Adolescents’ Experiences With School-Based Postvention Services: Needs,Supports,and Recommendations

Abstract

This exploratory qualitative study of youth (N = 13) exposed to a peer’s suicide death examined responses to the death and needed school-based responses and supports. Youth reported emotions including anger, grief, and fear, described suicide as a profound and impactful experience, and shared beliefs about entitlement to grief. Participants wanted schools to provide support for grief, to feel cared about by adults at school, to receive education about grief and suicide at school, and to have school-based opportunities to commemorate the deceased. Recommendations for schools include strategies for facilitating healthy grieving, supporting students, educating the community, and memorializing the deceased, while remaining cognizant of the need to prevent suicide contagion in the community.

Keywords

postvention suicide suicide prevention school-based suicide prevention adolescents

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References

Abrutyn

Mueller

A. S.

(2014). Are suicidal behaviors contagious in adolescence? Using longitudinal data to examine suicide suggestion. American Sociological Review, 79(2), 211–227. https://doi.org/10.1177/0003122413519445

American Foundation for Suicide Prevention & Suicide Prevention Research Center (2018). After a suicide: A toolkit for schools (2nd ed.). Education Development Center.

Andriessen

Draper

Dudley

Mitchell

P. B.

(2016). Pre-and postloss features of adolescent suicide bereavement: A systematic review. Death Studies, 40(4), 229–246. https://doi.org/10.1080/07481187.2015.1128497

Andriessen

Krysinska

Rickwood

Pirkis

(2020). It changes your orbit”: The impact of suicide and traumatic death on adolescents as experienced by adolescents and parents. International Journal of Environmental Research and Public Health, 17(24), 9356. https://doi.org/10.3390/ijerph17249356

Andriessen

Krysinska

Rickwood

Pirkis

(2021). Finding a safe space”: A qualitative study of what makes help helpful for adolescents bereaved by suicide. Death Studies, 46(10), 2456–2466. https://doi.org/10.1080/07481187.2021.1970049

Andriessen

Rahman

Draper

Dudley

(2017). Prevalence of exposure to suicide: A meta-analysis of population-based studies. Journal of Psychiatric Research, 88, 113–120. https://doi.org/10.1016/j.jpsychires.2017.01.017

Bartik

Maple

Edwards

Kiernan

(2013). Adolescent survivors after suicide. Crisis, 34(3), 211–217. https://doi.org/10.1027/0227-5910/a000185

Bartik

W.J.

Maple

McKay

(2020). Youth suicide bereavement and the continuum of risk. Crisis, 41(6), 483–489. https://doi.org/10.1027/0227-5910/a000653

Berkowitz

McCauley

Mirick

(2011). Riverside Trauma Center Postvention Guidelines. SPRC’s Best Practice’s Registry. http://www.sprc.org/bpr/section-III/riverside-trauma-center-postvention-protocols

10.

Braun

Clarke

(2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

11.

Braun

Clarke

(2019). Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, 11(4), 589–597, https://doi.org/10.1080/2159676X.2019.1628806

12.

Brent

D. A.

Moritz

Bridge

Perper

Canobbio

(1996). Long-term impact of exposure to suicide: a three-year controlled follow-up. Journal of the American Academy of Child & Adolescent Psychiatry, 35(5), 646–653. https://doi.org/10.1097/00004583-199605000-00020

13.

Brooks

J. E

(2006). Strengthening resilience in children and youths: Maximizing opportunities through the schools. Children & Schools, 28(2), 69–76. https://doi.org/10.1093/cs/28.2.69

14.

CDC (2021). Youth risk behavior survey: Data summary and trends report 2009–2019. US Department of Health and Human Services. CDC. https://www.cdc.gov/healthyyouth/data/yrbs/pdf/YRBSDataSummaryTrendsReport2019-508.pdf

15.

Cerel

Sanford

R. L.

(2018). It’s no who you know, it’s how you think you know them: Suicide exposure and suicide bereavement. The Psychoanalytic Study of the Child, 71(1), 76–96. https://doi.org/10.1080/00797308.2017.1415066

16.

Cox

G. R.

Bailey

Jorm

A. F.

Reavley

N. J.

Templer

Parker

(2016). Development of suicide postvention guidelines for secondary schools. BMC Public Health, 16(180), 1–11. https://doi.org/10.1186/s12889-016-2822-6

17.

Dyregrov

(2009). The important role of the school following suicide in Norway. What support do young people wish that school could provide? OMEGA-Journal of Death and Dying, 59(2), 147–161. https://doi.org/10.2190/OM.59.2

18.

Dyregrov

Endsjø

Idsøe

Dyregrov

(2015). Suggestions for the ideal follow-up for bereaved students as seen by school personnel. Emotional and Behavioural Difficulties, 20(3), 289–301. https://doi.org/10.1080/13632752.2014.955676

19.

