Navigating bereavement by suicide in later life: a qualitative analysis of health and social care professional perspectives.

IF 2.4 3区 医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2025-09-01 Epub Date: 2025-02-24 DOI:10.1080/13607863.2025.2468410
Nicola Cogan, Trish Hafford-Letchfield, Susan Rasmussen, Sophie Martin, Adele Owen, Jolie Goodman, Jeffrey R Hanna
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Abstract

Objectives: Older adults bereaved by suicide face unique challenges, including heightened stigma, trauma, and isolation, often compounded by limited social support. This study explores professionals' perspectives on supporting older adults bereaved by suicide, addressing a critical gap in public health.

Method: Semi-structured, in-depth interviews were conducted with professionals, including bereavement support workers, healthcare providers, and suicide prevention specialists. Data were analysed using a reflexive, inductive thematic approach.

Results: Four key themes emerged: (1) navigating the complexities of traumatic loss by suicide in later life, (2) the role of community and family support in grief management, (3) professional roles and challenges in providing support, and (4) opportunities for community engagement and meaning-making. Findings emphasise the need for community-centred, culturally sensitive bereavement care that empowers older adults to navigate grief openly.

Conclusion: Reducing stigma around suicide, recognising the impact of traumatic loss, and addressing factors that exacerbate grief are crucial to supporting mental health in older adults bereaved by suicide. Integrating bereavement support into community spaces and offering peer-support options can help alleviate isolation and trauma. Health and social care policies should prioritise improving access to services and promoting an inclusive and trauma-informed approach that meets the unique needs of this population.

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在以后的生活中通过自杀来导航丧亲之痛:健康和社会护理专业观点的定性分析。
目标:因自杀而失去亲人的老年人面临着独特的挑战,包括加剧的耻辱、创伤和孤立,往往加上有限的社会支持。本研究探讨了专业人士对支持因自杀而失去亲人的老年人的观点,解决了公共卫生方面的重大差距。方法:与专业人员进行半结构化的深度访谈,包括丧亲支持工作者、医疗保健提供者和自杀预防专家。数据分析使用反身性,归纳专题方法。结果:出现了四个关键主题:(1)在晚年生活中处理自杀造成的创伤性损失的复杂性;(2)社区和家庭支持在悲伤管理中的作用;(3)提供支持的专业角色和挑战;(4)社区参与和意义创造的机会。研究结果强调需要以社区为中心,对文化敏感的丧亲护理,使老年人能够公开地应对悲伤。结论:减少对自杀的耻辱感,认识到创伤性损失的影响,并解决加剧悲伤的因素对于支持自杀的老年人的心理健康至关重要。将丧亲支持纳入社区空间,并提供同伴支持选项,有助于减轻孤立和创伤。保健和社会保健政策应优先考虑改善获得服务的机会,并促进一种包容和了解创伤情况的办法,以满足这一人口的独特需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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