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Handbook of Suicidal Behaviour pp 403–427Cite as

Those Left Behind…: The Process of Bereavement for Suicide Survivors and Postvention

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Abstract

The act of ending the pain of living not only leaves the family members devastated, but the outcome of this traumatic event also affects the family system at many levels. Given the complexity of the phenomenon of suicide itself, the aftermath of suicide within families has often been overlooked. This chapter addresses the various layers of the phenomenon of suicide bereavement through the lens of different “suicide survivors” such as parents, children, spouses, siblings and persons closely associated with the individual. The trajectory of suicide is so sudden that it leaves pallbearers of the deceased individual vulnerable to a plethora of melancholic emotions that usually do not attain closure. The situation is made more difficult because such incidents are followed by inescapable feelings of angst, anger, guilt, shame, hopelessness, betrayal and lack of a sense of control. Since the tragic event leaves many questions unanswered, the survivors struggle in coping with the traumatic event of losing a person close to them. With an event that leaves the lives of the family members forever altered, its impact is not limited to the individual but affects the functioning of the family altogether. It alters family dynamics in a way that may escalate the grief reaction of the bereaved individual. Additionally, the chapter attempts to outline the various factors that influence the process of bereavement for suicide survivors and explore outcomes of this situational crises experienced by them. Lastly, it is important to pave the path of recovery for suicide survivors. Therefore, preventive measures and strategies are suggested to aid the bereavement process, and reduce the psychosocial vulnerabilities of suicidal behaviour in members of the family.

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References

  • Attig, T. (2011). How we grieve: Relearning the world (Revised ed.). New York: Oxford University Press.

    Google Scholar 

  • Barlow, C. A., & Coleman, H. (2003). The healing alliance: How families use social support after a suicide. OMEGA—Journal of Death and Dying, 47(3), 187–201.

    Article  Google Scholar 

  • Barrett, T. W., & Scott, T. B. (1989). Development of the grief experience questionnaire. Suicide and Life-Threatening Behaviour, 19(2), 201–215.

    Article  Google Scholar 

  • Barrett, T., & Scott, T. (1990). Suicide bereavement and recovery patterns compared with non-suicide bereavement patterns. Suicide and Life-Threatening Behaviour, 20(1), 1–15.

    Google Scholar 

  • Baume, P. (1992). Suicide: A crisis for the whole family; should suicide survivors be managed differently? In Preventing youth suicide: Proceedings of a AIC conference held 24–26 July 1990, 13 (pp. 279–288). Kenthurst: Kangaroo Press.

    Google Scholar 

  • Blumenthal, S. J. (1990). An overview and synopsis of risk factors, assessment, and treatment of suicidal patients over the life cycle. In J. Blumenthal & D. J. Kupfer (Eds.), Suicide over the life cycle: Risk factors, assessment, and treatment of suicidal patients (pp. 685–734). DC: American Psychiatric Press.

    Google Scholar 

  • Boorstein, S. (1996). Transpersonal psychotherapy (2nd ed.). Albany, NY: State University of New York.

    Google Scholar 

  • Bratton, S. C., Ray, D. C., Edwards, N. A., & Landreth, G. (2009). Child-centered play therapy (CCPT): Theory, research, and practice. Person-Centered & Experiential Psychotherapies, 8(4), 266–281.

    Article  Google Scholar 

  • Cain, A. (1972). Survivors of suicide. Springfield, IL: Charles C Thomas.

    Google Scholar 

  • Calhoun, L. G., Selby, J. W., & Selby, L. E. (1982). The psychological aftermath of suicide: An analysis of current evidence. Clinical Psychology Review, 2(3), 409–420.

    Article  Google Scholar 

  • Callahan, J. (2000). Predictors and correlates of bereavement in suicide support group participants. Suicide and Life-Threatening Behaviour, 30(2), 104–124.

    Google Scholar 

  • Campbell, F., & Cataldie, L. (2003). Survivor support teams. Paper presented at the survivors of suicide research workshop program, NIMH = NIH Office of Rare Diseases and the American Foundation for Suicide Prevention, Bethesda, MD.

    Google Scholar 

  • Campbell, F., Cataldie, L., McIntosh, J., & Millet, K. (2004). An active postvention program. Crisis, 25(1), 30–32.

    Article  PubMed  Google Scholar 

  • Cerel, J., Fristad, M. A., Weller, E. B., & Weller, R. A. (1999). Suicide- bereaved children and adolescents: A controlled longitudinal examination. Journal of the American Academy of Child and Adolescent Psychiatry, 38(6), 672–679.

