Complicated Grief and Suicidal Ideation in Adult Survivors of Suicide

2005 ◽  
Vol 35 (5) ◽  
pp. 498-506 ◽  
Author(s):  
Ann M. Mitchell ◽  
Yookyung Kim ◽  
Holly G. Prigerson ◽  
Mary Kay Mortimer
Keyword(s):  
Suicidal Ideation ◽  
Complicated Grief ◽  
Adult Survivors ◽  
Survivors Of Suicide

Complicated Grief in Survivors of Suicide

Crisis ◽  
2004 ◽  
Vol 25 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Ann M. Mitchell ◽  
Yookyung Kim ◽  
Holly G. Prigerson ◽  
MaryKay Mortimer-Stephens
Keyword(s):  
Health Risks ◽  
Social Relationship ◽  
Mental Health Problems ◽  
Complicated Grief ◽  
Adult Survivors ◽  
Significant Loss ◽  
Significant Other ◽  
Suicide Victim ◽  
Survivors Of Suicide ◽  
New Findings

Summary: Complicated grief is a newly defined and distinctive psychiatric disorder that occurs in response to a significant loss through death. New findings suggest that survivors who were close to the deceased are at heightened risk for complicated grief. Little is known about whether close kinship (spouses, parents, children, siblings, vs. in-laws, aunts/uncles, nieces/nephews, friends, or coworkers) to a suicide victim also represents a heightened risk for complicated grief. Assessing for complicated grief is important, especially with survivors of suicide, because of the potential for associated health risks. This report contains preliminary data from an exploratory, descriptive pilot study examining complicated grief in adult survivors of suicide. Sixty bereaved subjects, within one month after the suicide of a family member or significant other, were assessed for complicated grief symptoms. Statistically significant differences, as measured with the Inventory of Complicated Grief, were noted between closely related and distantly related survivors of the suicide victim. These preliminary results indicate that health care professional's assessments and interventions for complicated grief should take into consideration the bereaved's familial and/or social relationship to the deceased. The closely related survivors of suicide had higher levels of complicated grief and could be at risk of developing physical and/or mental health problems, including suicidal ideation, in the future.

Treatment of Complicated Grief in Survivors of Suicide Loss

2018 ◽  
Vol 79 (2) ◽  
pp. 17m11592 ◽  
Author(s):  
Sidney Zisook ◽  
M. Katherine Shear ◽  
Charles F. Reynolds ◽  
Naomi M. Simon ◽  
Christine Mauro ◽  
...  
Keyword(s):  
Complicated Grief ◽  
Survivors Of Suicide

Complicated Grief

2012 ◽  
pp. 9-31
Author(s):  
Roslyn Law
Keyword(s):  
Suicidal Ideation ◽  
Major Depression ◽  
Functional Impairment ◽  
Complicated Grief ◽  
Psychomotor Retardation ◽  
Psychotic Symptoms ◽  
Significant Other ◽  
Dsm Iv

Chapter 2 discusses complicated grief, and how the IPT therapist selects grief as an interpersonal focus when the onset of the patient’s symptoms is associated with the death of a significant other and manifests in a bereavement-related depression. It covers how this reaction differs from the predictable sorrow associated with bereavement – the experience of deprivation and desolation. It examines how the DSM-IV echoes this distinction by excluding immediate bereavement reactions in making the diagnosis of major depression, and how clinicians may diagnose major depression only if symptoms persist for more than 2 months after the death or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation.

Complicated Grief and Suicidality: The Impact of Subthreshold Mood Symptoms

CNS Spectrums ◽  
2011 ◽  
Vol 16 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Liliana Dell'Osso ◽  
Claudia Carmassi ◽  
Paola Rucci ◽  
Antonio Ciapparelli ◽  
Ciro Conversano ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Attempts ◽  
Complicated Grief ◽  
Self Report ◽  
Diagnostic And Statistical Manual ◽  
Mood Symptoms ◽  
Axis I Disorders ◽  
Axis I ◽  
The Impact ◽  
The Relationship

AbstractIntroductionThe aim of the present study was to explore the relationship between subthreshold mood symptoms and suicidality in patients with complicated grief (CG).MethodsFifty patients with CG were included in the study and evaluated by the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Axis-I disorders, the Inventory of Complicated Grief, and the Mood Spectrum Self Report (MOODS-SR) lifetime version, to evaluate the subthreshold mood symptoms.ResultsTwenty-eight patients (56%) reported lifetime suicidal ideation and 11 patients (22%) reported suicide attempts. Subthreshold depressive and rhythmicity/vegetative functions items of the MOODS-SR were significantly associated with increased suicidal ideation and attempts, while subthreshold manic items were associated with suicidal ideation only. Relationships were confirmed after controlling for Axis-I disorders comorbidity.ConclusionThe results of the present study suggest the usefulness of exploring lifetime subthreshold mood symptoms in CG patients, in order to promptly identify those who may be more prone to suicidality.

