Pub Date : 2024-10-21DOI: 10.1080/07481187.2024.2414257
Tabea Wolf, Emily L Mroz, Wendy G Lichtenthal
Grievers recall memories from both the life of the deceased and the dying days, but differences in recall across these memory types are not well-characterized. In this study, 100 bereaved German adults described up to ten important memories of a deceased close other (M = 7.86). Memories from the dying days were classified into: final memories, health transition events, last time events, and temporal markers. Among those who provided at least one dying days memory (73%), these memories were reported to be recalled privately and shared socially more often than memories from the deceased's life. Memories from the dying days were rated as less emotionally positive than those from the life, and contextual factors from the loss shaped memory recall frequency and emotional valence. Results underscore the need for appropriate end-of-life care to lay a foundation for adaptive remembering and suggest the relevance of dying days memories in therapeutic settings.
{"title":"Remembering the life and dying days of a deceased close other: Memory recall and associations with loss context.","authors":"Tabea Wolf, Emily L Mroz, Wendy G Lichtenthal","doi":"10.1080/07481187.2024.2414257","DOIUrl":"https://doi.org/10.1080/07481187.2024.2414257","url":null,"abstract":"<p><p>Grievers recall memories from both the life of the deceased and the dying days, but differences in recall across these memory types are not well-characterized. In this study, 100 bereaved German adults described up to ten important memories of a deceased close other (<i>M =</i> 7.86). Memories from the dying days were classified into: <i>final memories, health transition events, last time events,</i> and <i>temporal markers</i>. Among those who provided at least one dying days memory (73%), these memories were reported to be recalled privately and shared socially more often than memories from the deceased's life. Memories from the dying days were rated as less emotionally positive than those from the life, and contextual factors from the loss shaped memory recall frequency and emotional valence. Results underscore the need for appropriate end-of-life care to lay a foundation for adaptive remembering and suggest the relevance of dying days memories in therapeutic settings.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-12"},"PeriodicalIF":2.1,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-21DOI: 10.1080/07481187.2024.2414934
Kanako Taku, Whitney Dominick, Seokjun Jeong, Raejung Lee, Jinho Kim
The prompts "What emotions does the thought of your own death arouse in you?" and "What will happen to you when your body dies?" have been used to induce anxiety in Terror Management Theory. The current study investigated how the responses to these prompts may reveal cross-national differences by using a text-mining approach. Undergraduates in the US (n = 298) and Japan (n = 212) participated in the study. Across both groups, anxiety was the most common emotion. Cross-national differences also emerged, such that students in the US were more likely to mention sadness, funeral, and religiosity for the first prompt, and acceptance, spiritual change, and religiosity for the second prompt. Students in Japan were more likely to mention regret for the first, and sadness, emptiness, and funeral for the second prompt. Results revealed differences and similarities in thoughts and emotions people associate with when thinking about own death.
{"title":"Thoughts and emotions evoked by thinking about own death: American versus Japanese undergraduates.","authors":"Kanako Taku, Whitney Dominick, Seokjun Jeong, Raejung Lee, Jinho Kim","doi":"10.1080/07481187.2024.2414934","DOIUrl":"https://doi.org/10.1080/07481187.2024.2414934","url":null,"abstract":"<p><p>The prompts \"<i>What emotions does the thought of your own death arouse in you?</i>\" and \"<i>What will happen to you when your body dies?</i>\" have been used to induce anxiety in Terror Management Theory. The current study investigated how the responses to these prompts may reveal cross-national differences by using a text-mining approach. Undergraduates in the US (<i>n</i> = 298) and Japan (<i>n</i> = 212) participated in the study. Across both groups, anxiety was the most common emotion. Cross-national differences also emerged, such that students in the US were more likely to mention sadness, funeral, and religiosity for the first prompt, and acceptance, spiritual change, and religiosity for the second prompt. Students in Japan were more likely to mention regret for the first, and sadness, emptiness, and funeral for the second prompt. Results revealed differences and similarities in thoughts and emotions people associate with when thinking about own death.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-18DOI: 10.1080/07481187.2024.2414264
Megan Knights, Harry Dean, Marianne K Dees, Jennifer Heath
Assisted dying is available in many countries globally but remains illegal in the UK, where there are ongoing debates about its legal status. Britons seeking an assisted death must travel to Switzerland. This article explores the experiences of UK-based individuals considering an assisted death and family members of those who have completed an assisted death. We recruited 11 participants across two qualitative studies, analyzing data using Interpretative Phenomenological Analysis. These results indicated four themes: the "burden" of illness; the value of autonomy and control over death; the difficulties of talking about assisted dying; and the barriers associated with pursuing an assisted death. The findings suggest there are individuals in the UK who will seek an assisted death, despite its illegality. Those involved in these journeys are not currently able to access support and more needs to be done to ensure their needs are met.
