The Science of Knowing Pty Ltd., Warana, QLD, Australia.
School of Public Health, University of Queensland, Brisbane, QLD, Australia.
Crisis. 2020 Nov;41(6):437-444. doi: 10.1027/0227-5910/a000658. Epub 2020 Mar 6.
Postvention services aim to support people bereaved by suicide and reduce the adverse impacts associated with suicide bereavement. StandBy Support After Suicide is a community-based suicide bereavement service that provides support and a coordinated response for people bereaved by suicide. We aimed to evaluate the effectiveness of the StandBy service in reducing suicidality, grief reactions associated with suicide bereavement, and social isolation among clients. A retrospective cross-sectional design using an online survey was used to compare StandBy clients with people bereaved by suicide who did not access the StandBy service. Among people whose most recent loss to suicide was within the past 12 months, people supported by StandBy were significantly less likely to be at risk of suicidality, experience a loss of social support, and experience social loneliness compared with people bereaved by suicide who had not accessed the StandBy service. Owing to the use of a cross-sectional design, it was not possible to determine changes over time. Postvention in the form of a community-based crisis intervention, at the time of or close to a suicide, is effective in reducing adverse outcomes associated with suicide bereavement, and an important aspect of suicide prevention.
预防自杀后服务旨在为自杀身亡者的亲友提供支持,减轻与自杀丧亲相关的不良影响。Standby Support After Suicide 是一种基于社区的自杀丧亲服务,为自杀身亡者的亲友提供支持和协调应对。我们旨在评估 StandBy 服务在降低客户自杀风险、与自杀丧亲相关的悲伤反应和社会隔离方面的有效性。采用回顾性横断面设计,使用在线调查来比较 StandBy 客户与未使用 StandBy 服务的自杀身亡者的亲友。在最近 12 个月内因自杀而失去亲人的人中,与未使用 StandBy 服务的自杀身亡者的亲友相比,得到 StandBy 支持的人自杀风险显著降低,失去社会支持和感到社会孤独的可能性也降低。由于采用了横断面设计,因此无法确定随时间的变化。在自杀发生时或临近时,以社区为基础的危机干预形式的预防自杀后服务可有效降低与自杀丧亲相关的不良后果,是自杀预防的一个重要方面。