Death Studies最新文献

Suicide is a public health issue that impacts an average of six family members and up to 135 community members. Persons bereaved by suicide may feel guilt, stigma, shame, and rejection. In Türkiye, suicide survivors may face additional challenges due to Islamic taboos and sanctions placed on suicide. This study explores the experiences and support needs of Turkish suicide survivors through an online survey. Using NVivo software for thematic analysis, we examined responses from 73 participants and identified three predominant themes: (1) the impact of suicide, (2) support experiences and perceptions, and (3) recommendations for appropriate support provision. Each theme contained several subthemes. Our findings indicated a lack of available services and an unmet need for support.

This study employs Reflexive Thematic Analysis to explore youth expressions of suicide on Bilibili, a video platform popular among young audiences. By analyzing comments from three vloggers who died by suicide, the research identified 42 initial codes, leading to 19 themes and seven sub-themes, categorized into three main domains: Perspectives on Suicide, Perspectives on Life, and Perspectives on Death. The "Perspectives on Suicide" domain mainly includes individual assessments, attitudes toward suicide, and attributions of suicide behaviors. "Perspectives on Life" encompasses insights shaped by personal experiences, whereas discussions on death, less frequent, focus on perceptions of death and assumptions about the afterlife. The content reflects a blend of traditional Chinese views and a noticeable shift toward individualism, with the internet playing a significant role in stimulating discussions on suicide and facilitating the expression and exchange of related views. These findings provide critical insights for organizations developing effective suicide prevention strategies.

Pregnancy loss can have a profound impact on a woman's psychological and emotional health often leading to a grieving process. Furthermore, the loss of a child is a risk factor for Prolonged Grief Disorder (PGD) according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition-Text Revision (DSM-5-TR). This cross-sectional study investigated the associations between mental health, marital adjustment, family support, gestational age, and prolonged grief. We recruited 93 women who had lost a pregnancy and had a living child born after the loss. Maternal mental health and gestational age at the time of loss were the variables most correlated with prolonged grief symptoms. A network model further confirmed the results and highlighted the importance of adopting a systemic and interactive approach to these and the other variables of interest related to pregnancy loss. Raising awareness regarding mental healthcare and support networks for mothers after pregnancy loss is essential.

In Chinese culture, the family is central to the decision-making around care provided to terminally-ill patients. Previous research examined the preferences that patients and relatives have in regard to the family's role in end-of-life care. Our article takes a discourse analytic perspective and focuses on how familial dynamics are interactionally constructed by patients in audio-recorded end-of-life care consultations in Hong Kong hospitals. We document three ways that patients construct family dynamics. First, patients expressed a reluctance to talk to their family members about their condition. Second, patients talked about their families as being reluctant in accepting and "believing" the reality of their condition. Third, patients reported an epistemic divide between themselves and their family regarding knowledge and understanding of their illness. Our findings provide insights into how to conceptualize family dynamics in interactional terms. We also reflect on how our findings can complement existing research on end-of-life care in Chinese contexts.

In the Netherlands, rates of euthanasia and physician-assisted suicide (henceforth "EPAS") display substantial variation at the municipal level. If a similar variation can be found in non-assisted suicide (henceforth "suicide"), this may enable us to establish a possible correlation between these variations. This cross-sectional study assessed proportions of suicide in the years 2013-2017 in The Netherlands. Negative binomial regression analysis was performed to identify potential explanatory variables and to calculate adjusted proportions. The magnitude of variation was calculated by ratios between the highest and lowest municipality proportions. Outliers were detected by Funnel Plots. A possible correlation between suicide and EPAS was calculated. From 2013-2017 the suicide rate between Dutch municipalities varied by a factor 6.7. This variation could only be partially explained by gender, political orientation, the availability of voluntary workers, and mobility limitations. No correlation was found with the variation in EPAS. A "waterbed effect" between suicides and EPAS-cases could not be confirmed. Advice for further research is given.

Death is commonly accepted as the irreversible ending of all biological functions that keep an organism alive. However, understanding death is more complicated than merely comprehending the biological elements of death. Beyond the biological elements of death, it is also critical to understand death's social, cognitive, and environmental aspects as they influence death awareness, death anxiety, grief and bereavement, and death education. This paper explores the development of mature death concept in children, from early childhood to adolescence. Drawing on a range of developmental and death awareness theoretical frameworks, the authors create a comprehensive model describing the development of mature death concept. The goal of this paper is to propose one theoretical perspective that connects traditional cognitive, socioemotional, and ecological developmental theories with current death awareness theories.

This study aimed to investigate the factors contributing to suicide-related risks among college students during a stressful life event, specifically the COVID-19 pandemic. Employing a Classification and Regression Tree (CART) model, data from 808 college students were analyzed, revealing key interactions and predictive insights into suicide-related risk. Results indicated that preexisting depression emerged as the most significant risk factor, followed by anxiety, discrimination, stress, and younger age. These findings emphasize the importance of preventive measures targeting depression and anxiety to enhance college students' mental health and well-being. The study's implications extend to informing future research, practical interventions, and policy-making efforts addressing suicide-related risk among college students.

On 7 October 2023, 3,000 Hamas terrorists from the Gaza Strip infiltrated Israel. Over 1,300 people were killed on that day, and over 240 were abducted to Gaza. On October 8, Israel declared war on Hamas. The current study delves into the prevailing phenomenon of spontaneous war weddings held in military settings during the war. Drawing from Terror Management Theory (TMT) and utilizing an ethnographic approach, we analyze published media reports of these weddings. We suggest that this phenomenon is a sign of three terror management anxiety buffer mechanisms activated in view of current national and personal mortality salience: the validation of cultural worldviews; the enhancement of self-esteem; and the pursuit of proximity, in the form of a sense of closeness to attachment figures. All three anxiety-buffer mechanisms contribute to the fortification of psychological defenses, the denial of death, and the maintenance of psychological equanimity in view of this incomprehensible threat.

The Coronavirus pandemic has hit Brazil exceptionally hard, with more than 700.000 confirmed deaths due to COVID-19, corresponding to an estimated 6.3 million bereaved people. Yet, the mental health consequences among COVID-19 bereaved Brazilians, and the associated loss-related variables have been largely unexplored. Therefore, we aimed to clarify the associations of loss-related characteristics and circumstances with prolonged grief, posttraumatic stress, and depression symptoms experienced by COVID-19-bereaved Brazilian adults. A sample of 371 Brazilian COVID-19 bereaved adults (90% women) completed an online survey. The loss of a partner or first-degree relative, a positive assessment of the healthcare received by the deceased, and the perceived helpfulness of hospital visits in the grief process significantly correlated with prolonged grief and posttraumatic stress symptoms. The findings suggest that farewell ceremonies and positive hospital care experiences may mitigate distress among COVID-19-bereaved Brazilian adults.

This study examines the reasons of people with dementia request euthanasia and how these reasons change over time with a special focus on reasons related to family. In addition, it examines how family relates to their loved one's euthanasia wish. Seven people with dementia and a euthanasia wish in the Netherlands were interviewed, and three years later, two of them and five family members were interviewed again. Four themes were identified using thematic analyses: (1) Protecting the relationship from the impact of dementia; (2) Private domain as the primary setting to discuss euthanasia; (3) Implicit expectation to respect and agree with the euthanasia wish; (4) Experienced responsibilities of family regarding the euthanasia wish. Professionals should be aware of the position of family and the interrelatedness of the person's concern for family happiness and families' moral commitment to agree and support the wish.