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Short Report

Perceived Social Support and Mental Health After Suicide Loss

Published Online:https://doi.org/10.1027/0227-5910/a000594

Abstract.Background: Despite great need, social support is limited after suicide loss, which could contribute to worse mental health outcomes including increased suicidality among suicide loss survivors. Aims: To examine the associations between perceived social support, grief difficulties, depressive symptoms, suicidality, and personal growth among 195 suicide loss survivors. Method: The associations between perceived social support, grief difficulties, depressive symptoms, suicidality, and personal growth were tested using linear regression modeling. Results: In controlled models, more perceived social support was significantly associated with decreased grief difficulties, depressive symptoms, and suicidality, as well as with increased personal growth. Limitations: Participants were mostly Caucasian women who participated in a cross-sectional online survey. Conclusion: Our findings suggest that programs to increase social support after suicide loss may be an important aspect of suicide postvention.

References

  • Andriessen, K., Draper, B., Dudley, M., & Mitchell, P. B. (2015). Bereavement after suicide: Disentangling clues to better help bereaved adolescents. Crisis, 36(5), 299–303. 10.1027/0227-5910/a000339 First citation in articleLinkGoogle Scholar

  • Björgvinsson, T., Kertz, S. J., Bigda-Peyton, J. S., McCoy, K. L., & Aderka, I. M. (2013). Psychometric properties of the CES-D-10 in a psychiatric sample. Assessment, 20(4), 429–436. 10.1177/1073191113481998 First citation in articleCrossref MedlineGoogle Scholar

  • Bottomley, J. S., Burke, L. A., & Neimeyer, R. A. (2017). Domains of social support that predict bereavement distress following homicide loss. Omega, 75(1), 3–25. ​10.1177/0030222815612282 First citation in articleCrossref MedlineGoogle Scholar

  • Burke, L. A., & Neimeyer, R. A. (2012). Prospective risk factor for complicated grief: A review of the empirical literature. In M. StroebeH. SchutJ. van den BoutEds., Complicated Grief: Scientific Foundations for Health Care Professionals (pp. 145–161). London, UK: Routledge. First citation in articleGoogle Scholar

  • Cvinar, J. G. (2005). Do suicide survivors suffer social stigma: A review of the literature. Perspectives in Psychiatric Care, 41(1), 14–21. First citation in articleCrossref MedlineGoogle Scholar

  • Farberow, N. L., Gallagher-Thompson, D., Gilewski, M., & Thompson, L. (1992). The role of social supports in the bereavement process of surviving spouses of suicide and natural deaths. Suicide and Life-Threatening Behavior, 22(1), 107–124. First citation in articleMedlineGoogle Scholar

  • Groff, E. C., Ruzek, J. I., Bongar, B., & Cordova, M. J. (2016). Social constraints, loss-related factors, depression, and posttraumatic stress in a treatment-seeking suicide bereaved sample. Psychological Trauma: Theory, Research, Practice and Policy, 8(6), 657–660. 10.1037/tra0000128 First citation in articleCrossref MedlineGoogle Scholar

  • Harrington-LaMorie, J., Jordan, J. R., Ruocco, K., & Cerel, J. (2018). Surviving families of military suicide loss: Exploring postvention peer support. Death Studies, 42(3), 143–154. 10.1080/07481187.2017.1370789 First citation in articleCrossref MedlineGoogle Scholar

  • Hogan, N. S., Greenfield, D. B., & Schmidt, L. A. (2001). Development and validation of the Hogan Grief Reaction Checklist. Death Studies, 25(1), 1–32. 10.1080/07481180125831 First citation in articleCrossref MedlineGoogle Scholar

  • Ito, M., Nakajima, S., Fujisawa, D., Miyashita, M., Kim, Y., Shear, K. M., … Wall, M. M. (2012). Brief Measure for Screening Complicated Grief: reliability and discriminant validity. PLoS ONE, 7(2). 10.1371/journal.pone.0031209 First citation in articleCrossrefGoogle Scholar

  • Juth, V., Smyth, J. M., Carey, M. P., & Lepore, S. J. (2015). Social constraints are associated with negative psychological and physical adjustment in bereavement. Applied Psychology. Health and Well-Being, 7(2), 129–148. 10.1111/aphw.12041 First citation in articleCrossref MedlineGoogle Scholar

  • Kleiman, E. M., & Liu, R. T. (2013). Social support as a protective factor in suicide: Findings from two nationally representative samples. Journal of Affective Disorders, 150(2), 540–545. 10.1016/j.jad.2013.01.033 First citation in articleCrossref MedlineGoogle Scholar

  • Kliem, S., Mößle, T., Rehbein, F., Hellmann, D. F., Zenger, M., & Brähler, E. (2015). A brief form of the Perceived Social Support Questionnaire (F-SozU) was developed, validated, and standardized. Journal of Clinical Epidemiology, 68(5), 551–562. 10.1016/j.jclinepi.2014.11.003 First citation in articleCrossref MedlineGoogle Scholar

  • Levi-Belz, Y. (2015). Stress-related growth among suicide survivors: The role of interpersonal and cognitive factors. Archives of Suicide Research, 19(3), 305–320. 10.1080/13811118.2014.957452 First citation in articleCrossref MedlineGoogle Scholar

