This article explores existing assumptions about the nature of bereavement by suicide. Drawing on data from a U.K. study of student suicide, we hope to contribute to a fuller understanding of the uniqueness of bereavement by suicide and new pathways for grief research. In this article we argue that bereavement by suicide has a number of common themes and characteristics. Analyzed in accordance with Jordan's (2001) review, our data supports the idea that the thematic content of the grief associated with suicide bereavement is distinctive and guilt is a particularly important feature. We argue that no other type of death is likely to bestow this particular negative emotion on survivors in equivalent measure. Findings on the impact of social processes and family systems were mixed. Explanations to account for these data along with recommendations for intervention and research are discussed.
AdamK. S. (1990). Environmental, psychosocial, and psychoanalytic aspects of suicidal behaviour. In BlumenthalS. J. & KupferD. J. (Eds.), Suicide over the life cycle: Risk factors, assessment, and treatment of suicidal patients (pp. 39–96). Washington, DC: American Psychiatric Press.
2.
BailleyS. E.KralM. J. & DunhamK. (1999). Survivors of suicide do grieve differently: Empirical support for a common sense of proposition. Suicide and Life-Threatening Behaviour, 29 (3), 256–271.
3.
BarrettT. W. & ScottT. B. (1990). Suicide bereavement and recovery patterns compared with non-suicide bereavement patterns. Suicide and Life-Threatening Behaviour, 20 (1), 1–15.
4.
BeskowJ.RunesonB. S. & AsgardU. (1990). Psychological autopsies: Methods and ethics. Suicide and Life-Threatening Behaviour, 20, 307–323.
5.
BlumenthalS. J. (1990). An overview and synopsis of risk factors, assessment, and treatment of suicidal patients over the life cycle. In BlumenthalS. J. & KupferD. J. (Eds.), Suicide over the life cycle: Risk factors, assessment, and treatment of suicidal patients (pp. 685–734). Washington, DC: American Psychiatric Press.
6.
BrentD. A.MoritzG.BridgeJ.PerperJ. & CanobbioR. (1996). The impact of adolescent suicide on siblings and parents: A longitudinal follow-up. Suicide and Life-Threatening Behaviour, 26, 253–259.
7.
CainA. C. & FastI. (1966). Children's disturbed reactions to parent suicide. American Journal of Orthopsychiatry, 36, 873–880.
8.
CallahanJ. (1996). Negative effects of a school suicide postvention program: A case example, Crisis, 17 (3), 108–115.
9.
CerelJ. & CampbellF. R. (2008). Suicide survivors seeking mental health services: A preliminary examination of the role of an active postvention model. Suicide and Life Threatening Behaviour, 38 (1), 30–34.
10.
CerelJ.JordanJ. R. & DubersteinP. R. (2008). The impact of suicide on the family. Crisis, 29 (1), 38–44.
11.
CerelJ.PadgettJ. H.ConwellY. & ReedG. A. (2009). A call for research: The need to better understand the impact of support groups for suicide survivors. Suicide and Life-Threatening Behaviour, 39 (3), 269–281.
12.
CleirenM. (1993). Bereavement and adaptation: A comparative study of the aftermath of death. Washington, DC: Hemisphere.
13.
CooperJ. (1999). Ethical issues and their practical application in a psychological autopsy study of suicide. Journal of Clinical Nursing, 8 (4), 467–475.
14.
CrosbyA. E. & SacksJ. S. (2002). Exposure to suicide: Incidence and association with suicidal ideation and behaviour: United States, 1994. Suicide and Life-Threatening Behaviour, 32, 321–328.
15.
DemiA. S. (1984). Social adjustment of widows after a sudden death: Suicide and non-suicide survivors compared, Death Education, 8, 91–111.
16.
DiekstraR. F. W. & GarnefskiN. (1995). On the nature, magnitude, and causality of suicidal behaviours: An international perspective. Suicide and Life-Threatening Behaviour, 25 (1), 36–50.
