Psychological interventions for those bereaved by suicide: A scoping review

Main Article Content

Nathalia Cabral Souza
https://orcid.org/0009-0008-5672-5197
Maria Eduarda Silva Zschornak
https://orcid.org/0009-0001-5270-2544
Filipe Luis Souza
https://orcid.org/0000-0002-3009-308X
Roberta Borghetti Alves
https://orcid.org/0000-0002-1866-699X

Abstract

This article addresses the complexity of grief caused by suicide, characterized by intense feelings of guilt, shame and responsibility for the death of a loved one. The importance of support and specific instructions for survivors is highlighted, focusing on postvention - a set of innovative measures after suicide, essential in preventing new cases. The current literature presents significant gaps on the topic, highlighting the urgent need for more research. With the intention of contributing to this field, this study aims to analyze psychological interventions aimed at adults bereaved by suicide, examining scientific publications from 2019 to 2023. This article reviewed interventions aimed at people bereaved by suicide, selecting four studies among 2,394 initially found across six databases: MEDLINE (PubMed), EMBASE, PsycINFO, Scopus, Cochrane Library, and Portal Capes. Among the disciplines studied, conscious self-compassion retreats and online cognitive-behavioral therapy stand out, both of which demonstrated a reduction in levels of psychological suffering and improvement in participants’ emotional regulation. This result plays a crucial role in the synthesis of evidence and the comprehensive evaluation of literature related to the topic.

Downloads

Download data is not yet available.

Article Details

Section
Clinical Psychology

References

Adams, E., Hawgood, J., Bundock, A., & Kõlves, K. (2018). A phenomenological study of siblings bereaved by suicide: A shared experience. Death Studies, 43(5), 324–332. https://doi.org/10.1080/07481187.2018.1469055

Andriessen, K. (2009). Can postvention be prevention? Crisis, 30(1), 43–47. https://doi.org/10.1027/0227-5910.30.1.43

Andriessen, K., Krysinska, K., Hill, N. T. M., Reifels, L., Robinson, J., Reavley, N., & Pirkis, J. (2019). Effective¬ness of interventions for people bereaved through suicide: A systematic review of controlled studies of grief, psychosocial and suicide-related outcomes. BMC Psychiatry, 19(1). https://doi.org/10.1186/s12888-019-2020-z

Andriessen, K., Krysinska, K., Kõlves, K., & Reavley, N. (2019). Suicide postvention service models and guide¬lines 2014–2019: A systematic review. Frontiers in Psychology, 10(2677). https://doi.org/10.3389/ fpsyg.2019.02677

Brownson, R. C., Chriqui, J. F., & Stamatakis, K. A. (2009). Understanding Evidence-Based Public Health Policy. American Journal of Public Health, 99(9), 1576–1583. https://doi.org/10.2105/ajph.2008.156224

Cairney, P., & Oliver, K. (2017). Evidence-based policymaking is not like evidence-based medicine, so how far should you go to bridge the divide between evidence and policy? Health Research Policy and Systems, 15(1). https://doi.org/10.1186/s12961-017-0192-x

Chambless, D. L., & Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66(1), 7–18. https://doi.org/10.1037//0022-006x.66.1.7

Dantas, E. S. O., Bredemeier, J., & Amorim, K. P. C. (2022). Sobreviventes enlutados por suicídio e as possi¬bilidades para posvenção no contexto da saúde pública brasileira. Saúde e Sociedade, 31, e210496pt. https://doi.org/10.1590/s0104-12902022210496pt

Guyatt, G. H., Oxman, A. D., Kunz, R., Brozek, J., Alonso-Coello, P., Rind, D., Devereaux, P. J., Montori, V. M., Freyschuss, B., Vist, G., Jaeschke, R., Williams, J. W., Murad, M. H., Sinclair, D., Falck-Ytter, Y., Meer¬pohl, J., Whittington, C., Thorlund, K., Andrews, J., & Schünemann, H. J. (2011). GRADE guidelines 6. Rating the quality of evidence —imprecision. Journal of Clinical Epidemiology, 64(12), 1283–1293. https://doi.org/10.1016/j.jclinepi.2011.01.012

Kamper, S. J. (2020). Risk of bias and study quality assessment: Linking evidence to practice. Journal of Or¬thopaedic & Sports Physical Therapy, 50(5), 277–279. https://doi.org/10.2519/jospt.2020.0702

