Clinical and psychological consequences for the families of suicide victim

2002

Abstract

A lot of attention is paid to people in suicidal crisis, while the problems of helping the relatives of the suicide victim are studied less extensively. To offer expert support to the family it is necessary to understand the aims of psychological work. The article presents analysis of protective factors and risk factors that may affect the intensity of the emotional state after the loss. Characteristics of children’s experience of relative’s suicide are described. In contrast to the experience of natural death, relatives of a suicide experience more feelings of guilt and social stigmatization that prevents them from getting informal support. Relatives of a suicide are at risk of developing depression, symptoms of post-traumatic stress disorder, physical illness, drug addiction and suicidal behavior. Literature data shows the need to develop a program of prevention that should be based on the relationship between the survivor and the person who committed suicide, to consider the stage of grief and coping skills he/she possesses.

General Information

Keywords: suicide, family of suicide victims, grief, prevention

Journal rubric: Research Reviews

Article type: scientific article

DOI: https://doi.org/10.17759/cpp.2016240303

For citation: Borisonik E.V., Lyubov E.B. Clinical and psychological consequences for the families of suicide victim. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2016. Vol. 24, no. 3, pp. 25–41. DOI: 10.17759/cpp.2016240303. (In Russ., аbstr. in Engl.)

References

  1. Alaverdova L. Brat moi, brat... [Oh brother, my brother...]. Moscow: Publ. Novye vozmozhnosti, 2014. 270 p.
  2. Ambrumova A.G., Postovalova L.I. Semeinaya diagnostika i voprosy profilaktiki suitsidal’nogo povedeniya [Family diagnostics and prevention of suicidal behavior]. Problemy profilaktiki i reabilitatsii v suitsidologii [Problems of prevention and rehabili- tation of suicidology]. Moscow: Publ. NII psikhiatrii MZ RSFSR, 1984, pp. 62—77.
  3. Vasilyuk F. Perezhit’ gore [Going through grief]. In Gippenreiter Yu.B., Falikman M.V. (ed.) Psikhologiya motivatsii i emotsii: uchebnoe posobie [The psychology of moti- vation and emotion]. Moscow: Publ. CheRo: Omega-L, MPSI, 2006, pp. 581—590.
  4. Grollman E. Suitsid: preventsiya, interventsiya, postventsiya [Suicide: prevention, intervention, and postvention]. In A.N. Mokhovikova (ed.). Suitsidologiya: pro- shloe i nastoyashchee [Suicidology: past and present]. Moscow: Publ. Kognito- Tsentr, 2001, pp. 270—352.
  5. Dunne-Maxim K., Dunne E.J. Sem’ya v protsesse preventsii i postventsii samoubi- istv: obrazovatel’nye perspektivy v sfere psikhicheskogo zdorov’ya [Family involve- ment in suicide prevention and postvention: a psychoeducational perspective]. In Wasserman D. Naprasnaya smert’. Prichiny i profilaktika samoubiistv: per. s angl. [Suicide. An unnecessary death]. Moscow: Publ. Smysl, 2005, pp. 254—264. (In Russ.)
  6. Lukas C., Seiden H. Molchalivoe gore: Zhizn’ v teni samoubiistva: per. s angl. [Si- lent grief: living in the wake of suicide]. Moscow: Publ. Smysl, 2000, 255 p. (In Russ.)
  7. Lyubov E.B. SMI i podrazhatel’noe suitsidal’noe povedenie. Chast’ II. Preduprezh- denie samoubiistv: resursy professionalov SMI [Media and imitative suicidal behav- ior. Part II. Suicide prevention: resources for media professionals]. Suitsidologiya [Suicidology], 2012, no. 4, pp. 10—22.
  8. Lyubov E.B., Morev M.V., Falaleeva O.I. Suitsidy: sotsio-ekonomicheskoe bremya v Rossii [Suicide: the socio-economic burden in Russia]. Sotsial’naya i klinicheskaya psikhiatriya [Social and clinical psychiatry], 2013. Vol. 23, no. 2, pp. 38—44.
  9. Ofitsial’nyi sait Goskomstata [Elektronnyi resurs]. Available at: http:www.gks. ru.htm (Accesed 22.07.2016).
  10. Petryuk P.T. K izucheniyu bremeni psikhicheskikh i povedencheskikh ras-stroistv [Study of the burden of mental and behavioral disorders]. Materіali naukovo- praktichnoї konferentsії z mіzhnarodnoyu ucha-styu «Ekonomіchnі aspekti v upravlіnnі okhoroni zdorov’ya» [Economic aspects in the management of health]. Kharkіv, 2004, pp. 83—87.
