Suicide as situation of extreme stress for immediate surrounding



Suicide can emotionally affect up to 60 people, who knew a suicider. Suicide survivors are stressed and are at risk of affective disorders. The article analyzes factors that are affecting the level of distress. The article considers the studies demonstrating the effects of stigmatization and self-stigmatization on distress level, and characteristics of the family system affecting distress. Understanding the mechanisms of increasing stress after suicide and suicidal attempts for relatives of a suicide helps identify targets for an effective post-event.

General Information

Keywords: stress, suicide, suicide attempt, suicide survivors.

Journal rubric: Medical Psychology

Article type: review article


For citation: Borisonik E.V. Suicide as situation of extreme stress for immediate surrounding [Elektronnyi resurs]. Sovremennaia zarubezhnaia psikhologiia = Journal of Modern Foreign Psychology, 2020. Vol. 9, no. 1, pp. 62–67. DOI: 10.17759/jmfp.2020090106. (In Russ., аbstr. in Engl.)


  1. Vasilyuk F. Perezhit' gore [Relive grief]. In Yu.B. Gippenreiter, M.V. Falikman (eds.) Psikhologiya motivatsii i emotsii: khrestomatiya [Psychology of motivation and emotions: anthology]. Moscow: CheRo; Omega-L; MPSI, 2006, pp. 581–590. (In Russ.).
  2. Lukashuk A.V. Samorazrushayushchee povedenie roditelei devushek, sovershivshikh popytku samoubiistva [Self-destructive behavior of the parents of girls who attempted suicide] [Elektronnyi resurs]. Zdravookhranenie Yugry: opyt i innovatsii [Ugra Healthcare: experience and innovations], 2017. Vol. 4, no. 13, pp. 61–63. URL: (Accessed 12.03.2020). (In Russ.).
  3. Asare-Doku W., Osafo J., Akotia C.S. The experiences of attempt survivor families and how they cope after a suicide attempt in Ghana: a qualitative study. BMC Psychiatry, 2017. Vol. 17, article number: 178. 10 p. DOI:10.1186/s12888-017-1336-9
  4. Begley M., Quayle E. The lived experience of adults bereaved by suicide. Crisis, 2007. Vol. 28, no. 1, pp. 26–34. DOI:10.1027/0227-5910.28.1.26
  5. Pompili M. et al. Bereavement after the suicide of a significant other. Indian Journal of Psychiatry, 2013. Vol. 55, no. 3, pp. 256–263. DOI:10.4103/0019-5545.117145
  6. Chiang C.Y. et al. Caring stress, suicidal attitude and suicide care ability among family caregivers of suicidal individuals: a path analysis. Journal of Psychiatric and Mental Health Nursing, 2015. Vol. 22, no. 10, pp. 792–800. DOI:10.1111/jpm.12267
  7. Cerel J., Jordan J., Duberstein P. The impact of suicide on the family. Crisis, 2008. Vol. 29, no. 1, pp. 38–44. DOI:10.1027/0227-5910.29.1.38
  8. Drapeau W.C., Cerel J., Moore M. How personality, coping styles, and perceived closeness influence help-seeking attitudes in suicide-bereaved adults. Death Studies, 2016. Vol. 40, no. 3, pp. 165–171. DOI:10.1080/07481187.2015.1107660
  9. Dyregrov K., Nordanger D., Dyregrov A. Predictors of psychosocial distress after suicide, SIDS and accidents. Death Studies, 2003. Vol. 27, no. 2, pp. 143–165. DOI:10.1080/07481180302892
  10. Cerel J. et al. Exposure to suicide in the community: prevalence and correlates in one U.S. State. Public Health Reports, 2016. Vol. 131, no. 1, pp. 100–107. DOI:10.1177/003335491613100116
  11. Goldstein T.R. et al. Family environment and suicidal ideation among bipolar youth. Journal Archives of Suicide Research, 2009. Vol. 13, no. 4, pp. 378–388. DOI:10.1080/13811110903266699
