predominance of automatic, Pavlovian processes over goal-directed computations.

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Section: Social Decision-making: Pavlovian-to-instrumental Transfermentioning

confidence: 99%

The decision neuroscience perspective on suicidal behavior

Dombrovski

Hallquist²

2017

Current Opinion in Psychiatry

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“…De manière générale, les interventions en matière de deuil à la suite d'un suicide ont été peu étudiées (Cerel, Padgett, Conwell et Reed, 2009 ;Jordan, 2015 ;Jordan et McMenamy, 2004). Les rares études faites évoquent un soutien mixte de prévention et de postvention du suicide, rendant difficile la détermination d'approches préventives qui fonctionnent bien (Mann et al, 2005a ;OMS, 2004) tout comme celle d'interventions efficaces en postvention (Jordan, 2015 ;Jordan et al, 2011 ;McDaid, Trowman, Golder, Hawton et Sowden, 2008 ;Szumilas et Kutcher, 2011).…”

Section: Efficacité De La Postventionunclassified

Un nouvel enjeu de santé publique au Canada

Spiwak

Elias

Sareen

et al. 2018

crimino

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Chaque année, dans le monde, entre 48 et 50 millions de personnes se retrouvent endeuillées à la suite d’un suicide. Au Canada seulement, ce sont 4 000 individus qui se suicident chaque année, laissant derrière eux un grand nombre de personnes qui doivent faire face au caractère traumatisant et complexe du suicide. Dans un contexte qui avait déjà vu la tentative de suicide être décriminalisée en 1972, la présente étude se penche sur ce qui apparaît désormais constituer une nouvelle problématique de santé publique : le soutien aux personnes endeuillées à la suite d’un suicide. Nous discuterons à cet égard de quelques acteurs clés qui ont influencé les politiques canadiennes sur le sujet : les tribunaux, la Constitution ou encore des groupes qui avaient un intérêt spécifique par rapport à cet enjeu. Les questions de santé associées à ce type de deuil de même que la question de la nécessité de l’intervention seront abordées. Enfin, divers aspects émergents de ces politiques qui demandent encore à être éclairés seront examinés, de même que la nécessité de distinguer les approches à court, moyen et long terme quand on intervient auprès de personnes touchées par ce type de deuil.

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“…Research has clearly identified self-stigma and perceived-stigma among those with a lived experience of suicide, including those bereaved by suicide [10, 11] and those who have attempted suicide [12, 13]. …”

Section: Introductionmentioning

confidence: 99%

“…Self-stigma and perceived-stigma in people with a lived experience of suicide leads to a perception of negative judgement, an avoidance of discussing the experience and their grief with other people [31] and further withdrawal from usual sources of social connection [11], particularly following suicide bereavement [11, 32]. This tendency for social withdrawal further restricts people’s access to the protection from vulnerability that effective social support can provide [18], increasing the potential risk for psychological distress and ultimately the ongoing cycle of suicide.…”

Section: Introductionmentioning

confidence: 99%

Research protocol for a digital intervention to reduce stigma among males with a personal experience of suicide in the Australian farming community

2016

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BackgroundAustralian farming communities have up to twice the suicide rate of the general population. Men, particularly, demonstrate debilitating self- and perceived-stigma associated with an experience of suicide. The Ripple Effect is aimed to reduce suicide stigma within the social, cultural, geographical and psychological contexts in which it occurs.MethodsA mixed-method design with multi-level evaluation will be effected following the development and delivery of a personalised website experience (combining shared stories, education, personal goal setting and links to resources) to farming men, aged 30–64 years, with an experience of suicide. Pre- and post-surveys will be used to assess changes in self- and perceived-stigma and suicide literacy. Online feedback from participants and semi-structured interviews during follow-up will be thematically analysed.DiscussionThis project will provide information about increasingly accessible, innovative approaches to reducing the debilitating health and wellbeing effects of suicide stigma on a population of Australia’s farmers.Trial registrationThis research protocol was registered with the Australian New Zealand Clinical Trials Registry (ANZCTR) (ACTRN: ACTRN12616000289415) on 7th March, 2016.

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Grief after Suicide: The Evolution of Suicide Postvention

Cited by 19 publications

References 25 publications

The decision neuroscience perspective on suicidal behavior

The decision neuroscience perspective on suicidal behavior

Un nouvel enjeu de santé publique au Canada

Research protocol for a digital intervention to reduce stigma among males with a personal experience of suicide in the Australian farming community

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