  11. Ruzhenkova V.V. Stigmatizatsiya suitsidentov (kliniko-sotsial’nyi i reabilitatsionno- profilakticheskii aspekty) avtoref diss. … kand. med. nauk. [Stigmatization of suicides (clinical, social, rehabilitative and preventive aspects) Ph.D. (Medical) The- sis]. Moscow, 2016.
  12. Simonova A.Yu. Vliyanie spetsificheskikh onlain-soobshchestv na suitsi-dal’noe povedenie sredi podrostkov i molodezhi: kurs. rab. [The effect of specific online communities on suicidal behavior among adolescents and youth]. Moscow: Publ. MGPPU, 2012.
  13. Tukaev R.D. Psikhicheskaya travma i suitsidal’noe povedenie: analiticheskii obzor literatury s 1986 po 2001 gody [Mental trauma and suicidal behavior: review of lit- erature from 1986 to 2001]. Sotsial’naya i klinicheskaya psikhiatriya [Social and clini- cal psychiatry], 2003. Vol.13, no. 1, pp. 151—163.
  14. Shneidman E. Dusha samoubiitsy: per. s angl. [The suicidal mind]. Moscow Publ.: Smysl, 2001. 316 p. (In Russ.).
  15. Beautrais A.L. Suicide postvention: support for families, friends and significant others after a suicide: a literature review and synthesis of evidence. New Zealand: Min- istry of Youth Affairs, 2004. 54 p.
  16. Begley M., Quayle E. The Lived Experience of Adults Bereaved by Suicide. Crisis, 2007. Vol. 28, no. 1, pp. 26—34.
  17. Bhise M.S., Behere P.B. A case—control study of psychological distress in survivors of farmers’ suicides in Wardha District in central India. Indian J Psychiatry, 2016. Vol. 58, no. 2, pp.147—151. doi: 10.4103/0019-5545.183779
  18. Bille-Brahe U., Stenager, E. Suicidal ideation and suicidal transmission: long term effects of frequencies of suicidal behavior. Proceed. Am. Suicidology, 1992. Vol. 25, pp. 227—229.
  19. Bowlby-West L. The impact of death on the family system. J. Fam. Ther., 1983. Vol. 5, pp. 279—294.
  20. Brent D. What family studies teach us about suicidal behavior: implications for re- search, treatment, and prevention. Eur Psychiatry, 2010. Vol. 25, pp. 260—263. doi: 10.1016/j.eurpsy.2009.12.009
  21. Carson J. Spencer Foundation, Crisis Care Network, National Action Alliance for Suicide Prevention, American Association of Suiciology. A manager’s guide to sui- cide postvention in the workplace: 10 action steps for dealing with the aftermath of suicide. Denver, Colorado: Carson J. Spencer Foundation, 2013. 20 p.
  22. Cerel J., Jordan J., Duberstein P.R. The Impact of suicide on the family. Crisis, 2008. Vol. 29, no. 1, pp. 38—44. doi:10.1027/0227-5910.29.1.38
  23. Cettour D. Essai sur la narration du suicide. Nervure, 1999. Vol. XII, no. 5, pp. 26— 32.
  24. Cleiren M., Diekstra R. After the loss: Bereavement after suicide and other types of death. B. Mishara (Ed.). The Impact of Suicide. NY, 1995, pp.7—39.
  25. Corso P.S., Mercy J.A., Simon T.R. et al. Medical costs and productivity losses due to interpersonal and self-directed violence in the United States. Am. J. Prev. Med, 2007. Vol. 32, pp. 474—482. doi: 10.1016/j.amepre.2007.02.010
  26. Dalke D. Therapy-assisted growth after parental suicide: From a personal and pro- fessional perspective. Omega, 1994. Vol. 29, pp. 113—151.
  27. Deeken J.F., Kathryn L.T., Mangan P. et al. Care for the Caregivers: A Review of Self-Report Instruments Developed to Measure the Burden, Needs, and Quality of Life of Informal Caregivers. J Pain Symptom Manage, 2003. Vol. 26, pp. 922—953.
  28. Practice guideline for the assessment and treatment of patients with suicidal behav- iors. APA, 2010. 183 p.
  29. Feigelman W. The stigma of suicide and how it affects survivors’ healing. Postvention newsletter, 2008. Vol. 5, no. 2, pp. 1—7.
  30. Ferrey A., Hughes N.D, Simkin S. et al. Changes in parenting strategies after a young person’s self-harm: a qualitative study. Child Adolesc Psychiatry Ment Health, 2016. Vol. 2, pp. 10-20. doi: 10.1186/s13034-016-0110-y.