Kõlves, K., & Leo, D. de. (2018). Suicide bereavement: Piloting a longitudinal study in Australia. BMJ Open, 8(1), e019504. https://doi.org/10.1136/bmjopen-2017-019504

Morris, S. B. (2007). Estimating Effect Sizes From Pretest-Posttest-Control Group Designs. Organizational Research Methods, 11(2), 364–386. https://doi.org/10.1177/1094428106291059

Moseley, A. M., & Pinheiro, M. B. (2022). Research note: Evaluating risk of bias in randomised controlled trials. Journal of Physiotherapy, 68(2). https://doi.org/10.1016/j.jphys.2022.02.003

Munn, Z., Peters, M., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review ap¬proach. BMC Medical Research Methodology, 18(1). https://doi.org/10.1186/s12874-018-0611-x

National Institutes of Health. (2017, October 20). The basics. https://www.nih.gov/health-information/ nih-clinical-research-trials-you/basics

Park, J., Saha, S., Chee, B., Taylor, J., & Beach, M. C. (2021). Physician use of stigmatizing language in patient medical records. JAMA Network Open, 4(7). https://doi.org/10.1001/jamanetworkopen.2021.17052

Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, 18(10), 2119–2126.

Ruckert, M. L. T., Frizzo, R. P., & Rigoli, M. M. (2019). Suicídio: A importância de novos estudos de posvenção no Brasil. Revista Brasileira de Terapias Cognitivas, 15(2). https://doi.org/10.5935/1808-5687.20190013

Silva, D. A. da, & Marcolan, J. F. (2021). Tentativa de suicídio e suicídio no Brasil: Análise epidemiológica. Medicina (Ribeirão Preto), 54(4). https://doi.org/10.11606/issn.2176-7262.rmrp.2021.181793

Scocco, P., Arbien, M., Totaro, S., Guadagnini, M., Nucci, M., Bianchera, F., Facchini, S., Ferrari, A., Idotta, C., Molinari, S., & Toffol, E. (2022). Panta Rhei: A non-randomized intervention trial on the effectiveness of mindfulness-self-compassion weekend retreats for people bereaved by suicide. Mindfulness. https:// doi.org/10.1007/s12671-022-01880-0

Scocco, P., Idotta, C., Totaro, S., & Preti, A. (2021). Addressing psychological distress in people bereaved through suicide: From care to cure. Psychiatry Research, 300, 113869. https://doi.org/10.1016/j. psychres.2021.113869

Scocco, P., Zerbinati, L., Preti, A., Ferrari, A., & Totaro, S. (2019). Mindfulness-based weekend retreats for people bereaved by suicide (Panta Rhei): A pilot feasibility study. Psychology and Psychotherapy: Theory, Research and Practice, 92(1), 39-56. https://doi.org/10.1111/papt.12175

Sterne, J. A. C., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H.-Y., Corbett, M. S., Eldridge, S. M., Emberson, J. R., Hernán, M. A., Hopewell, S., Hróbjartsson, A., Junqueira, D. R., Jüni, P., Kirkham, J. J., Lasserson, T., Li, T., & McAleenan, A. (2019). RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ, 366(1), l4898. https://doi.org/10.1136/bmj.l4898

Tal Young, I., Iglewicz, A., Glorioso, D., Lanouette, N., Seay, K., Ilapakurti, M., & Zisook, S. (2012). Suicide bereavement and complicated grief. Dialogues in Clinical Neuroscience, 14(2), 177–186. https://pubmed.ncbi.nlm.nih.gov/22754290/

Treml, J., Nagl, M., Linde, K., Kündiger, C., Peterhänsel, C., & Kersting, A. (2021). Efficacy of an Inter¬net-based cognitive-behavioural grief therapy for people bereaved by suicide: A randomized con¬trolled trial. European Journal of Psychotraumatology, 12(1), 1926650. https://doi.org/10.1080/20008198.2021.1926650

Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wil¬son, M. G., Garritty, C., & Lewin, S. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473.

Wagner, B., Grafiadeli, R., Schäfer, T., & Hofmann, L. (2022). Efficacy of an online-group intervention after suicide bereavement: A randomized controlled trial. Internet Interventions, 28, 100542. https://doi.org/10.1016/j.invent.2022.100542

World Health Organization. (2021, June 16). Suicide worldwide in 2019. Www.who.int. https://www.who.int/publications/i/item/9789240026643