{"title":"Accessing an assisted death from the UK: Navigating the legal 'grey' area.","authors":"Megan Knights, Harry Dean, Marianne K Dees, Jennifer Heath","doi":"10.1080/07481187.2024.2414264","DOIUrl":"https://doi.org/10.1080/07481187.2024.2414264","url":null,"abstract":"<p><p>Assisted dying is available in many countries globally but remains illegal in the UK, where there are ongoing debates about its legal status. Britons seeking an assisted death must travel to Switzerland. This article explores the experiences of UK-based individuals considering an assisted death and family members of those who have completed an assisted death. We recruited 11 participants across two qualitative studies, analyzing data using Interpretative Phenomenological Analysis. These results indicated four themes: the \"<i>burden</i>\" of illness; the value of autonomy and control over death; the difficulties of talking about assisted dying; and the barriers associated with pursuing an assisted death. The findings suggest there are individuals in the UK who will seek an assisted death, despite its illegality. Those involved in these journeys are not currently able to access support and more needs to be done to ensure their needs are met.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Numerous tools assess death anxiety, but many have questionable psychometric properties. The Death Anxiety Beliefs and Behaviors Scale (DABBS) addresses these shortcomings, assessing death-related maladaptive affect, beliefs, and behaviors that could be foundational to fears associated with death. We translated the DABBS into Persian and examined its psychometric properties among Iranian adolescents (n = 598, Mage = 14.80, range = 12-18 years old). Confirmatory factor analyses supported the intended three-factor structure that comprises death-related affect, beliefs, and behaviors. Furthermore, the DABBS demonstrated good internal consistency, as well as expected associations with other measures of death anxiety and psychopathology measures, except that the Behaviors subscale unexpectedly did not relate to theoretically relevant constructs. Our findings indicate that the DABBS affect and belief subscales have strong psychometric properties among Iranian adolescents. However, further research is needed to elucidate whether the overall DABBS score demonstrates improved validity when used with other populations.
{"title":"Evaluation of the death anxiety beliefs and behaviors scale in Iranian adolescents.","authors":"Mahdi Mazidi, Majid Zarei, Ziba Ahmadi Bouyaghchi, Seyran Ranjbar, Rachel E Menzies","doi":"10.1080/07481187.2024.2414935","DOIUrl":"https://doi.org/10.1080/07481187.2024.2414935","url":null,"abstract":"<p><p>Numerous tools assess death anxiety, but many have questionable psychometric properties. The Death Anxiety Beliefs and Behaviors Scale (DABBS) addresses these shortcomings, assessing death-related maladaptive affect, beliefs, and behaviors that could be foundational to fears associated with death. We translated the DABBS into Persian and examined its psychometric properties among Iranian adolescents (n = 598, <i>M</i><sub>age</sub> = 14.80, range = 12-18 years old). Confirmatory factor analyses supported the intended three-factor structure that comprises death-related affect, beliefs, and behaviors. Furthermore, the DABBS demonstrated good internal consistency, as well as expected associations with other measures of death anxiety and psychopathology measures, except that the Behaviors subscale unexpectedly did not relate to theoretically relevant constructs. Our findings indicate that the DABBS affect and belief subscales have strong psychometric properties among Iranian adolescents. However, further research is needed to elucidate whether the overall DABBS score demonstrates improved validity when used with other populations.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: To delve into the phenomenon of memorial tattoos in Israel following the October 7, 2023, massacre, and the ensuing Iron Swords War utilizing Terror Management Theory.
Methodology: A qualitative approach employing digital ethnography and visual content analysis was adopted to scrutinize 250 war tattoo images sourced from Israeli tattoo artists' Instagram pages and Facebook groups. Data collection spanned the initial four months of the war, from October 2023 to January 2024.