  12. Sun F.K. et al. Grounded theory study of action/interaction strategies used when Taiwanese families provide care for formerly suicidal patients. Public health nursing, 2009. Vol. 26, no. 6, pp. 543–552. DOI:10.1111/j.1525-1446.2009.00813.x
  13. Buitron V. et al. Interpersonal stress and suicidal ideation in adolescence: An indirect association through perceived burdensomeness toward others. Journal of Affective Disorders, 2016. Vol. 190, pp. 143–149. DOI:10.1016/j.jad.2015.09.07
  14. Jordan R.J. Is Suicide Bereavement Different? A reassessment of the literature. Suicide and life-threatening behavior, 2001. Vol. 31, no. 1, pp. 91–102. DOI:10.1521/suli.
  15. Kawashima D., Kawano K. Meaning reconstruction process after suicide: Life-Story of a Japanese Woman Who Lost Her Son to Suicide. OMEGA-Journal of death and dying, 2017. Vol. 75, no. 4, pp. 360–375. DOI:10.1177/0030222816652805
  16. Levi-Belz Y. To share or not to share? The contribution of self-disclosure to stress-related growth among suicide survivors. Death Studies, 2016. Vol. 40, no. 7, pp. 405–413. DOI:10.1080/07481187.2016.1160164
  17. Magne-Ingvar U., Ojehagen A. One-year follow up of significant others of suicide attempters. Social Psychiatry and Psychiatric Epidemiology, 1999. Vol. 34, no. 9, pp. 470–476.
  18. Stanley I.H. et. al. PTSD from a suicide attempt: An empirical investigation among suicide attempt survivors. Journal of clinical psychology, 2019. Vol. 75, no. 10, pp. 1879–1895. DOI:10.1002/jclp.22833
  19. Frey L.M. et al. Recipients of suicide-related disclosure: The link between disclosure and posttraumatic growth for suicide attempt survivors. International Journal of Environmental Research and Public Health, 2019. Vol. 16, no. 20, article number: 3815. 14 p. DOI:10.3390/ijerph16203815
  20. Santos S., Campos R.C., Tavares S. Suicidal Ideation and Distress in Family Members Bereaved by Suicide in Portugal. Death Studies, 2015. Vol. 39, no. 6, pp. 332–341. DOI:10.1080/07481187.2014.946626
  21. Scocco P. et al. Stigma and psychological distress in suicide survivors. Journal of psychosomatic research, 2017. Vol. 94, pp. 39–46. DOI:10.1016/j.jpsychores.2016.12.016
  22. Kõlves K. et al. Suicide and sudden death bereavement in Australia: A longitudinal study of family members over 2 years after death. Australian & New Zealand Journal of Psychiatry, 2020. Vol. 54, no. 1, pp. 89–98. DOI:10.1177/0004867419882490
  23. Young I.T. et al. Suicide bereavement and complicated grief. Dialogues in clinical neuroscience, 2012. Vol. 14, no. 2, pp. 177–186.
  24. Feigelman W. et al. Suicide exposures and bereavement among American adults: Evidence from the 2016 general social survey. Journal of Affective Disorders, 2017. Vol. 227, pp. 1–6. DOI:10.1016/j.jad.2017.09.056
  25. Bartik W. et al. The psychological impact of losing a friend to suicide. Australasian Psychiatry, 2013. Vol. 21, no. 6, pp. 545–549. DOI:10.1177/1039856213497986
  26. Spillane A. et al. What are the physical and psychological health effects of suicide bereavement on family members? An observational and interview mixed-methods study in Ireland. BMJ Open, 2018. Vol. 8, no. 1, e019472. 11 p. DOI:10.1136/bmjopen-2017-019472

Information About the Authors

Evgeniya V. Borisonik, Senior Lecturer, Faculty of Counseling and Clinical Psychology, Moscow State University of Psychology and Education (MSUPE), Medical Psychologist, Sklifosovsky Research Institute of Emergency Care, Moscow, Russia, ORCID:, e-mail:



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