Evaluating the Outcomes for Bereaved People Supported by a Community-Based Suicide Bereavement Service
Abstract
Abstract.Background: 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. Aims: We aimed to evaluate the effectiveness of the StandBy service in reducing suicidality, grief reactions associated with suicide bereavement, and social isolation among clients. Method: 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. Results: 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. Limitations: Owing to the use of a cross-sectional design, it was not possible to determine changes over time. Conclusion: 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.
References
Australian Bureau of Statistics . (2018). Causes of death, Australia, 2017. Canberra, Australia. Retrieved from http://www.abs.gov.au(2009). Can postvention be prevention? Crisis, 30(1), 43–47. 10.1027/0227-5910.30.1.43
(2017). Prevalence of exposure to suicide: A meta-analysis of population-based studies. Journal of Psychiatric Research, 88, 113–120. 10.1016/j.jpsychires.2017.01.017
(1989). Development of the grief experience questionnaire. Suicide and Life-Threatening Behaviour, 19(2), 201–215. 10.1111/j.1943278X.1989.tb01033.x
(2010). An evaluation of a suicide bereavement peer support program. Death Studies, 34(10), 915–930. 10.1080/07481181003761435
(2013). Cost effectiveness of a community-based crisis intervention program for people bereaved by suicide. Crisis, 34, 390–397. 10.1027/0227-5910/a000210
(2013). Course of bereavement over 8-10 years in first degree relatives and spouses of people who have committed suicide: A longitudinal community-based cohort study. BMJ, 347,
f5519 . 10.1136/bmj.f5519(2006). A 6-item scale for overall emotional and social loneliness. Confirmatory tests on survey data. Research on Aging, 5, 443–454. 10.1177/0164027506289723
(2018). The value of online surveys: A look back and a look ahead. Internet Research, 28(4), 854–887. 10.1108/IntR-032018-0089
(2014). The impact of participating in suicide research online. Suicide and Life-Threatening Behavior, 44(4), 372–383. 10.1111/sltb.12082
(2015). Responding to the suicide bereaved: The Mayo model – full report. Dublin, Ireland: Dublin City University. Retrieved from http://www.thefamilycentre.com
(2016). The stigma of suicide survivorship and related consequences: A systematic review. PLoS ONE, 11(9). 10.1371/journal.pone.0162688
(2012). Evaluation of resources for people bereaved by suicide. Crisis, 33(5), 254–264. 10.1027/0227-5910/a000145
(2006). The clinical significance of loneliness: A literature review. Clinical Psychology Review, 26(6), 695–718. 10.1016/j.cpr.2006.04.002
(2001). Is suicide bereavement different? A reassessment of the literature. Suicide and Life-Threatening Behavior, 31(1), 91–102. Retrieved from http://johnjordanphd.com/pdf/pub/Jordan_%20Is%20Suicide%20.pdf
(2018). Suicide Bereavement: Piloting a longitudinal study in Australia. BMJ Open. 10.1136/bmjopen-2017-019504
(2017). Is exposure beyond kin associated with risk for suicidal behavior? A systematic review of the evidence. Suicide and Life-Threatening Behavior, 47(4), 461–474. 10.1111/sltb.12308
(2001). The suicidal behaviours questionnaire-revised (SBQ-R): Validation within clinical and non-clinical samples. Assessment, 8(4), 443–454. 10.1177/107319110100800409
(2014). Effects of suicide bereavement on mental health and suicide risk. The Lancet Psychiatry, 1(1), 86–94. 10.1016/S2215-0366(14)70224-X
(2016). Priorities for the development and evaluation of support after suicide bereavement in the UK: Results of a discussion group. Bereavement Care, 35(3), 109–116. 10.1080/02682621/2016/1254457
(2001). Loneliness in relation to suicide ideation and parasuicide: A population-wide study. Suicide and Life-Threatening Behavior, 31(1), 32–40. 10.152/suli.31.1.32.21312
(2008). Suicide survivors' mental health and grief reactions: A systematic review of controlled studies. Suicide and Life-Threatening Behavior, 38(1), 13–27. 10.1521/suli.2008.38.1.13
(2011). Post-suicide intervention programs: A systematic review. Canadian Journal of Public Health, 102(1), 18–29. 10.1007/BF03404872
(2014). Evaluation of the effectiveness of a community-based crisis intervention program for people bereaved by suicide. Journal of Community Psychology, 42(1), 19–28. 101.1002/jcop.21586
(2017). A scoping review of bereavement service outcomes. Palliative and Supportive Care, 15(2), 242–259. 10.1017/S147895151600047X
