UCL Division of Psychiatry, Maple House, 149 Tottenham Court Road, London W1T 7NF, UK.
Camden and Islington NHS Foundation Trust, St Pancras Hospital, London NW1 0PE, UK.
Int J Environ Res Public Health. 2018 Mar 31;15(4):643. doi: 10.3390/ijerph15040643.
People bereaved by suicide are at an increased risk of suicide and of dropping out of education or work. Explanations for these associations are unclear, and more research is needed to understand how improving support in educational or work settings for people bereaved by suicide might contribute to reducing suicide risk. Our objective was to explore the impact of suicide on occupational functioning. We conducted a cross-sectional online study of bereaved adults aged 18-40, recruited from staff and students of British higher educational institutions in 2010. We used thematic analysis to analyse free text responses to two questions probing the impact of suicide bereavement on work and education. Our analysis of responses from 460 adults bereaved by suicide identified three main themes: (i) specific aspects of grief that impacted on work performance, cognitive and emotional domains, and social confidence; (ii) structural challenges in work or educational settings including a lack of institutional support, the impact of taking time off, and changes to caring roles; and (iii) new perspectives on the role of work, including determination to achieve. Institutional support should be tailored to take account of the difficulties and experiences described.
自杀身亡者的亲友有更高的自杀风险和中断学业或工作的风险。对于这些关联的解释尚不清楚，需要更多的研究来了解如何改善自杀身亡者亲友在教育或工作环境中的支持，以可能降低自杀风险。我们的目的是探讨自杀对职业功能的影响。我们于 2010 年在英国高等教育机构的员工和学生中进行了一项针对 18-40 岁成年自杀身亡者亲友的横断面在线研究。我们使用主题分析方法分析了两个问题的自由文本回复，这些问题探究了自杀身亡者亲友的丧亲之痛对工作和教育的影响。我们对 460 名因自杀而失去亲友的成年人的分析确定了三个主要主题：（i）对工作表现、认知和情绪领域以及社会信心产生影响的悲伤的具体方面；（ii）工作或教育环境中的结构性挑战，包括缺乏机构支持、休假的影响以及照顾角色的变化；（iii）对工作角色的新看法，包括实现目标的决心。机构支持应根据描述的困难和经验进行调整。
