Death Studies最新文献

The COVID-19 pandemic raised fears about a rise in prolonged grief rates. To determine if these fears are justified, we examined an online sample of 329 Turkish adults for their level of prolonged grief symptoms (as well as probable Prolonged Grief Disorder-PGD) and associated factors in relation to losses during the pandemic. Respondents completed measures of prolonged grief, post-traumatic stress disorder, and depression. Overall, 10% of participants reported symptoms indicating a probable PGD diagnosis. Surprisingly, loss due to COVID-19 or disruption of the natural mourning process did not relate to higher levels of prolonged grief. Our findings suggest that although levels of prolonged grief (and rates of PGD) may have increased during the pandemic, prolonged grief (or PGD) during this time is likely not linked to losses due to COVID-19 or to disruptions in the normal grieving process.

Suicidal behaviors are a significant concern in Latin American countries. However, validated scales in Brazil do not address all behaviors on the suicide spectrum. We aimed to adapt the Suicidal Behaviors Questionnaire-Revised (SBQ-R) for Brazil. The SBQ-R was independently translated, back-translated, and evaluated by experts-two thousand eight hundred ninety-eight participants (68.30% women; M = 27.42; A = 18-69) from Brazil. The SBQ-R items presented adequate reliability (ω = .86). Confirmatory factor analysis (CFA) confirmed the construct validity (χ²(df) = 52.707(2), p<.001; CFI = .997; TLI = .992; RMSEA = .052; SRMR = .024). Multigroup CFA indicated that the SBQ-R is invariant for gender, sexual orientation, race, and education level. The SBQ-R has convergent validity for depression (r = 0.61), anxiety (r = 0.49), stress (r = 0.49), impulsivity (r = 0.40), hopelessness (r = 0.60) and divergent validity, with gender and sexual minorities showing higher levels of suicidal behaviors. The Brazilian SBQ-R is designated for use by Brazilian adults. Future studies must investigate the predictive validity of the SBQ-R in clinical samples.

Little is known about experiences of physicians when deciding on initiating life support during medical crises of mass casualties and undersupply. We performed a qualitative analysis of interviews with 14 physicians about their decision-making experience when considering initiating mechanical ventilation in patients with severe COVID-19 during the early pandemic. Three themes were revealed: (a) The accumulating clinical experience with invasive ventilation, and the physicians' perception of ventilation as effective or futile in these patients; (b) Preferences of patients and their families regarding mechanical ventilation; and (c) Economic, logistic, and organizational considerations of the undersupplied healthcare system. The circumstances under which end-of-life decisions were made often caused moral injury to physicians, in particular when their personal ethical standpoints were not integrated in the decision-making process. Our findings explore the moral injury suffered by physicians and may help identify strategies to mitigate moral injury of healthcare staff in times of medical crisis.

The integration of forensic knowledge and associated practices into a growing number of human rights and humanitarian investigations, as well as transitional justice processes has led some scholars to claim a "forensic turn." This turn is marked by the rise of forensic practices as "necro-governmental" technologies that seek to deliver certainty to the living and to the state so that a new political order can be created, a new future ushered in (Rojas-Perez, 2017, p. 19). Yet is the forensic turn truly globalized? Focusing on the cases of Timor-Leste and Sri Lanka, this article probes how states and citizens in these post-conflict settings are attempting to manage the unsettling indeterminacies of dead and missing bodies largely without recourse to forensic expertise. These cases shed light on the novel forms of necro-governmentality and alternative modes of local knowledge production that emerge in settings where there is a relative absence of forensic expertise. They also show how the necro-governmental project of fixing the meanings and identities of the dead (forensic or otherwise) is always ongoing, never fully or finally complete. This is because the unsettling indeterminacies of missing and dead bodies allow those bodies to be drawn into intimate practices of care and mourning and more public political projects that can resist attempts to close off their meanings.