  31. Goffman E. Stigma: Notes on the management of spoiled identity. Englewood Cliffs, NJ: Prentice-Hall, 1963. 147 p.
  32. Harwood D., Hawton K., Hope T. The grief experiences and needs of bereaved rela- tives and friends of older people dying through suicide: a descriptive and casecontrol study. J Affect Disord, 2002. Vol. 72, pp. 185—194.
  33. Hoff L. People in crisis: understanding and helping. 3nd ed. Redwood City: Addi- son-Wesley Publishers, 1989.
  34. Holmes T.H., Rahe R.H. The social readjustment rating scale. Journal of Psychoso- matic Research, 1967. Vol. 11, pp. 213—218.
  35. Jordan J.R. Is Suicide Bereavement Different? Suicide Life Threat Behav., 2001. Vol. 31, no. 1, pp. 91—103.
  36. Knieper A.J. The suicide survivor’s grief and recovery. Suicide Life-Threat. Behav., 1999. Vol. 29, pp. 353—363.
  37. Lohan J.A., Murphy S.A. Family functioning and family typology after an adoles- cent or young adults’ sudden violent death. Journal of Family Nursing, 2002. Vol. 8, pp. 32—49.
  38. McDonell M.G., Short R.A., Berry C.M. et al. Burden in schizophrenia Caregivers: impact of family psychoeducation and awareness of patient suicidality. Fam. Process, 2003. Vol. 42, no.1, pp. 91—103.
  39. Melhem N.M., Day N., Shear M.K. et al. Traumatic grief among adolescents ex- posed to a peer’s suicide. Am J Psychiatry., 2004. Vol. 161, no. 8, pp. 1411—1416.
  40. Pitman A.L., Osborn D.P.J., Rantell K. et al. Bereavement by suicide as a risk fac- tor for suicide attempt: a cross-sectional national UK-wide study of 3432 young bereaved adults. BMJ Open, 2016. Vol. 6. Available at: http://bmjopen.bmj.com/ content/6/1/e009948.full  (Accessed  7.06.2016)  doi:10.1136/bmjopen-2015-009948
  41. Pompili M., Shrivastava A., Serafini G. Bereavement after the suicide of a signifi- cant other. Ind. J. Psychiatry, 2013. Vol. 55, no. 3, pp. 256—263. doi:10.4103/0019- 5545.117145.
  42. Rabalais A.M, Wilks S.E., Geiger J.R. et al. Prominent Feelings and Self-Regard Among Survivors of Suicide. Does Time Heal All Wounds? Illness, Crisis & Loss, 2016. Vol. 14. doi: 10.1177/1054137316637189
  43. Richman J. Family determinants of suicide potential. In D.B. Anderson, J. McLean (eds.). Identifying suicide potential. New York: Behavioral Publications, 1971, pp. 33—54.
  44. Sakinofsky I. The aftermath of suicide: Managing survivors’ bereavement. Can. J Psychiatry, 2007. Vol. 52, pp. 129—136.
  45. Schonfeld D.J., Quackenbush M. After a loved one dies — how children grieve and how parents and other adults can support them. NY: Publ. New York Life Founda- tion, 2009. P. 27.
  46. Sveen C.A., Walby F.A. Suicide survivors’ mental health and grief reactions: a systematic review of controlled studies. Suicide Life-Treat. Behav., 2008. Vol. 38, pp. 13—29. doi: 10.1521/suli.2008.38.1.13.
  47. Tsukahara T., Arai H., Kamijo T. et al. The relationship between attitudes toward suicide and family history of suicide in Nagano prefecture. Int J Environ Res Public Health, 2016. Vol. 13, no. 6, pp. 623—634. doi:10.3390/ijerph13060623
  48. Vessier-Batchen M., Douglas D. Coping and complicated grief in survivors of ho- micide and suicide decedents. J. Forensic Nurs., 2006. Vol. 2, no. 1, pp. 25—32. doi: 10.1111/j.1939-3938.2006.tb00050.x
  49. Wasserman D., Rihmer Z., Rujescu D. et al. The European Psychiatric Association (EPA) guidance on suicide treatment and prevention. Eur Psychiatry, 2012. Vol. 27, pp. 129—141.
  50. Young I.T., Iglewicz A., Glorioso D. Suicide bereavement and complicated grief. Dialogues Clin Neurosci, 2012. Vol. 14, no. 2, pp. 177—186.

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: https://orcid.org/0000-0002-4643-239X, e-mail: borisonikev@mppu.ru

Evgenii B. Lyubov, Doctor of Medicine, Professor, Head of Suicidology Department, Moscow Research Institute of Psychiatry — Branch of The Serbsky Federal Medical Research Center for Psychiatry and Narcology, Moscow, Russia, e-mail: lyubov.evgeny@mail.ru

Metrics

Views

Total: 4115
Previous month: 20
Current month: 46

Downloads

Total: 2002
Previous month: 9
Current month: 6