17.
DokaK. J. (1999). Disenfranchised grief. Bereavement Care, 18 (3), 37–39.
18.
DunnR. G. & Morrish-VidnersD. (1987–88). The psychological and social experience of suicide survivors. Omega, 18, 175–215.
19.
DyregrovK. (2004). Bereaved parents' experience of research participation. Social Science and Medicine, 58, 391–400.
20.
EllenbogenS. & GrattonF. (2001). Do they suffer more? Reflections on research comparing suicide survivors to other survivors. Suicide and Life-Threatening Behaviour, 31(1) 83–90.
21.
FeigelmanB. & FeigelmanW. (2008). Surviving after suicide loss: The healing potential of suicide survivor support groups. Illness, Crisis and Loss, 16 (4), 285–304.
22.
GoldneyR. & BermanA. (1996). Postvention in schools: Affective or effective?Crisis, 17, 98–99.
23.
HawtonK.ApplebyL.PlattS.FosterT.CooperJ. & MalmbergA. (1988). The psychological autopsy approach to studying suicide: A review of methodological issues. Journal of Affective Disorders, 50, 269–276.
24.
HawtonK. & SimkinS. (2003). Helping people bereaved by suicide. British Medical Journal, 327, 177–178.
25.
HillK.HawtonK.MalmbergA. & SimkinS. (1997). Bereavement information pack for those bereaved by suicide or other sudden death. London: Royal College of Psychiatrists. Gaskell Press.
26.
HollowayM. (2007). Negotiating death in contemporary health and social care. Bristol: The Policy Press.
27.
HoustonK.HawtonK. & ShepperdR. (2001). Suicide in young people aged 15–24: A psychological autopsy study. Journal of Affective Disorders, 63(1–3), 159–170.
28.
JordanJ. R. (2001). Is suicide bereavement different? A reassessment of the literature. Suicide and Life-Threatening Behaviour, 31 (1), 91–102.
29.
JordanJ. R. (2008). Bereavement after suicide. Psychiatric Annals, 38 (10), 679–685.
30.
JordanJ. R.KrausD. R. & WareE. S. (1993). Observations on loss and family development. Family Process, 32, 425–440.
31.
JordanJ. R. & McMenamyJ. (2004). Interventions for suicide survivors. Suicide and Life Threatening Behavior, 34, 337–349.
32.
KovarskyR. S. (1989). Loneliness and disturbed grief: A comparison of parents who lost a child to suicide or accidental death. Archives of Psychiatric Nursing, 3, 86–96.
33.
LukasC. & SeidenH. M. (2007). Silent grief: Living in the wake of suicide. London: Jessica Kingsley Publishers.
34.
McIntoshJ. L. (1987). Survivor family relationships: Literature review. In DunneE. J.McIntoshJ. L. & Dunne-MaxinK. (Eds.), Suicide and its aftermath: Understanding and counselling the survivors (pp. 73–84). New York: Norton.
35.
McNielD. A.HatcherC. & ReubinR. (1988). Family consequences of suicide and accidental death: Consequences for widows. Suicide and Life-Threatening Behaviour, 18, 137–148.
36.
MilesM. S. & DemiA. S. (1991–92). A comparison of guilt in bereaved persons whose children died by suicide, accident, or chronic disease. Omega, 24, 203–215.
37.
MoscickiE. K. (1995). Epidemiology of suicidal behaviour. Suicide and Life-Threatening Behaviour, 25, 22–35.
38.
NeimeyerR. A. (2000). Searching for the meaning of meaning: Grief therapy and the process of reconstruction, Death Studies, 24, 541–558.
39.
NeimeyerR. A. (Ed.). (2001). Meaning reconstruction and the experience of loss. Washington, DC: American Psychological Association.
40.
NelsonB. J. & FrantzT. T. (1996). Family interactions of suicide survivors and survivors of non-suicidal death. Omega, 32 (2), 131–146.