Espelage

D. L.

Boyd

R. C.

Renshaw

T. L.

Jimerson

S. R.

(2022). Addressing youth suicide through school-based prevention and postvention: Contemporary scholarship advancing science, practice, and policy. School Psychology Review, 51(3), 257–265. https://doi.org/10.1080/2372966X.2022.2069958

20.

Gould

M. S.

Lake

A. M.

Kleinman

Galfalvy

Chowdhury

Madnick

(2018). Exposure to suicide in high schools: Impact on serious suicidal ideation/behavior, depression, maladaptive coping strategies, and attitudes toward help-seeking. International Journal of Environmental Research and Public Health, 15, 455–472. https://doi.org/10.3390/ijerph15030455

21.

Jones

S. E.

Ethier

K. A.

Hertz

(2022). Mental health, suicidality, and connectedness among high school students during the COVID-19 pandemic-Adolescent behaviors and experiences survey, United States, January-June 2021. MMWR Supplement, 71(Suppl-3), 16–21. https://doi.org/10.15585/mmwr.su7103

22.

Jordan

J. R.

(2020). Lessons learned: Forty years of clinical work with suicide loss survivors. Frontiers in Psychology, 11(766), 1–9. https://doi.org/10.3389/fpsyg.2020.00766

23.

Jordan

J. R.

McGann

(2017). Clinical work with suicide loss survivors: Implications of the US postvention guidelines. Death Studies, 41(10), 659–672. https://doi.org/10.1080/07481187.2017.1335553

24.

Jordan

J. R.

McIntosh

J. L.

(2011). Is suicide bereavement different? Perspectives from research and practice. In Neimeyer

R. A.

Harris

D. L.

Winokuer

H. W.

Thornton

G. F.

(Eds.), Grief and bereavement in contemporary society: Bridging research and practice (pp. 223–234). Routledge.

25.

McGill

Bhullar

Batterham

P. J.

Carrandi

Wayland

Maple

(2022). Key issues, challenges, and preferred supports for those bereaved by suicide: Insights from postvention experts. Death Studies, 1–6. Online ahead of print. https://doi.org/10.1080/07481187.2022.2112318

26.

Moutier

Marshall

D. S.

Gibson

(undated). Model school district policy on suicide prevention: Model language, commentary, and resources. AFSP. afsp.org/ModelSchoolPolicy

27.

O'Neill

J.C.

Marraccini

M.E.

Bledsoe

S.E.

Knotek

S.E.

Tabori

A.V.

(2020). Suicide postvention practices in schools: School psychologists’ experiences, training, and knowledge. School Psychology, 35(1), 61–71. https://doi.org/10.1037/spq0000331

28.

Pitman

A. L.

Osborn

D. P.

Rantell

King

M. B.

(2016). Bereavement by suicide as a risk factor for suicide attempt: A cross-sectional national UK-wide study of 3432 young, bereaved adults. BMJ Open, 6(1), Article e009948.

29.

Randall

J. R.

Nickel

N. C.

Colman

(2015). Contagion from peer suicidal behavior in a representative sample of American adolescents. Journal of Affective Disorders, 186(■■■), 219–225. https://doi.org/10.1016/j.jad.2015.07.001

30.

Robinson

Cox

Malone

Williamson

Baldwin

Fletcher

(2013). A systematic review of school-based interventions aimed at preventing, treating, and responding to suicide-related behavior in young people. Crisis, 34(3), 164–182. https://doi.org/10.1027/0227-5910/a000168

31.

Substance Abuse and Mental Health Services Administration (2014). Trauma-informed care in behavioral health services. In: Treatment improvement protocol (TIP) series 57. HHS Publication No. (SMA) 13-4801. Substance Abuse and Mental Health Services Administration.

32.

Survivors of Suicide Loss Task Force (2015). Responding to grief, trauma, and distress after a suicide: U.S. National guidelines. Washington, DC: National Action Alliance for Suicide Prevention. Available online at: https://theactionalliance.org/sites/default/files/inline-files/NationalGuidelines.pdf

33.

Swanson

S. A.

Colman

(2013). Association between exposure to suicide and suicidality outcomes in youth. Canadian Medical Association Journal, 185(10), 870–877. https://doi.org/10.1503/cmaj.121377

34.

Szumilas

Kutcher

(2011). Post-suicide intervention programs: a systematic review. Candadian Journal of Public Health, 102(1), 18–19. https://doi.org/10.1007/BF03404872

35.

Williams

D. Y.

Wexler

Mueller

A. S.

(2022). Suicide postvention in schools: What evidence supports our current national recommendations? School Social Work Journal, 46(2), 23–69.