    Article  PubMed  Google Scholar 

  • Cerel, J., Jordan, J. R., & Duberstein, P. R. (2008). The impact of suicide on the family. Crisis, 29(1), 38–44.

    Article  PubMed  Google Scholar 

  • Clark. (2001). Living hope bereavement support. Retrieved from http://suicideprevention.salvos.org.au/training/living-hope-bereavement-support.

  • Clark, S. E., & Goldney, R. D. (1995). Grief reactions and recovery in a support group for people bereaved by suicide. Crisis, 16(1), 27–33.

    Article  PubMed  Google Scholar 

  • Cleiren, M. (1993). Bereavement and adaptation: A comparative study of the aftermath of death. Washington, DC: Hemisphere.

    Google Scholar 

  • Compton, M. T., Thompson, N. J., & Kaslow, N. J. (2005). Social environment factors associated with suicide attempt among low-income African Americans: The protective role of family relationships and social support. Social Psychiatry and Psychiatric Epidemiology, 40(3), 175–185.

    Article  PubMed  Google Scholar 

  • Crosby, A. E., & Sacks, J. J. (2002). Exposure to suicide: Incidence and association with suicidal ideation and behaviour: United States, 1994. Suicide Life Threatening Behaviour, 32(3), 321–328.

    Article  Google Scholar 

  • Culliford, L. (2002). Spirituality and clinical care. British Medical Journal, 325(7378), 1434–1435.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cvinar, J. G. (2005). Do suicide survivors suffer social stigma: A review of the literature. Perspectives in Psychiatric Care, 41(1), 14–21.

    Article  PubMed  Google Scholar 

  • Davis, C., & Hinger, B. (2005). Assessing the needs of survivors of suicide. Alberta: Calgary Health Region.

    Google Scholar 

  • de Groot, M. H., de Keijser, J., & Neeleman, J. (2006). Grief shortly after suicide and natural death: A comparative study among spouses and first-degree relatives. Suicide Life Threatening Behaviour, 36(4), 418–431.

    Article  Google Scholar 

  • Demi, A. (1984). Social adjustment to widowhood after a sudden death: Suicide and non-suicide survivors compared. Death Education, 8(Suppl.), 91–111.

    Google Scholar 

  • Doka, K. J. (Ed.). (2002a). Disenfranchised grief: New directions, challenges, and strategies for practice. Champaign, IL: Research Press.

    Google Scholar 

  • Doka, K. (2002b). Disenfranchised grief. In K. Doka (Ed.), Living with grief: loss in later life (pp. 159–168). Washington, DC: The Hospice Foundation of America.

    Google Scholar 

  • Dunn, R. G., & Morrish-Vidners, D. (1987). The psychological and social experience of suicide survivors. Omega: Journal of Death and Dying, 18(3), 175–215.

    Google Scholar 

  • Dyregrov, K., & Dyregrov, A. (2005). Siblings after suicide—“The forgotten bereaved”. Suicide and Life-Threatening Behaviour, 35(6), 714–724.

    Article  Google Scholar 

  • Dyregrov, K., Plyhn, E., Dieserud, G., & Oatley, D. (2012). After the suicide: Helping the bereaved to find a path from grief to recovery. London: Jessica Kingsley.

    Google Scholar 

  • Farberow, N. (1992). The Los Angeles survivors-after-suicide program: An evaluation. Crisis, 13(1), 23–34.

    PubMed  Google Scholar 

  • Fekete, S., & Schmidtke, A. (1996). Suicidal models: Their frequency and role in suicide attempters, non-suicidal psychiatric patients, and normal control cases: A comparative German Hungarian study. OMEGA, 33(3), 233–241.

    Google Scholar 

  • Fine, C. (1997). No time to say goodbye: Surviving the suicide of a loved one. New York: Broadway Books.

    Google Scholar 

  • Flesch, R. (1977). Mental health and bereavement by accident or suicide: A preliminary report. In Bruce. L. Danto & Austin. H. Kutscher (Eds.), Suicide and bereavement (pp. 128–137). New York: Arno Press.

    Google Scholar 

  • Garvin, C. (1997). Contemporary group work (3rd ed.). Needham Heights, MA: Allyn and Bacon.

    Google Scholar 

  • Gawain, S. (2011, November). Heal yourself. In sacred space. The Times of India, New Delhi, p. 10.

