Maple Myfanwy, Bhullar Navjot, Reid Marie, Wayland Sarah
University of New England, Armidale, Australia.
Edith Cowan University, Joondalup, Australia.
Int J Ment Health Nurs. 2025 Jul;34(4):e70113. doi: 10.1111/inm.70113.
People bereaved by suicide are at risk of developing significant mental health issues, including the risk of self-harm. To understand suicide exposure and psychological factors contributing to these adverse outcomes, survey data from 92 participants (Mean = 53.50 years, SD = 14.5, female = 83.7%) who had provided care to someone who subsequently died by suicide were used. Participants responded to questions relating to suicide exposure, bereavement, suicidal ideation and psychological distress. A hierarchical regression analysis found that the perceived impact of suicide death and one's own suicidal ideation explained 46% variance in psychological distress. Suicide bereaved carers are highly distressed and are at heightened risk of self-harm. Therefore, targeted support and postvention services for individuals who have previously cared for someone who subsequently died by suicide are needed due to their repeated exposure to suicide. As these individuals are often in contact with mental health services prior to the person's death, these connections with mental health nurses should be used for identifying those at greater risk and initiating early support.
因自杀而失去亲人的人有出现严重心理健康问题的风险，包括自我伤害的风险。为了了解自杀暴露情况以及导致这些不良后果的心理因素，我们使用了来自92名参与者（平均年龄=53.50岁，标准差=14.5，女性=83.7%）的调查数据，这些参与者曾照料过后来自杀身亡的人。参与者回答了与自杀暴露、丧亲之痛、自杀意念和心理困扰相关的问题。分层回归分析发现，自杀死亡的感知影响和自身的自杀意念解释了心理困扰中46%的方差。因自杀失去亲人的照料者极度痛苦，且自我伤害风险更高。因此，由于那些曾照料过后来自杀身亡之人的个体反复接触自杀事件，需要为他们提供有针对性的支持和事后干预服务。由于这些个体在亲人去世前通常会与心理健康服务机构接触，应利用他们与心理健康护士的这些联系来识别风险更高的人并尽早提供支持。