Findings and conclusions: The analysis highlights existential anxieties stemming from the massacre and ongoing conflict, which are both reflected and addressed through the tattoos' content and meaning. Memorial tattoos serve as responses to mortality salience, depicting themes that adhere to the three anxiety-buffer mechanisms proposed by the theory: reinforcement of collective worldviews; enhancement of self-esteem; and seeking continued attachment relationships. Through these mechanisms, tattoo recipients invest efforts in giving meaning to the inconceivable events and their ongoing grief.
{"title":"Embodied memories - exploring memorial tattoos through the lens of terror management theory.","authors":"Ayelet Oreg, Hilit Erel-Brodsky, Orit Taubman-Ben-Ari","doi":"10.1080/07481187.2024.2414275","DOIUrl":"https://doi.org/10.1080/07481187.2024.2414275","url":null,"abstract":"<p><strong>Objectives: </strong>To delve into the phenomenon of memorial tattoos in Israel following the October 7, 2023, massacre, and the ensuing Iron Swords War utilizing Terror Management Theory.</p><p><strong>Methodology: </strong>A qualitative approach employing digital ethnography and visual content analysis was adopted to scrutinize 250 war tattoo images sourced from Israeli tattoo artists' Instagram pages and Facebook groups. Data collection spanned the initial four months of the war, from October 2023 to January 2024.</p><p><strong>Findings and conclusions: </strong>The analysis highlights existential anxieties stemming from the massacre and ongoing conflict, which are both reflected and addressed through the tattoos' content and meaning. Memorial tattoos serve as responses to mortality salience, depicting themes that adhere to the three anxiety-buffer mechanisms proposed by the theory: reinforcement of collective worldviews; enhancement of self-esteem; and seeking continued attachment relationships. Through these mechanisms, tattoo recipients invest efforts in giving meaning to the inconceivable events and their ongoing grief.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-14"},"PeriodicalIF":2.1,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-12DOI: 10.1080/07481187.2024.2414265
Virginia Fons
This article sheds light on the current Catholic experience of mourning and death in Catalonia by means of theoretical-interpretative contributions from the field of rituality and the sensitive dimension. It focuses on a method of analysis that emphasizes the deep meanings and sensory dimension of the logic of the death ritual itself. Using multiple narratives and autoethnography, it describes the sequence of actions and sensations related to the drama experienced and channels the pain that is progressively expressed in the different phases of the ritual. The effectiveness of the ritual lies in the experience of non-presence, remoteness or emptiness. Even though the perspectives of the participants are different and there are a variety of family situations, the symbolic and sensitive dimension of the ritual works for everyone by sequencing their actions and experiences throughout the process.
{"title":"The current rituality of catholic death in Catalonia, a world of meanings.","authors":"Virginia Fons","doi":"10.1080/07481187.2024.2414265","DOIUrl":"https://doi.org/10.1080/07481187.2024.2414265","url":null,"abstract":"<p><p>This article sheds light on the current Catholic experience of mourning and death in Catalonia by means of theoretical-interpretative contributions from the field of rituality and the sensitive dimension. It focuses on a method of analysis that emphasizes the deep meanings and sensory dimension of the logic of the death ritual itself. Using multiple narratives and autoethnography, it describes the sequence of actions and sensations related to the drama experienced and channels the pain that is progressively expressed in the different phases of the ritual. The effectiveness of the ritual lies in the experience of non-presence, remoteness or emptiness. Even though the perspectives of the participants are different and there are a variety of family situations, the symbolic and sensitive dimension of the ritual works for everyone by sequencing their actions and experiences throughout the process.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-8"},"PeriodicalIF":2.1,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-12DOI: 10.1080/07481187.2024.2414277
Jessica E Young, Antonia C Lyons, Kevin Dew, Richard Egan
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.