    Google Scholar 

  • Germer, C. K., & Neff, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69(8), 856–867.

    Article  PubMed  Google Scholar 

  • Ginott, H. (1961). Group psychotherapy with children: The theory and practice of play therapy. New York: McGraw-Hill.

    Book  Google Scholar 

  • Gitterman, A., & Schulman, L. (2005). Mutual aid groups, vulnerable and resilient populations, and the life cycle. New York: Columbia University Press.

    Google Scholar 

  • Hajal, F. (1977). Post-suicide grief work in family therapy. Journal of Marriage and Family Counselling, 3(2), 35–42.

    Article  Google Scholar 

  • Hoff, L. (1989). People in crisis: Understanding and helping (3rd ed.). Redwood City: Addison-Wesley Publishers.

    Google Scholar 

  • Hung, N. C., & Rabin, L. A. (2009). Comprehending childhood bereavement by parental suicide: A critical review of research on outcomes, grief processes, and interventions. Death Studies, 33(9), 781–814.

    Article  PubMed  Google Scholar 

  • Hussain, A. (2011). Spirituality and holistic health: A psychological perspective. New Delhi: Prasad Psycho Corporation Publication.

    Google Scholar 

  • Jackson, J. (2003). SOS: A handbook for survivors of suicide. Washington, DC: American Association of Suicidology.

    Google Scholar 

  • Jaques, J. D. (2000). Surviving suicide: The impact on the family. The Family Journal: Counselling and Therapy for Couples and Families, 8(4), 376–379.

    Article  Google Scholar 

  • Joiner, T. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Jordan, J. (2001). Is suicide bereavement different? A reassessment of the literature. Suicide and Life-Threatening Behaviour, 31(1), 91–102.

    Article  Google Scholar 

  • Jordan, J. R. (2004). Unpublished lecture, AFSP Support Group Facilitator Training Program, Philadelphia, Pennsylvania.

    Google Scholar 

  • Jordan, J. (2008). Bereavement after suicide. Psychiatric Annals, 38(10), 679–685.

    Article  Google Scholar 

  • Jordan, J. R. (2011). Principles of grief counseling with adult survivors. In J. R. Jordan & J. L. McIntosh (Eds.), Grief after suicide: Understanding the consequences and caring for the survivors (pp. 179–223). New York: Routledge/Taylor & Francis.

    Google Scholar 

  • Jordan, J. R. (2012). Guided imaginal conversations with the deceased. In R. A. Neimeyer (Ed.), Techniques of grief therapy: Creative practices for counseling the bereaved (pp. 262–265). New York: Routledge.

    Google Scholar 

  • Jordan, J. R., Kraus, D. R., & Ware, E. S. (1993). Observations on loss and family development. Family Process, 32(4), 425–440.

    Article  PubMed  Google Scholar 

  • Katz, A. H., & Bender, E. I. (1976). The strength of us. New York: Franklin Watts Inc.

    Google Scholar 

  • Kissane, D. W., Bloch, S., Dowe, D. L., Snyder, R. D., Onghena, P., McKenzie, D. P., Wallace, C. S. (1996a). The Melbourne family grief study, I: Perceptions of family functioning in bereavement. American Journal of Psychiatry, 153(5), 650–658.

    Article  PubMed  Google Scholar 

  • Kissane, D. W., Bloch, S., Onghena, P., McKenzie, D. P., Snyder, R. D., & Dowe, D. L. (1996b). The Melbourne family grief study, II: Psychosocial morbidity and grief in bereaved families. American Journal of Psychiatry, 153(5), 659–666.

    Article  PubMed  Google Scholar 

  • Kuramoto, S. J., Brent, D. A., & Wilcox, H. C. (2009). The impact of parental suicide on child and adolescent offspring. Suicide Life Threatening Behaviour, 39(2), 137–151.

    Article  Google Scholar 

  • Lam, W. S. (2014). In their own words: Perceived experiences and family functioning of suicide survivors before and after suicide loss. PCOM Psychology Dissertations. Paper 308.

    Google Scholar 

  • Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: The implications of treating oneself kindly. Journal of Personality and Social Psychology, 92(5), 887–904.

    Article  PubMed  Google Scholar 

  • Leenaars, A., & Wenckstern, S. (1998). Principals of postvention: Applications to suicide and trauma in schools. Death Studies, 22, 357–391.

    Article  Google Scholar 

  • Lester, D. (1994). Challenges in preventing suicide. Death Studies, 18(6), 623–639.