41.
NessD. E. & PfefferC. R. (1990). Sequelae of bereavement resulting from suicide. American Journal of Psychiatry, 147 (3), 279–285.
42.
OwensC.LambertH.LloydK. & DonovanJ. (2008). Tales of biographical disintegration: How parents make sense of their sons' suicides. Sociology of Health and Illness, 30 (2), 1–18.
43.
PhillipsD. P. (1974). The influence of suggestion on suicide: Substantive and theoretical implications of the Werther Effect. American Sociological Review, 39, 340–354.
44.
RangeL. M. & CalhounL. G. (1990). Responses following suicide and other types of death: The perspective of the bereaved. Omega, 21 (4), 311–320.
45.
ReedM. D. (1998). Predicting grief symptomatology among the suddenly bereaved. Suicide and Life-Threatening Behaviour, 28, 285–300.
46.
ReedM. D. & GreenwaldJ. Y. (1991). Survivor-victim status, attachment, and sudden death bereavement. Suicide and Life-Threatening Behaviour, 21, 385–401.
47.
RitchieJ. & SpencerL. (1994). Qualitative data analysis for applied policy research. In BrymanA. & BurgessR. (Eds.), Analysing qualitative data (pp. 173–194). London: Routledge.
48.
RunesonB. & AsbergM. (2003). Family history of suicide among suicide victims. American Journal of Psychiatry, 160, 1525–1526.
49.
SamyM. H. (1995). Parental unresolved ambivalence and adolescent suicide: A psychoanalytic perspective. In MisharaB. (Ed.), The impact of suicide (pp. 40–51). New York: Springer.
50.
SchmidtkeA. & SchallerS. (2001). Role of mass media in suicide prevention. In HawtonK. & Van HeeringenK. (Eds.), The international handbook of suicide and attempted suicide (pp. 675–697). Chichester: Wiley.
51.
ShneidmanE. S. (Ed.). (1969). On the nature of suicide. London: Jossey-Bass.
52.
ShneidmanE. S. (1981). The psychological autopsy. Suicide and Life-Threatening Behaviour, 11 (4), 325–340.
53.
ShneidmanE. S. (1998). The suicidal mind. New York: Oxford University Press.
54.
SilvermanE.RangeL. & OverholserJ. (1994–95). Bereavement from suicide as compared to other forms of bereavement. Omega, 30, 41–51.
55.
StanleyN.MallonS.BellJ.HiltonS. & ManthorpeJ. (2007). Responses and prevention in student suicide. Preston: University of Central Lancashire.
56.
StanleyN.MallonS.BellJ. & ManthorpeJ. (2009). Trapped in transition: Findings from a UK study of student suicide. British Journal of Guidance and Counselling, 37 (4), 419–432.
57.
StraussA. & CorbinJ. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage.
58.
SveenC. A. & WalbyF. A. (2008). Suicide survivors' mental health and grief reactions: A systematic review of controlled studies. Suicide and Life-Threatening Behaviour, 38 (1), 13–29.
59.
van der WalJ. (1989–90). The aftermath of suicide: A review of empirical evidence. Omega, 20, 149–171.
60.
VeltingD. & GouldM. (1997). Suicide contagion. In MarisR. (Ed.), Annual review of suicidology. New York: Guilford.
61.
WagnerB.KnaevelsrudC. & MaerckerA. (2006). Internet-based cognitive behavioural therapy for complicated grief: A randomized controlled trial. Death Studies, 30, 429–453.
62.
WalshF. & McGoldrickM. (1991). Living beyond loss: Death and the family. New York: Norton.
63.
WinchR. G. & LetofskyK. (1981). The nature of the suicidal as a factor in understanding the reactions of surviving family members. In SoubrierJ. I. & VedrinneJ. (Eds.), Depression et suicide (pp. 523–532). Paris: Pergamon Press.
