Silence after suicide: A phenomenological study of young men's experience of losing a close male friend

<p>Losing a close friend to suicide can significantly increase the risk of dysfunction, depression and suicide in young people. Previous studies of suicide bereavement have focused on parents, parentally-bereaved children, young adolescents’ experiences of peer suicide and female college-students. A paucity of qualitative research exists that examines young men’s experiences of suicide bereavement. This lack of research has meant that their grief may go unnoticed, be minimized, or even misunderstood. The purpose of this research was to explore the experiences of eight young New Zealand men (aged 17-25 years) who lost a close male friend to suicide. Repeated in-depth phenomenological interviews were used to gain new insights into the conceptualisation of this event in the young men’s lives through an exploration of their experiences. Interviews were audio recorded and transcribed for analysis. The inductive, descriptive approach of the phenomenological method was used to explore and describe the essence of their lived experience and led to seven themes: Being gutted, stoicism, grieving in silence, being silenced, breaking the silence, being in silence and analytic silence. The overarching essence of their experience and the phenomenon was silence. The silence the men experienced after suicide was ubiquitous. The findings suggest losing a close male friend to suicide implicates men to suffer, grieve, live through and transform in silence. Participants experienced four types of silence: personal, private, public and analytic silence. The men were gutted and personally unable to talk about their experience. They chose to keep quiet, be stoical, suppress their emotions and keep their grief private. They grieved in silence and were silenced by others. They broke their silence with people they could trust and who provided presence support and care. They sought quiet spaces where they could reconnect, reflect on their experience. Their navigation of silence fostered new values, priorities and identities, acceptance of their loss and helped them move on with their lives. This study has brought new understandings of men’s experiences of suicide bereavement and silence. Their experience suggests that health professionals, families/whānau and friends need to learn to see, listen to and interpret the silence of men in order to better understand their experience and needs for care and support. Recommendations are made for intervention, health care practice and future research.</p>

Picking Up the Pieces: Coping with a Friend's Suicide

People left behind have to grieve and accept the powerlessness over death. They have to grapple and face the void left by the dead person. One of the most tragic deaths is suicide. The ultimate sufferers in this tragedy are those left behind to cope with the emotional trauma of losing a significant other, struggling with many unanswerable questions, self-blaming, and an inability to move on with their lives. For adolescents, losing a peer, classmate, or friend to suicide increases their risk of depression and anxiety. Their psychological well-being is compromised, often leading to complicated grief, major depression, and posttrauma stress. The present study aims to explore, describe, and interpret the lived experiences of peer suicide loss survivors.

Suicide clusters among young Kenyan men

Suicide is a leading cause of global mortality. Suicide clusters have recently been identified among peer networks in high-income countries. This study investigates dynamics of suicide clustering within social networks of young Kenya men ( n = 532; 18–34 years). We found a strong, statistically significant association between reported number of friends who previously attempted suicide and present suicide ideation (odds ratio = 1.9; 95% confidence interval (1.42, 2.54); p < 0.001). This association was mediated by lower collective self-esteem (23% of total effect). Meaning in life further mediated the association between collective self-esteem and suicide ideation. Survivors of peer suicide should be evaluated for suicide risk.

Perceptions of a Peer Suicide Prevention Program by Inmates and Professionals Working in Prisons

Background: Suicide prevention is a major challenge for penal institutions in many countries. The traditional approach relies on the expertise of health professionals and is supplemented by the intervention of other professionals and the inmates themselves. New methods of suicide prevention based on peer support have been developed in recent years. Peer prevention programs rely on the ability of inmates to identify suicide risk. Aims: This study examines perceived suicide risk among inmates and explores possible explanations. Method: 54 inmates and 17 professionals working in prisons responded to a questionnaire. Results: The peer prevention program was found to change inmates’ expectations of support in the event of a suicide crisis. The study also found that the inmates involved in the program tended to underestimate the risk of suicide. The perception of the prevention program and the level of self-consciousness were found to account for the underestimation of suicide risk. Conclusions: Support for inmates involved in suicide prevention programs must take into account their isolation in prison. The training provided to inmates must also consider the biases affecting the assessment of risk.