    Article  PubMed  Google Scholar 

  • Lindqvist, P., Johansson, L., & Karlsson, U. (2008). In the aftermath of teenage suicide: A qualitative study of the psychosocial consequences for the surviving family members. BMC Psychiatry, 8, Paper 26. doi:10.1186/1471-244X-8-26.

  • McMenamy, J. M., Jordan, J. R., & Mitchell, A. M. (2008). What do suicide survivors tell us they need? Results of a pilot study. Suicide and Life-Threatening Behaviour, 38(4), 375–389.

    Article  Google Scholar 

  • McNiel, D. E., Hatcher, C., & Reubin, R. (1988). Family survivors of suicide and accidental death: Consequences for widows. Suicide and Life-Threatening Behaviour, 18(2), 137–148.

    Article  Google Scholar 

  • Moscicki, E. K. (1995). Epidemiology of suicidal behaviour. Suicide and Life-Threatening Behaviour, 25(1), 22–35.

    Google Scholar 

  • Myers, M. F., & Fine, C. (2006). Touched by suicide: Hope and healing after loss. New York: Gotham Books.

    Google Scholar 

  • Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–102.

    Article  Google Scholar 

  • Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self compassion program. Journal of Clinical Psychology, 69(1), 28–44.

    Article  PubMed  Google Scholar 

  • Neimeyer, R. A. (2012). Techniques of grief therapy: Creative practices for counselling the bereaved. New York: Routledge.

    Google Scholar 

  • Nelson, B. J., & Frantz, T. T. (1996). Family interactions of suicide survivors and survivors of non-suicidal death. OMEGA—Journal of Death and Dying, 33(2), 131–146.

    Article  Google Scholar 

  • Ness, D. E., & Pfeffer, C. R. (1990). Sequelae of bereavement resulting from suicide. American Journal of Psychiatry, 147(3), 279–285.

    Article  PubMed  Google Scholar 

  • Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100(4), 569–582.

    Article  PubMed  Google Scholar 

  • Pearlman, L. A., Christine, F., Rando, T. A., & Wortman, C. B. (in press). Treating traumatic bereavement. New York: Guilford.

    Google Scholar 

  • Pfeffer, C. R., Martins, P., Mann, J., Sunkenberg, M., Ice, A., Damore, J.P.J., … Jiang, H. (1997). Child survivors of suicide: Psychosocial characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36(1), 65–74.

    Google Scholar 

  • Qin, P., Agerbo, E., Westergard-Nielsen, N., Eriksson, T., & Mortensen, P. B. (2000). Gender differences in risk factors for suicide in Denmark. British Journal of Psychiatry, 177(6), 546–550.

    Article  PubMed  Google Scholar 

  • Ramsay, R. F., Tanney, B. L., Tierney, R. J., & Lang, W. A. (1996). Suicide intervention workshop (6th ed.). Calgary, AB: Living Works Education.

    Google Scholar 

  • Range, L. M. (1998). When a loss is due to suicide: Unique aspects of bereavement. In J. H. Harvey (Ed.), Perspectives on loss: A sourcebook (pp. 213–220). Philadelphia, PA: Brunner/Mazel.

    Google Scholar 

  • Raphael, B. (1983). The anatomy of bereavement. New York: Basic Books.

    Google Scholar 

  • Ratnarajah, D., & Schofield, M. J. (2007). Parental suicide and its aftermath: A review. Journal of Family Studies, 13(1), 78–93.

    Article  Google Scholar 

  • Richman, J. (1986). Family therapy for suicidal people. New York: Springer.

    Google Scholar 

  • Rogers, J., Sheldon, A., Barwick, C., Letofsky, K., & Lancee, W. (1982). Help for families of suicide: Survivors support program. Canadian Journal of Psychiatry, 27(6), 444–449.

    Article  PubMed  Google Scholar 

  • Roy, A. (1992). Genetics, biology, and suicide in the family. In R. W. Maris, A. L. Berman, J. T. Maltsberger, & R. I. Yufit (Eds.), Assessment and prediction of suicide (pp. 574–588). New York: Guilford Press.

    Google Scholar 

  • Sands, D. C., Jordan, J. R., & Neimeyer, R. A. (2011). The meanings of suicide: A narrative approach to healing. In J. R. Jordan & J. L. McIntosh (Eds.), Grief after suicide: Understanding the consequences and caring for the survivors (pp. 249–282). New York, NY: Routledge/Taylor & Francis.

