Séguin M, Lesage A, Kiely M
Université du Québec à Hull, Département de Psychoéducation, Canada.
Crisis. 1995;16(3):121-5. doi: 10.1027/0227-5910.16.3.121.
Suicide-bereaved families have been described as more depression-prone and their bereavement process as more complicated and difficult. Few studies have aimed specifically to investigate the history of transgenerational childhood loss in suicide survivor families as an indicator of greater vulnerability. Childhood separation experiences are associated with difficulties in forming and maintaining attachments. Bonding difficulties are also associated with greater vulnerability to depression and may constitute a suicide risk factor. This exploratory study (n = 32) focused on two groups, each of 16 mothers who had lost a son to suicide and car accidents, respectively. History of loss and early separation experiences were investigated through a clinical interview of the bereaved mothers and through a psychological autopsy of the deceased sons. Results indicate significant transgenerational indices of loss, separation, and inadequate child-rearing. Pre-death life events and adversities in the family may be as important to bereavement outcome as post-death happenings. The cycle of these events, the role of fathers and the role of protective factors must be further studied using detailed life-course reconstructions.
有自杀经历的丧亲家庭被认为更容易患抑郁症，他们的丧亲过程更复杂、更艰难。很少有研究专门针对自杀幸存者家庭中的跨代童年丧失史进行调查，以此作为更高易感性的指标。童年时期的分离经历与建立和维持依恋关系方面的困难有关。建立亲密关系的困难也与更高的抑郁症易感性有关，并且可能构成自杀风险因素。这项探索性研究（n = 32）聚焦于两组，每组16位母亲，她们分别因自杀和车祸失去了儿子。通过对丧亲母亲的临床访谈以及对已故儿子的心理解剖，调查了丧失史和早期分离经历。结果表明存在显著的跨代丧失、分离和育儿不足指标。死亡前的生活事件和家庭中的逆境对丧亲结果的重要性可能与死亡后的事件相当。必须使用详细的生命历程重建方法进一步研究这些事件的循环、父亲的角色以及保护因素的作用。
