Oexle Nathalie, Puschner Nadja, Votruba Nicole, Rüsch Nicolas, Mayer Lea
Department of Psychiatry II, University of Ulm and BKH Günzburg, Ulm, Germany.
Nuffield Department of Women's & Reproductive Health, University of Oxford, UK.
Crisis. 2022 Nov 29;44(6):470-6. doi: 10.1027/0227-5910/a000891.
People who lost a loved one to suicide (i.e., suicide loss survivors, SLS) often struggle to talk about their experiences. However, previous studies suggest beneficial effects of disclosure among this group. This study aimed to identify determinants of disclosing suicide loss. We conducted qualitative interviews with 22 female SLS focusing on determinants of disclosing suicide loss. Interviews were transcribed and analyzed using qualitative content analysis. We identified contextual factors, perceived risks, and perceived benefits as determinants of disclosing suicide loss. Contextual factors included social settings and characteristics of conversation partners. Perceived risks included emotional distress among oneself and others as well as stigma-related risks of disclosing. Perceived benefits included participants' desire for authenticity and social support, as well as positive effects for grieving and fighting suicide stigma. Findings are limited to the current female sample. SLS need support in identifying safe places for disclosure and in developing coping strategies to deal with suicide stigma and emotional distress experienced by themselves and others. Future research should investigate the general public's ability and attitudes to provide support after suicide loss and investigate disclosure decisions among male SLS.
那些因亲人自杀而痛失所爱之人(即自杀遗属,SLS)往往难以诉说自己的经历。然而,先前的研究表明,在这一群体中进行倾诉有诸多益处。本研究旨在确定透露自杀损失情况的决定因素。我们对22名女性自杀遗属进行了定性访谈,重点关注透露自杀损失情况的决定因素。访谈内容经转录后采用定性内容分析法进行分析。我们确定了情境因素、感知到的风险和感知到的益处作为透露自杀损失情况的决定因素。情境因素包括社交场合和谈话对象的特征。感知到的风险包括自身和他人的情绪困扰以及与透露相关的耻辱风险。感知到的益处包括参与者对真实性和社会支持的渴望,以及对悲伤情绪和消除自杀污名的积极影响。研究结果仅限于当前的女性样本。自杀遗属在寻找安全的倾诉场所以及制定应对策略以应对自身及他人所经历的自杀污名和情绪困扰方面需要支持。未来的研究应调查公众在亲人自杀后提供支持的能力和态度,并研究男性自杀遗属的倾诉决定。