  • Logan, E. L., Thornton, J. A., & Breen, L. J. (2018). What determines supportive behaviors following bereavement? A systematic review and call to action. Death Studies, 42(2), 104–114. 10.1080/07481187.2017.1329760 First citation in articleCrossref MedlineGoogle Scholar

  • Lundorff, M., Holmgren, H., Zachariae, R., Farver-Vestergaard, I., & O'Connor, M. (2017). Prevalence of prolonged grief disorder in adult bereavement: A systematic review and meta-analysis. Journal of Affective Disorders, 212, 138–149. 10.1016/j.jad.2017.01.030 First citation in articleCrossref MedlineGoogle Scholar

  • Oexle, N., Feigelman, W., & Sheehan, L. (2018). Perceived suicide stigma, secrecy about suicide loss and mental health outcomes. Death Studies. Advance online publication. 10.1080/07481187.2018.1539052 First citation in articleCrossrefGoogle Scholar

  • Pitman, A., Osborn, D., King, M., & Erlangsen, A. (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 First citation in articleCrossref MedlineGoogle Scholar

  • Pitman, A., Osborn, D., Rantell, K., & King, M. (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), e009948. 10.1136/bmjopen-2015-00​9948 First citation in articleCrossref MedlineGoogle Scholar

  • Pitman, A., Rantell, K., Moran, P., Sireling, L., Marston, L., King, M., & Osborn, D. (2017). Support received after bereavement by suicide and other sudden deaths: A cross-sectional UK study of 3432 young bereaved adults. BMJ Open, 7(5), e014487. 10.1136/bmjopen-2016-014487 First citation in articleCrossref MedlineGoogle Scholar

  • Pitman, A., Souza, T. de., Khrisna Putri, A., Stevenson, F., King, M., Osborn, D., & Morant, N. (2018). Support needs and experiences of people bereaved by suicide: Qualitative findings from a cross-sectional British study of bereaved young adults. International Journal of Environmental Research and Public Health, 15(4). 10.3390/ijerph15040666 First citation in articleCrossrefGoogle Scholar

  • Pompili, M., Shrivastava, A., Serafini, G., Innamorati, M., Milelli, M., Erbuto, D., … Girardi, P. (2013). Bereavement after the suicide of a significant other. Indian Journal of Psychiatry, 55(3), 256–263. 10.4103/0019-5545.117145 First citation in articleCrossref MedlineGoogle Scholar

  • Shear, K. M. (2015). Complicated grief. New England Journal of Medicine, 372(2), 153–160. 10.1056/NEJMcp​1315618 First citation in articleCrossref MedlineGoogle Scholar

  • Shear, K. M., Jackson, C. T., Essock, S. M., Donahue, S. A., & Felton, C. J. (2006). Screening for complicated grief among Project Liberty service recipients 18 months after September 11, 2001. Psychiatric Services (Washington, D.C.), 57(9), 1291–1297. 10.1176/ps.2006.57.9.1291 First citation in articleCrossref MedlineGoogle Scholar

  • Shear, K. M., Simon, N., Wall, M., Zisook, S., Neimeyer, R., Duan, N., … Keshaviah, A. (2011). Complicated grief and related bereavement issues for DSM-5. Depression and Anxiety, 28(2), 103–117. 10.1002/da.20780 First citation in articleCrossref MedlineGoogle Scholar

  • Shumaker, S. A., & Brownell, A. (1984). Toward a theory of social support: Closing conceptual gaps. Journal of Social Issues, 40(4), 11–36. 10.1111/j.1540-4560.1984.tb01105.x First citation in articleCrossrefGoogle Scholar

  • Spino, E., Kameg, K. M., Cline, T. W., Terhorst, L., & Mitchell, A. M. (2016). Impact of social support on symptoms of depression and loneliness in survivors bereaved by suicide. Archives of Psychiatric Nursing, 30(5), 602–606. 10.1016/j.apnu.2016.02.001 First citation in articleCrossref MedlineGoogle Scholar

  • Sudak, H., Maxim, K., & Carpenter, M. (2008). Suicide and stigma: A review of the literature and personal reflections. Academic Psychiatry, 32(2), 136–142. 10.1176/appi.ap.32.2.136 First citation in articleCrossref MedlineGoogle Scholar

  • Sveen, C.-A., & Walby, F. A. (2008). Suicide survivors' mental health and grief reactions: A systematic review of controlled studies. Suicide and Life-Threatening Behavior, 38(1), 13–29. 10.1521/suli.2008.38.1.13 First citation in articleCrossref MedlineGoogle Scholar

  • Trevino, K. M., Litz, B., Papa, A., Maciejewski, P. K., Lichtenthal, W., Healy, C., & Prigerson, H. G. (2018). Bereavement Challenges and Their Relationship to Physical and Psychological Adjustment to Loss. Journal of Palliative Medicine, 21(4), 479–488. 10.1089/jpm.2017.0386 First citation in articleCrossref MedlineGoogle Scholar

  • Van Spijker, B. A. J., Batterham, P. J., Calear, A. L., Farrer, L., Christensen, H., Reynolds, J., & Kerkhof, A. J. F. M. (2014). The suicidal ideation attributes scale (SIDAS): Community-based validation study of a new scale for the measurement of suicidal ideation. Suicide and Life-Threatening Behavior, 44(4), 408–419. 10.1111/sltb.12084 First citation in articleCrossref MedlineGoogle Scholar