研究探讨了人们寻求辅助死亡(AD)的原因、家属的丧亲之痛以及辅助死亡提供者的经历,但很少有研究调查辅助死亡的时间和日期决策。本文阐释了在新西兰,癌症患者、家属和辅助死亡提供者是如何决定辅助死亡的日期和时间并体验其生活的。我们对 23 人进行了纵向访谈。通过主题分析,我们确定了四个决策阶段:决定如何以及何时在沙地上划出一条线、最后的倒计时、与死亡约会以及合适的时间。选择一个日期是一个体现性的、关系性的、情境性的决策,需要在剩余时间、家属意愿、服务提供者需求和 AD 法规之间取得平衡。时间是急性衰竭决策中一个无声的因素;选择日期将时间重新调整为时钟、事件和体现时间,并为死亡创造合适的时间。我们将讨论其中的含义,并建议助老服务提供者和政策制定者如何为服务使用者和提供者提供支持。
{"title":"Is there a right time to die? How patients, families and assisted dying providers decide on and anticipate a date with death.","authors":"Jessica E Young, Antonia C Lyons, Kevin Dew, Richard Egan","doi":"10.1080/07481187.2024.2414277","DOIUrl":"https://doi.org/10.1080/07481187.2024.2414277","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-12DOI: 10.1080/07481187.2024.2414288
Martin Lytje, Johanne Mansdotter, Atle Dyregrov
This article investigates bereavement support among Danish college students, focusing on the role of student counselors across seven colleges. Twenty-one counselors participated in semi-structured interviews, revealing challenges in identifying and supporting bereaved students while juggling academic priorities. They acknowledge their focus on academics, while often feeling they lack adequate training for broader emotional support. Key themes include counselor roles, identifying bereaved students, and balancing academic and emotional needs. Recommendations highlight the necessity of tailored counselor roles, specialized training in bereavement and communication, and establishing clear support structures. These findings underline a critical gap in college bereavement support and advocate for practical improvements. Enhancing counselor education and support structures could better address the needs of bereaved students, reflecting broader challenges faced by counselors and the importance of continuous education in effectively supporting them.
{"title":"Supporting bereaved students: Qualitative insights from Danish college student counselors.","authors":"Martin Lytje, Johanne Mansdotter, Atle Dyregrov","doi":"10.1080/07481187.2024.2414288","DOIUrl":"https://doi.org/10.1080/07481187.2024.2414288","url":null,"abstract":"<p><p>This article investigates bereavement support among Danish college students, focusing on the role of student counselors across seven colleges. Twenty-one counselors participated in semi-structured interviews, revealing challenges in identifying and supporting bereaved students while juggling academic priorities. They acknowledge their focus on academics, while often feeling they lack adequate training for broader emotional support. Key themes include counselor roles, identifying bereaved students, and balancing academic and emotional needs. Recommendations highlight the necessity of tailored counselor roles, specialized training in bereavement and communication, and establishing clear support structures. These findings underline a critical gap in college bereavement support and advocate for practical improvements. Enhancing counselor education and support structures could better address the needs of bereaved students, reflecting broader challenges faced by counselors and the importance of continuous education in effectively supporting them.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-11DOI: 10.1080/07481187.2024.2414283
Emily R Edwards, Natesha Smith-Isabell, Gabriella Epshteyn, Ashley L Greene, Daniel Gorman, Deidra Hubay, Robert Losieniecki, Cathleen Appelt, Terra Osterberg, Melvin Walker, Joseph Geraci, Marianne Goodman
A rapidly growing literature highlights a critical need for targeted suicide prevention and risk mitigation strategies for veterans navigating the military-to-civilian transition. Although various risk correlates of suicidal thoughts and behavior among transitioning veterans have been identified, how and why these correlates occur and interact to affect suicidality remains unclear. Guided by the 3 Step Theory of Suicide, 10 recently discharged United States military veterans with a history of post-discharge suicide thoughts, urges, or behaviors completed interviews on the military-to-civilian transition and suicidal thoughts and behaviors occurring during this time. Thematic analysis highlighted an overarching theme of transition whiplash comprising four subthemes: unpreparedness, economic vulnerability, identity disruption, and social alienation. Veterans' recommendations for improving suicide-prevention efforts included providing a primary contact to provide personalized support and guidance throughout transition and increasing accessibility of peer support. Results provide nuanced insight into experiences that may underlie suicide risk during the military-to-civilian transition.
