Internet Support Groups for Suicide Survivors: A New Mode for Gaining Bereavement Assistance

Abstract

Taken among parents who sustained the loss of a child to suicide this study explores the participation of parents in Internet support groups, comparing their demographic and loss-related characteristics (N = 104) to other parent survivors participating in face-to-face support groups (N = 297). Contrary to expectations that Internet affiliates would be concentrated in under-served rural areas, we found similar levels of urban, suburban, small city and rural residents in both Internet and face-to-face subsamples. Bivariate and multivariate analyses suggested several important factors contributing to interest in Internet grief support including: 24/7 availability and opportunities to invest more time into this type of support group experience. Compared to their face-to-face group counterparts, Internet affiliates experienced greater suicide stigmatization from their families and other associates. Unable to find ready comfort and support from their personal communities, Internet users—and especially highly depressed survivors—sought and obtained valuable help from the Internet support resource.

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References

Agerbo

(2005). Midlife suicide risk, partner's psychiatric illness, spouse and child bereavement by suicide or other modes of death: A gender-specific study. Epidemiological Community Health, 59, 407–412.

American Association of Suicidology. (2007a). Suicide in the U.S., Retrieved March 5, 2007 from http://www.suicidology.org/associations/1045/files/SuicideIntheUS.pdf

American Association of Suicidology. (2007b). Website accessed, 3/11/07, www.suicidology.org/

American Foundation of Suicide Prevention. (2007). Website accessed 3/11/07, www.afsp.org

Bacon

E. S.

Condon

E.H.

, & Fernsler

J. I.

(2000). Young widows' experience with an Internet self-help group. Journal of Psychosocial Nursing and Mental Health Services, 38, 24–33.

Bailley

S. E.

Kral

M. J.

, & Dunham

(1999). Suicide survivors do grieve differently: Empirical support for a common sense proposition. Suicide and Life-Threatening Behavior, 29, 256–271.

Bailley

S. E.

Dunham

, & Kral

M. J.

(2000). Factor structure of the grief experience questionnaire (GEQ). Death Studies, 24, 721–738.

Barrett

T. W.

, & Scott

T. B.

(1989). Development of the grief experience questionnaire. Suicide and Life-Threatening Behavior, 19, 201–215.

Baum

L. S.

(2004). Internet parent support groups for primary caregivers of a child with special health care needs. Pediatric Nursing, 30, 381–388, 401.

10.

Bolton

(2006, October). Personal communication, Suicide Prevention Action Network-USA Annual Conference, Washington, DC.

11.

Calhoun

L. G.

, & Allen

B. G.

(1991). Social reactions to the survivor in the family: A review of the literature. Omega: Journal of Death and Dying, 23, 95–107.

12.

Crosby

A. E.

, & Sacks

J. J.

(2002). Exposure to suicide: Incidence and association with suicidal ideation and behavior: United States, 1994. Suicide and Life-Threatening Behavior, 32, 321–328.

13.

Cvinar

(2005). Do suicide survivors suffer social stigma?: A review of the literature. Perspectives in Psychiatric Care, 41, 14–21.

14.

de Groot

M. H.

de Keijser

, & Neeleman

(2006). Grief shortly after suicide and natural death: A comparative study among spouses and first-degree relatives. Suicide and Life-Threatening Behavior, 36, 418–431.

15.

Dunne-Maxim

(2007, April). Survivor history panel: Past, present and what's ahead. Paper presented at 19th Annual Healing After Suicide Conference, New Orleans, Louisiana.

16.

Farberow

N. L.

(1991). Adult survivors after suicide: Research problems and needs. In Leenaars

A. A.

(Ed.), Life-span perspectives of suicides: Time-lines in the suicide process (pp. 259–279). New York: Plenum Press.

17.

Feigelman

, & Feigelman

(2006, October). Surviving after suicide loss: The healing potential of suicide survivor support groups. Paper presented at the Annual Meetings of the Association for the Advancement of Social Work with Groups, San Diego, California.

18.

