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      Evaluation of a Resource for People Bereaved by Suicide

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          Abstract

          Background: Self-help resources are an important means of supporting people bereaved by suicide. These require careful evaluation. Aims: To evaluate the use and impact of Help is at Hand, a hardcopy and online booklet produced as part of England’s suicide-prevention strategy. Methods: Data were collected on numbers of copies distributed and online access, and on users’ views about the resource through questionnaires, interviews, and a focus group. Results: Large numbers of copies of Help is at Hand were obtained by a range of organizations, but far fewer directly by individuals, although the resource was extensively accessed online. Evaluation of individuals’ responses to the resource was challenging. However, most respondents were very positive about the overall format and content and especially sections on experiencing bereavement and practical matters relating to the death. The main complaint was delay in gaining access to Help is at Hand. Conclusions: Evaluation of resources for people bereaved by suicide is difficult but worthwhile. Help is at Hand was largely well received. The main problem was with regard to individuals gaining access to it, especially at a time when they most needed it. Promotion of resources such as Help is at Hand needs to be prioritized.

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          Complicated grief and suicidal ideation in adult survivors of suicide.

          While the prevalence of complicated grief has been demonstrated to be elevated in survivors of suicide, the association between complicated grief and suicidal ideation among adult survivors of suicide has not been explored. The purpose of the present study is to examine the association between complicated grief and suicidal ideation in suicide survivors. The Inventory of Complicated Grief and the Beck Depression Inventory were administered to 60 adult survivors within 1 month of a death by suicide of a family member or significant other. Complicated grief was associated with a 9.68 (CI: 1.036, 90.417) times greater likelihood of suicidal ideation after controlling for depression, suggesting that syndromal complicated grief heightens vulnerability to suicidal ideation. Clinicians may provide more comprehensive assessments by recognizing the possibility of suicidal ideation in those with complicated grief.
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            Grief shortly after suicide and natural death: a comparative study among spouses and first-degree relatives.

            Chronic dysfunction after complicated grief is not rare and emphasizes the need to identify bereaved individuals at risk. Three months following bereavement, self-reported psychiatric and general health of 153 relatives of 74 suicides was worse than of 70 relatives of 39 natural deaths. Moreover, the felt need for professional help was higher among the former, even after adjustment for expectedness of death, sociodemographic differences, and relatives'/spouses' neuroticism. This suggests that suicide-bereaved individuals may constitute a high-risk group of mourners in need of targeted postvention.
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              Internet Support Groups for Suicide Survivors: A New Mode for Gaining Bereavement Assistance

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                Author and article information

                Journal
                cri
                Crisis
                The Journal of Crisis Intervention and Suicide Prevention
                Hogrefe Publishing
                0227-5910
                2151-2396
                June 20, 2012
                2012
                : 33
                : 5
                : 254-264
                Affiliations
                [ 1 ] University of Oxford Centre for Suicide Research, Oxford, UK
                [ 2 ] University of Nottingham, UK
                [ 3 ] Derbyshire Healthcare NHS Foundation Trust, Derby, UK
                [ 4 ] National Institute for Health and Clinical Excellence, London, UK
                Author notes
                Keith Hawton, Centre for Suicide Research, University of Oxford, Department of Psychiatry, Warneford Hospital, Headington, Oxford OX3 7JX, UK +44 1865 738585 +44 1865 738674 keith.hawton@ 123456psych.ox.ac.uk
                Article
                cri_33_5_254
                10.1027/0227-5910/a000145
                22713973
                64bf4a46-05d5-4632-9ae7-9aeba588c36c
                Copyright @ 2012
                History
                : July 4, 2011
                : November 29, 2011
                : December 1, 2011
                Categories
                Research Trends

                Emergency medicine & Trauma,Psychology,Health & Social care,Clinical Psychology & Psychiatry,Public health
                self-help,bereavement,suicide,evaluation

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