快速增长的文献突显出,从军队向平民过渡的退伍军人亟需有针对性的自杀预防和风险缓解策略。虽然已经发现了转业退伍军人自杀想法和行为的各种风险相关因素,但这些相关因素是如何发生以及为何相互作用影响自杀倾向的,目前仍不清楚。在 "自杀三步理论"(3 Step Theory of Suicide)的指导下,10 名最近退伍并在退伍后有过自杀念头、冲动或行为的美国退伍军人完成了关于军转民以及在此期间出现的自杀念头和行为的访谈。主题分析突出了 "过渡鞭打 "这一总主题,其中包括四个次主题:毫无准备、经济脆弱性、身份混乱和社会疏离。退伍军人对改进自杀预防工作的建议包括:在整个过渡时期提供一个主要联系人,以提供个性化的支持和指导,并增加同伴支持的可及性。研究结果提供了对军转民期间自杀风险的细微洞察。
{"title":"Veteran suicide thoughts and attempts during the transition from military service to civilian life: Qualitative insights.","authors":"Emily R Edwards, Natesha Smith-Isabell, Gabriella Epshteyn, Ashley L Greene, Daniel Gorman, Deidra Hubay, Robert Losieniecki, Cathleen Appelt, Terra Osterberg, Melvin Walker, Joseph Geraci, Marianne Goodman","doi":"10.1080/07481187.2024.2414283","DOIUrl":"https://doi.org/10.1080/07481187.2024.2414283","url":null,"abstract":"<p><p>A rapidly growing literature highlights a critical need for targeted suicide prevention and risk mitigation strategies for veterans navigating the military-to-civilian transition. Although various risk correlates of suicidal thoughts and behavior among transitioning veterans have been identified, how and why these correlates occur and interact to affect suicidality remains unclear. Guided by the 3 Step Theory of Suicide, 10 recently discharged United States military veterans with a history of post-discharge suicide thoughts, urges, or behaviors completed interviews on the military-to-civilian transition and suicidal thoughts and behaviors occurring during this time. Thematic analysis highlighted an overarching theme of transition whiplash comprising four subthemes: unpreparedness, economic vulnerability, identity disruption, and social alienation. Veterans' recommendations for improving suicide-prevention efforts included providing a primary contact to provide personalized support and guidance throughout transition and increasing accessibility of peer support. Results provide nuanced insight into experiences that may underlie suicide risk during the military-to-civilian transition.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-11DOI: 10.1080/07481187.2024.2414933
Myriam Guedj, Orane Melet
The issue of medically-assisted dying in pediatric care, including euthanasia and deep sedation, is ethically complex. Despite its relevance, no research has applied Information Integration Theory to evaluate the acceptability of these practices in pediatric care, which is what we did in the present study. A sample of 166 French laypeople read 54 scenarios involving end-of-life situations involving children and assessed the acceptability of a physician's decision in each one. Scenarios included four factors: child's discernment capacity, child's request to die, parental consent, and physician's action. Parental consent and the child's request were the most influential factors in respondents' judgments, followed by the child's discernment and physician's action. Cluster analysis revealed four groups: "Situation-dependent," "Always acceptable," "Not acceptable except in rare circumstances," and "Parental consent." Most people were sensitive to situational factors influencing the acceptability of children's medically assisted dying.
{"title":"Attitudes of French laypeople toward children's medically-assisted dying.","authors":"Myriam Guedj, Orane Melet","doi":"10.1080/07481187.2024.2414933","DOIUrl":"https://doi.org/10.1080/07481187.2024.2414933","url":null,"abstract":"<p><p>The issue of medically-assisted dying in pediatric care, including euthanasia and deep sedation, is ethically complex. Despite its relevance, no research has applied Information Integration Theory to evaluate the acceptability of these practices in pediatric care, which is what we did in the present study. A sample of 166 French laypeople read 54 scenarios involving end-of-life situations involving children and assessed the acceptability of a physician's decision in each one. Scenarios included four factors: child's discernment capacity, child's request to die, parental consent, and physician's action. Parental consent and the child's request were the most influential factors in respondents' judgments, followed by the child's discernment and physician's action. Cluster analysis revealed four groups: \"Situation-dependent,\" \"Always acceptable,\" \"Not acceptable except in rare circumstances,\" and \"Parental consent.\" Most people were sensitive to situational factors influencing the acceptability of children's medically assisted dying.</p>","PeriodicalId":11041,"journal":{"name":"Death Studies","volume":" ","pages":"1-9"},"PeriodicalIF":2.1,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}