    Google Scholar 

  • Saunders, J. (1981). A process of bereavement resolution: Uncoupled identity. Western Journal of Nursing Research, 3(4), 319–336.

    Article  PubMed  Google Scholar 

  • Schneider, B., Grebner, K., Schnabel, A., & Georgi, K. (2011). Is the emotional response of survivors dependent on the consequences of the suicide and the support received? Crisis, 32(4), 186–193.

    Article  PubMed  Google Scholar 

  • Séguin, M., Lesage, A., & Kiely, M. C. (1995). Parental bereavement after suicide and accident: A comparative study. Suicide and Life-Threatening Behaviour, 25(4), 489–498.

    Google Scholar 

  • Shepherd, D. M., & Barraclough, B. M. (1976). The aftermath of parental suicide for children. British Journal of Psychiatry, 129(3), 267–276.

    Article  PubMed  Google Scholar 

  • Sheskin, A., & Wallace, S. (1967). ‘Differing bereavements: Suicide, natural, and accidental death. Omega, 7(3), 229–242.

    Google Scholar 

  • Shneidman, E. S. (1971). Prevention, intervention, and postvention of suicide. Annals of Internal Medicine, 75(3), 453–458.

    Google Scholar 

  • Shneidman, E. (1975). Postvention: The care of the bereaved. In R. Pasnau (Ed.), Consultation in liaison psychiatry (pp. 245–256). New York: Grune and Stratton.

    Google Scholar 

  • Shneidman, E. (1996). The suicidal mind. New York: Oxford University Press.

    Google Scholar 

  • Stroebe, M., & Schut, H. (1999). The dual process model of coping with bereavement: Rationale and description. Death Studies, 23(3), 197–224.

    Article  PubMed  Google Scholar 

  • Swinton, J. (2003). Spirituality and mental health care: Rediscovery a ‘forgotten’ dimension. London: Jessica Kingsley Publishers.

    Google Scholar 

  • Tall, K., Kõlves, K., Sisask, M., & Värnik, A. (2008). Do survivors respond differently when alcohol abuse complicates suicide? Findings from the psychological autopsy study in Estonia. Drug and Alcohol Dependence, 95(1), 129–133.

    Article  PubMed  Google Scholar 

  • Traylor, E. S., Hayslip, B., Kaminski, P. L., & York, C. (2003). Relationships between grief and family system characteristics: A cross lagged longitudinal analysis. Death Studies, 27(7), 575–601.

    Article  PubMed  Google Scholar 

  • Vessier-Batchen, M., & Douglas, D. (2006). Coping and complicated grief in survivors of homicide and suicide decedents. Journal of Forensic Nursing, 2(1), 25–32.

    Article  PubMed  Google Scholar 

  • Wagner, K. G., & Calhoun, L. G. (1992). Perceptions of social support by suicide survivors and their social networks. OMEGA, 24(1), 61–73.

    Google Scholar 

  • Waldfogel, S. (1997). Spirituality in medicine: Primary care. Clinics in Office Practice, 24(4), 963–976.

    Article  PubMed  Google Scholar 

  • Walsh, F., & Mcgoldrick, M. (1991). Living beyond loss: Death and the family. New York: Norton.

    Google Scholar 

  • Wilson, A., & Clark, S. (2005). South Australian Suicide Postvention Project: Report to Mental Health Services, Department of Health. Department of General Practice, University of Adelaide. Retrieved from http://digital.library.adelaide.edu.au/dspace/handle/2440/24871.

  • Young, I. T., Iglewicz, A., Glorioso, D., Lanouette, N., Seay, K., Ilapakurti, M., Zisook, S. (2012). Suicide bereavement and complicated grief. Dialogues Clinical Neuroscience, 14(2), 177–186.

    Google Scholar 

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Authors and Affiliations

  1. Defence Institute of Psychological Research (DIPR), Delhi, India

    Ayesha Saha & Samridhi Ahuja

  2. Mental Health Division, Defence Institute of Psychological Research (DIPR), Delhi, India

    Harsheeta & Updesh Kumar

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  1. Ayesha Saha
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  2. Samridhi Ahuja
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  4. Updesh Kumar
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    Updesh Kumar

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Saha, A., Ahuja, S., Harsheeta, Kumar, U. (2017). Those Left Behind…: The Process of Bereavement for Suicide Survivors and Postvention. In: Kumar, U. (eds) Handbook of Suicidal Behaviour. Springer, Singapore. https://doi.org/10.1007/978-981-10-4816-6_22

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