Group Intervention for Widowed Survivors of Suicide

Constantino, Rose E.; Sekula, L. Kathleen; Rubinstein, Elaine N.

doi:10.1521/suli.31.4.428.22044

Cited by 48 publications

(76 citation statements)

References 32 publications

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“…Of those who reported inclusion criteria (5/7), two required the loss of a loved one, one the loss of a first-degree relative or spouse, and one the loss of a spouse to suicide. One study was explicitly restricted to participants older than 15 years [51], and three studies were restricted to participants older than 18 years [53,56,57]. Three studies were restricted to a specific time since bereavement varying between a loss within the past eight weeks [51] and two years [55,57].…”

Section: Resultsmentioning

confidence: 99%

“…In four of these studies [51,54,56,57], the participants had diverse relationships (e.g., children, parents, partner) to the deceased, and in two studies [52,53], only spouses or partners were included. Where reported (Table 1), the most frequent relationships were partners, children, and parents.…”

Section: Resultsmentioning

confidence: 99%

“…None of the studies focused on mental health care professionals such as psychiatrists or psychotherapists or people with other occupations who are at higher risk of knowing someone who has died by suicide. Average time since bereavement varied between studies from less than 2.5 months [52,53] to five years [56]. The Barlow et al [56] study was an outlier in this case as time since bereavement in all the other studies was less than or around 12 months.…”

Section: Resultsmentioning

confidence: 99%

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Grief interventions for people bereaved by suicide: A systematic review

et al. 2017

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BackgroundAdaption to the loss of a loved one due to suicide can be complicated by feelings of guilt, shame, responsibility, rejection, and stigmatization. Therefore people bereaved by suicide have an increased risk for developing complicated grief which is related to negative physical and mental disorders and an increased risk for suicidal behavior. Grief interventions are needed for this vulnerable population. The aim of this systematic review was to provide an overview of the current state of evidence concerning the effectiveness of interventions that focus on grief for people bereaved by suicide.MethodsWe conducted a systematic literature search using PubMed, Web of Science, and PsycINFO for articles published up until November 2016. Relevant papers were identified and methodological quality was assessed by independent raters. A narrative synthesis was conducted.ResultsSeven intervention studies met the inclusion criteria. Two interventions were based on cognitive-behavioral approaches, four consisted of bereavement groups, and one utilized writing therapy. As five of the seven interventions were effective in reducing grief intensity on at least one outcome measure, there is some evidence that they are beneficial. Bereavement groups tend to be effective in lowering the intensity of uncomplicated grief, as are writing interventions in lowering suicide-specific aspects of grief. Cognitive-behavioral programs were helpful for a subpopulation of people who had high levels of suicidal ideation.LimitationOn average, methodological quality was low so the evidence for benefits is not robust. The stability of treatment effects could not be determined as follow-up assessments are rare. Generalizability is limited due to homogeneous enrollments of mainly female, white, middle-aged individuals.ConclusionsPeople bereaved by suicide are especially vulnerable to developing complicated grief. Therefore, grief therapies should be adapted to and evaluated in this population. Prevention of complicated grief may be successful in populations of high risk individuals.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Grief interventions for people bereaved by suicide: A systematic review

et al. 2017

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“…[8,12,26,29,41,42]. In other words, we the researchers and policy makers have been readily making assumptions about suicide and suicide survivors.…”

Section: Discussionmentioning

confidence: 99%

“…It is not surprising that the needs of suicide survivors and possible interventions have been receiving some attention in the literature [8,11,13,24,[26][27][28]. What is lacking from a discussion of survivors' needs is a thorough debate on how the socio-political processes impact suicide survivors, and more importantly suicide itself.…”

Section: Introductionmentioning

confidence: 99%

Bereaved by Suicide

Shahtahmasebi¹,

Aupouri-Mclean²

2011

Prim Health Care

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Parents and family members are often treated as experimental or observational units from whom information can be gathered and inferences made about suicide survivors (family of a suicide case). Collecting data in this way limits the knowledge about suicide survivors' needs and how they can contribute to the suicide debate for the development of a suicide policy. It is not helpful to claim mental illness as the cause of suicide when the suicide rate decreases, and then claim that suicide is a very complex health outcome caused by many factors when the suicide rate increases. In this discussion paper, we argue that a suicide prevention model that places mental illness at the centre of the suicide debate only leads to a policy of 'more of the same', and will have little effect on suicide prevention and care support post-suicide (for suicide survivors). Furthermore, we argue that the contribution that suicide survivors can make to understanding suicide should not be ignored.

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Predictive factors for differential changes in grief symptoms following group bereavement intervention for Chinese widowed older adults

Xiu

Chow

Tang

2020

Clin Psychology and Psychoth

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This study aimed to delineate changes in the patterns of prolonged grief severity in widowed adults following group bereavement interventions and to identify the predictive factors impacting these patterns. We performed a secondary analysis of data from a randomized trial of 125 Chinese widowed older adults who participated in either LOGBI or DPGBI. Self-ratings of prolonged grief symptoms via Inventory of Complicated Grief (ICG) were subjected to latent class growth analysis to identify subgroups according to symptomatic changes among baseline, posttreatment, and 8-week follow-up. Multinomial regression analysis examined whether participant classification could be predicted by demographics, loss-related characteristics, and the relationship with the deceased and baseline symptom severity. In the results, intervention sample comprised 96 completers with an attendance greater than 60%. A three-class categorization yielded the best model fit for changes in prolonged grief severity for both randomized and intervention samples:improved class (41.6% in the randomized sample, 42.8% in the intervention sample), partial responded class (48.1%/45.5%), and relapse class (10.3%/11.8%). Older widowed adults experiencing a high level of grief at baseline and bereavement following chronic illness had an elevated risk of symptomatic relapse after the completion of intervention. These findings indicated that Chinese widowed adults experienced different changing patterns of prolonged grief severity following group bereavement interventions. Practically, widowed adults with a higher risk of symptomatic relapse might need more intensive or longer term intervention or follow-up support.

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Group Intervention for Widowed Survivors of Suicide

Cited by 48 publications

References 32 publications

Grief interventions for people bereaved by suicide: A systematic review

Grief interventions for people bereaved by suicide: A systematic review

Bereaved by Suicide

Predictive factors for differential changes in grief symptoms following group bereavement intervention for Chinese widowed older adults

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