This study is a qualitative analysis of 14 interviews with specialists in maternal-fetal medicine in Israel who implement feticide by injection at a late stage of pregnancy. The goal of this study was to reach an interpretive understanding of the physicians' experience. The study focuses on five major themes: (1) involvement in the decision-making process; (2) emotional control and medical expertise; (3) perception of feticide as dirty work; (4) strategies to minimize the procedure's inherent difficulty; and (5) the social and medical context of silence and silencing. The revealed themes capture the timeline of the procedure and address the individual, dyadic, and medical and social contexts in which feticide is carried out - all of which construct the physician's experience. The concept of moral uncertainty is useful in conceptualizing the physicians' experience, allowing researcher to draw policy and practical implications.

Grieving at a distance is a common and often challenging experience for migrants. As a result of travel restrictions and border closures, grieving at a distance became a focus of media reporting during the COVID-19 pandemic. This paper aimed to examine the representation of migrants' grief at a distance during the pandemic in online newspaper articles. We used a qualitative framing analysis to analyze nine articles published in online international newspapers. Three frames were identified: Grief as an impossible situation, migrants left with impossible choices, and grief as culturally mediated. These frames focused on how the psychological experience of grief was intertwined with migrants' broader societal and cultural contexts. They emphasized the complex choices migrants faced due to their personal situations and cross-cultural experiences. Findings offer insights into how the media depicts migrant experiences, thus shaping public perceptions of their grief and bereavement. They reveal the difficulties of transnational grief migrants experienced.

Research has explored why people seek assisted dying (AD), families' bereavement, and AD providers' experiences, yet few studies have investigated decision-making of the time and date for AD. This article elucidates how cancer patients, families and AD providers decide on and experience living with a date and time for AD in New Zealand. We longitudinally interviewed 23 people. Using thematic analysis, we identified four decision-making phases: deciding how and when to draw a line in the sand, the final countdown, a date with death and the right time. Picking a date was an embodied, relational, situational decision that balanced time left, families' wishes, providers' needs, and AD regulations. Time is a silent factor in AD decision-making; choosing a date reorients time to clock, event and embodied time, and contrives the right time for death. We discuss the implications and recommend how AD providers and policymakers can support service users and providers.

How we think and feel about death and dying affects how we live our lives and our opportunities for healthy aging. This scoping review, using the PRISMA guidelines and drawing on the World Health Organizations public health framework for healthy aging, examined the personal, health and environmental factors associated with attitudes toward death and dying in persons 50 years and older. Most of the 74 eligible studies focused only on negative attitudes to death and few studies investigated the comprehensive range of factors that influence attitudes to death and dying. In the context of population aging and the United Nations Decade of healthy aging (2021-2030) attention to death attitudes and the factors that influence them are imperative to enable current and future generations to age and die well.

Terror Management Theory posits that reminders of mortality increase support for cultural values and negative views toward transgressors. However, little research has investigated how mortality salience can influence individuals' perceptions of victims who have suffered differing moral misfortune types. This study explored how mortality salience and moral misfortune types affect the perceptions of victims. One hundred forty-three participants were exposed to either mortality or control manipulation and were given five victim scenarios based on five moral foundations: harm, fairness, purity, loyalty, and authority. Participants rated the deservingness of help for the victim in each scenario. The results indicated that harm and purity transgressions elicited more help, while conservative individuals viewed purity victims less favorably under mortality salience. This suggests that mortality salience influences victim perceptions based on moral context. This study illustrates how mortality salience can shape perceptions of victim's deservingness.

Research on the funeral industry in the United States is limited by privatization and the dearth of publicly available data, making assessment of equitable services a challenge. The goal of this study was to explore the experiences of LGBTQIA+ deathcare providers and consumers to understand barriers to equitable services. We interviewed 23 funeral providers (N = 17) and consumers (N = 6) using a phenomenological approach and employed grounded theory to develop a deeper understanding from different perspectives that could inform more equitable practices. Results suggested that fear of religious rejection, LGBTQIA+ consumer preferences, and traditional funeral practice should be evaluated and addressed. Potential solutions may be explicit marketing and safety signaling, deathcare provider involvement in LGBTQIA+ communities, and sweeping equality legislation.