Feigelman

Gorman

B. S.

, & Jordan

J. R.

(2007, April). Stigmatization and suicide bereavement. Paper presented at 40th Annual Meetings of American Association of Suicidology, New Orleans, Louisiana.

19.

Garvin

(1997). Contemporary group work (3rd ed.). Boston, MA: Allyn and Bacon.

20.

Hill

W. G.

, & Weinert

(2004). An evaluation of an online intervention to provide social support and health education. Computer Information and Nursing, 22, 282–288.

21.

Hollander

E. M.

(2001). Cyber-community in the valley of the shadow of death. Journal of Trauma and Loss, 6, 135–146.

22.

Horowitz

M. J.

Wilner

, & Alvarez

(1979). Impact of event scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.

23.

Jordan

J. R.

(2001). Is suicide bereavement different?: A reassessment of the literature. Suicide and Life-Threatening Behavior, 31, 91–102.

24.

Jordan

J. R.

(2004, March). Unpublished lecture, AFSP Support Group Facilitator Training Program, Philadelphia, Pennsylvania.

25.

Katz

A. H.

, & Bender

E. I.

(1976). The strength of us. New York: Franklin Watts, Inc.

26.

Knight

(2006). Groups for individuals with traumatic histories: Practice considerations for social workers. Social Work, 51, 20–30.

27.

Lieberman

M. A.

Golant

Giese-Davis

Winzlenberg

Benjamin

Humphreys

(2003). Electronic support groups for breast carcinoma: A clinical trial of effectiveness. Cancer, 97, 920–925.

28.

Makela

(1996). Alcoholics anonymous as a mutual help movement. Madison, WI: University of Wisconsin Press.

29.

Meier

(2000). Offering social support via the Internet: A case study of an online support group for social workers. Journal of Technology in Human Services, 17, 237–266.

30.

Mitchell

A. M.

Kim

Prigerson

H. G.

, & Mortimer-Stephens

M. K.

(2004). Complicated grief in survivors of suicide. Crisis, 25, 12–18.

31.

Murphy

S. A.

Tapper

V. J.

Johnson

L. C.

, & Lohan

(2003). Suicide ideation among parents bereaved by the violent deaths of their children. Issues in Mental Health Nursing, 24, 5–25.

32.

Murphy

S. A.

Johnson

L. C.

Fan

J. J.

, & Lohan

(2003). Bereaved parents' outcomes 4 to 60 months after their children's deaths by accident, suicide or homicide: A comparative study demonstrating differences. Death Studies, 27, 39–61.

33.

Prigerson

H. G.

(2002). Measuring complicated grief. Retrieved December 4, 2002 from http://info.med.yale.edu/psych/cgrief/measure_CG.htm

34.

Rotondi

A. J.

Sinkule

, & Spring

(2005). An interactive Web-based intervention for persons with TBI and their families: Use and evaluation by female significant others. Journal of Head Trauma Rehabilitation, 20, 173–185.

35.

Schneider

A. J.

Mataix-Cols

Marks

I. M.

, & Bachofen

(2005). Internet-guided self-help with or without exposure therapy for phobic and panic disorders. Psychotherapy and Psychosomatics, 74, 154–164.

36.

Skinner

A. E.

, & Latchford

(2006). Attitudes to counselling via the Internet: A comparison between in-person counselling clients and Internet support group users. Counselling and Psychotherapy Research, 6, 158–163.

37.

Wethington

Kessler

R. C.

, & Brim

O. G.

(2005). Midlife Development In The United States (MIDUS): Psychological experiences follow-up study, 1998. Ann Arbor, MI and: Inter-University Consortium for Political and Social Research.

38.

Winzelberg

A. J.

Classen

Alpers

G. W.

Roberts

Koopman

Adams

R. E.

(2003). Evaluation of an Internet support group for women with primary breast cancer. Cancer, 97, 1164–1173.

39.

Zrebiec

J. F.

, & Jacobson

A. M.

(2001). What attracts patients with diabetes to an Internet support group? A 21-month longitudinal Website study. Diabetes and Medicine, 18, 154–158.