Shields Chris, Kavanagh Michele, Russo Kate
1 Queen's University Belfast, Belfast, Ireland, UK.
Omega (Westport). 2017 Mar;74(4):426-454. doi: 10.1177/0030222815612281. Epub 2016 Aug 3.
Despite the fact that a large number of people are bereaved by suicide each year, the experiences of those bereaved by suicide are poorly understood. It has been suggested that a contributing factor in relation to this lack of understanding has been the use of quantitative methods, which may not be sensitive to the bereavement process and its thematic content. Therefore, the current article outlines a systematic review of 11 qualitative studies that address issues related to the bereavement process following suicide. The results indicate that those bereaved by suicide encounter a range of difficult feelings following suicide including blame, guilt, and emptiness and that these feelings are affected by participants' ability to make meaning of the event. The meaning-making process is a complex one that occurs within a difficult social context in which both those bereaved by suicide and members of the wider community struggle to interact with each other in a beneficial way. Clinical implications of these findings are discussed.
尽管每年有大量的人因自杀而痛失亲人,但人们对那些因自杀而痛失亲人者的经历却知之甚少。有人认为,造成这种缺乏了解的一个因素是使用了定量方法,而这些方法可能对丧亲过程及其主题内容不敏感。因此,本文概述了对11项定性研究的系统综述,这些研究探讨了与自杀后丧亲过程相关的问题。结果表明,那些因自杀而痛失亲人者在自杀后会遇到一系列困难的情绪,包括自责、内疚和空虚,而且这些情绪会受到参与者对该事件赋予意义能力的影响。意义赋予过程是一个复杂的过程,发生在一个艰难的社会背景中,在这个背景下,自杀丧亲者和更广泛社区的成员都努力以有益的方式相互交流。本文讨论了这些发现的临床意义。