Evidence map›Paper›PMID 29331974›Full record

Observational studyBMJ open2018

What are the physical and psychological health effects of suicide bereavement on family members? An observational and interview mixed-methods study in Ireland.

Ailbhe Spillane, Karen Matvienko-Sikar, Celine Larkin, Paul Corcoran, Ella Arensman

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Suicidal Cognitions and Suicidal Ideation Severity: The Moderating Effect of Psychological Inflexibility About Suicidal Ideation.Archives of suicide research : official journal of the International Academy for Suicide Research · 2026
    Article
  7. Article
  8. Surviving the Tsunami of Receiving a 'Goodbye' Note.Journal of psychiatric and mental health nursing · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. The Etiopathogenic Mosaic of Suicidal Behaviour.Behavioral sciences (Basel, Switzerland) · 2025
    Review
  15. Article
  16. Surviving families: experiences of losing a family member to suicide.Revista latino-americana de enfermagem · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ailbhe SpillaneSchool of Public Health, University College Cork, Cork, Ireland.ORCID 0000-0002-1172-2151
Karen Matvienko-SikarSchool of Public Health, University College Cork, Cork, Ireland.
Celine LarkinDepartment of Emergency Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Paul CorcoranSchool of Public Health, University College Cork, Cork, Ireland.
Ella ArensmanSchool of Public Health, University College Cork, Cork, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesResearch focussing on the impact of suicide bereavement on family members' physical and psychological health is scarce. The aim of this study was to examine how family members have been physically and psychologically affected following suicide bereavement. A secondary objective of the study was to describe the needs of family members bereaved by suicide.

designA mixed-methods study was conducted, using qualitative semistructured interviews and additional quantitative self-report measures of depression, anxiety and stress (DASS-21).

settingConsecutive suicide cases and next-of-kin were identified by examining coroner's records in Cork City and County, Ireland from October 2014 to May 2016.

participantsEighteen family members bereaved by suicide took part in a qualitative interview. They were recruited from the Suicide Support and Information System: A Case-Control Study (SSIS-ACE), where family members bereaved by suicide (n=33) completed structured measures of their well-being.

resultsQualitative findings indicated three superordinate themes in relation to experiences following suicide bereavement: (1) co-occurrence of grief and health reactions; (2) disparity in supports after suicide and (3) reconstructing life after deceased's suicide. Initial feelings of guilt, blame, shame and anger often manifested in enduring physical, psychological and psychosomatic difficulties. Support needs were diverse and were often related to the availability or absence of informal support by family or friends. Quantitative results indicated that the proportion of respondents above the DASS-21 cut-offs respectively were 24% for depression, 18% for anxiety and 27% for stress.

conclusionsHealthcare professionals' awareness of the adverse physical and psychosomatic health difficulties experienced by family members bereaved by suicide is essential. Proactively facilitating support for this group could help to reduce the negative health sequelae. The effects of suicide bereavement are wide-ranging, including high levels of stress, depression, anxiety and physical health difficulties.

Indexed as

BereavementHealth StatusSuicideAdolescentAdultAnxietyAnxiety DisordersCase-Control StudiesDepressionDepressive DisorderEmotionsFamilyFemaleFriendsGriefHealthfamily membershealthmixed-methodsmorbiditysuicide bereavement

Identifiers

PMID29331974
PMCPMC5781012

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.