A CBT-Based Psychoeducational Intervention for Suicide Survivors

Crisis ◽  
2014 ◽  
Vol 35 (3) ◽  
pp. 193-201 ◽  
Author(s):  
Ciska Wittouck ◽  
Sara Van Autreve ◽  
Gwendolyn Portzky ◽  
Kees van Heeringen
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Outcome Measures ◽  
Suicide Risk ◽  
Coping Styles ◽  
Complicated Grief ◽  
Psychoeducational Intervention ◽  
Suicide Survivors ◽  
Suicide Risk Factors ◽  
Grief Reactions

Background: Bereavement following suicide is associated with an increased vulnerability for depression, complicated grief, suicidal ideation, and suicide. There is, however, a paucity of studies of the effects of interventions in suicide survivors. Aims: This study therefore examined the effects of a cognitive behavioral therapy (CBT)-based psychoeducational intervention on depression, complicated grief, and suicide risk factors in suicide survivors. Method: In total, 83 suicide survivors were randomized to the intervention or the control condition in a cluster randomized controlled trial. Primary outcome measures included maladaptive grief reactions, depression, suicidal ideation, and hopelessness. Secondary outcome measures included grief-related cognitions and coping styles. Results: There was no significant effect of the intervention on the outcome measures. However, the intensity of symptoms of grief, depressive symptoms, and passive coping styles decreased significantly in the intervention group but not in the control group. Conclusion: The CBT-based psychoeducational intervention has no significant effect on the development of complicated grief reactions, depression, and suicide risk factors among suicide survivors. The intervention may, however, serve as supportive counseling for suicide survivors.

Suicidal Ideation and Attempts in Adult Survivors of Childhood Cancer

2006 ◽  
Vol 24 (24) ◽  
pp. 3852-3857 ◽  
Author(s):  
Christopher J. Recklitis ◽  
Rebecca A. Lockwood ◽  
Monica A. Rothwell ◽  
Lisa R. Diller
Keyword(s):  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Physical Health ◽  
Childhood Cancer ◽  
Suicide Ideation ◽  
Adult Survivors ◽  
Well Being ◽  
Survivors Of Childhood Cancer ◽  
Relationship Of ◽  
The Relationship

Purpose This study examined the prevalence of suicidal ideation and past suicide attempt in adult survivors of childhood cancer and investigated the relationship of suicidal symptoms to cancer treatment and current health. The hypothesis that poor physical health would be significantly associated with suicidality after adjusting for mental health variables was specifically tested. Methods Two hundred twenty-six adult survivors of childhood cancer (mean age, 28 years) seen in a survivor clinic completed the Short Form-36 and the Beck Depression Inventory (BDI), as well as suicide items from the Symptom Checklist-90 Revised, and Beck Scale for Suicide Ideation. Participants reporting current suicide ideation or any past suicide attempt were classified as suicidal. Results Twenty-nine participants (12.83%) reported suicidality, although only 11 of these were significantly depressed by BDI criteria. Univariate analyses found suicidality unrelated to age or sex but positively associated with younger age at diagnosis, longer time since diagnosis, cranial radiation treatment, leukemia diagnosis, depression, hopelessness, pain, and physical appearance concern. A hierarchical logistic regression showed that current physical functioning, including pain, was significantly associated with suicidality even after adjusting for treatment and depression variables. Conclusion Suicidal symptoms, which are reported by a significant minority of adult survivors of childhood cancer, are related to cancer treatments and post-treatment mental and physical health. Association of suicidal symptoms with physical health problems is important because these represent treatable conditions for which survivors may seek follow-up care. The relationship of physical well-being to suicidality underscores the need for a multidisciplinary approach to survivor care.

scholarly journals Depression, Hopelessness, and Complicated Grief in Survivors of Suicide

2018 ◽  
Vol 9 ◽  
Author(s):  
Samantha Bellini ◽  
Denise Erbuto ◽  
Karl Andriessen ◽  
Mariantonietta Milelli ◽  
Marco Innamorati ◽  
...  
Keyword(s):  
Complicated Grief ◽  
Survivors Of Suicide

scholarly journals Suicide bereavement and complicated grief

2012 ◽  
Vol 14 (2) ◽  
pp. 177-186 ◽  
Keyword(s):  
Traumatic Stress ◽  
Complicated Grief ◽  
Post Traumatic Stress ◽  
Suicide Survivors ◽  
Loved One ◽  
Survivors Of Suicide ◽  
Current State ◽  
Suicide Bereavement ◽  
Post Traumatic ◽  
State Of Research

Losing a loved to suicide is one is one of life's most painful experiences. The feelings of loss, sadness, and loneliness experienced after any death of a loved one are often magnified in suicide survivors by feelings of quilt, confusion, rejection, shame, anger, and the effects of stigma and trauma. Furthermore, survivors of suicide loss are at higher risk of developing major depression, post-traumatic stress disorder, and suicidal behaviors, as well as a prolonged form of grief called complicated grief. Added to the burden is the substantial stigma, which can keep survivors away from much needed support and healing resources. Thus, survivors may require unique supportive measures and targeted treatment to cope with their loss. After a brief description of the epidemiology and circumstances of suicide, we review the current state of research on suicide bereavement, complicated grief in suicide survivors, and grief treatment for survivors of suicide.

Sign in / Sign up

Export Citation Format

Share Document