Suicidal Thoughts and Behaviors Among Swedish Suicide-Bereaved Women: Increased Risk Associated With the Loss of a Child, Feelings of Guilt and Shame, and Perceived Avoidance From Family Members

Previous studies have shown that suicide-bereaved individuals may suffer increased risk of suicidal thoughts and behaviors (STBs) due to traumatic grief. In this paper, we present the self-reported rate of STB among Swedish suicide-bereaved women (N = 293). Data was collected in a cross-sectional an...

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Main Authors: Michael Westerlund, Sebastian Hökby, Gergö Hadlaczky
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-06-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyg.2020.01113/full
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author Michael Westerlund
Michael Westerlund
Sebastian Hökby
Sebastian Hökby
Gergö Hadlaczky
Gergö Hadlaczky
author_facet Michael Westerlund
Michael Westerlund
Sebastian Hökby
Sebastian Hökby
Gergö Hadlaczky
Gergö Hadlaczky
author_sort Michael Westerlund
collection DOAJ
description Previous studies have shown that suicide-bereaved individuals may suffer increased risk of suicidal thoughts and behaviors (STBs) due to traumatic grief. In this paper, we present the self-reported rate of STB among Swedish suicide-bereaved women (N = 293). Data was collected in a cross-sectional anonymous survey on the homepages of Sweden’s leading suicide survivor organization, SPES. We used logistic regression to evaluate risks (of any STB event) related to losing a child compared to other relatives and the experience of social avoidance from family members, as well as feelings of shame and guilt. The self-reported rate of suicidal thoughts, plans, and attempts was 60, 24, and 5 percent, respectively, considerably higher than in the general population. Results showed that all of the investigated variables were independent risk factors for STB (ORs ranged between 1.29 and 2.69). Women who had both lost a child and experienced family avoidance reported the highest STB rate (87.5%), and we found an interaction effect between these two risk factors (OR = 3.45; 95% CI = 1.05–11.32) that was related to self-reported shame. It is concluded that perceived responsibility for someone else’s suicide, and the social avoidance associated with it, may play an important role for suicide survivors and should be targeted by postvention activities.
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spelling doaj.art-9c06792377a1425fbd2099f49a88af2d2022-12-21T19:08:59ZengFrontiers Media S.A.Frontiers in Psychology1664-10782020-06-011110.3389/fpsyg.2020.01113539028Suicidal Thoughts and Behaviors Among Swedish Suicide-Bereaved Women: Increased Risk Associated With the Loss of a Child, Feelings of Guilt and Shame, and Perceived Avoidance From Family MembersMichael Westerlund0Michael Westerlund1Sebastian Hökby2Sebastian Hökby3Gergö Hadlaczky4Gergö Hadlaczky5Department of Media Studies, Stockholm University, Stockholm, SwedenNational Centre for Suicide Research and Prevention, Centre for Health Economics, Informatics and Health Services Research, Stockholm Health Care Services, Stockholm, SwedenNational Centre for Suicide Research and Prevention, Centre for Health Economics, Informatics and Health Services Research, Stockholm Health Care Services, Stockholm, SwedenNational Centre for Suicide Research and Prevention, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, SwedenNational Centre for Suicide Research and Prevention, Centre for Health Economics, Informatics and Health Services Research, Stockholm Health Care Services, Stockholm, SwedenNational Centre for Suicide Research and Prevention, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, SwedenPrevious studies have shown that suicide-bereaved individuals may suffer increased risk of suicidal thoughts and behaviors (STBs) due to traumatic grief. In this paper, we present the self-reported rate of STB among Swedish suicide-bereaved women (N = 293). Data was collected in a cross-sectional anonymous survey on the homepages of Sweden’s leading suicide survivor organization, SPES. We used logistic regression to evaluate risks (of any STB event) related to losing a child compared to other relatives and the experience of social avoidance from family members, as well as feelings of shame and guilt. The self-reported rate of suicidal thoughts, plans, and attempts was 60, 24, and 5 percent, respectively, considerably higher than in the general population. Results showed that all of the investigated variables were independent risk factors for STB (ORs ranged between 1.29 and 2.69). Women who had both lost a child and experienced family avoidance reported the highest STB rate (87.5%), and we found an interaction effect between these two risk factors (OR = 3.45; 95% CI = 1.05–11.32) that was related to self-reported shame. It is concluded that perceived responsibility for someone else’s suicide, and the social avoidance associated with it, may play an important role for suicide survivors and should be targeted by postvention activities.https://www.frontiersin.org/article/10.3389/fpsyg.2020.01113/fullsuicidal thoughts and behaviorsbereavementchild bereavementsocial avoidanceguiltshame
spellingShingle Michael Westerlund
Michael Westerlund
Sebastian Hökby
Sebastian Hökby
Gergö Hadlaczky
Gergö Hadlaczky
Suicidal Thoughts and Behaviors Among Swedish Suicide-Bereaved Women: Increased Risk Associated With the Loss of a Child, Feelings of Guilt and Shame, and Perceived Avoidance From Family Members
Frontiers in Psychology
suicidal thoughts and behaviors
bereavement
child bereavement
social avoidance
guilt
shame
title Suicidal Thoughts and Behaviors Among Swedish Suicide-Bereaved Women: Increased Risk Associated With the Loss of a Child, Feelings of Guilt and Shame, and Perceived Avoidance From Family Members
title_full Suicidal Thoughts and Behaviors Among Swedish Suicide-Bereaved Women: Increased Risk Associated With the Loss of a Child, Feelings of Guilt and Shame, and Perceived Avoidance From Family Members
title_fullStr Suicidal Thoughts and Behaviors Among Swedish Suicide-Bereaved Women: Increased Risk Associated With the Loss of a Child, Feelings of Guilt and Shame, and Perceived Avoidance From Family Members
title_full_unstemmed Suicidal Thoughts and Behaviors Among Swedish Suicide-Bereaved Women: Increased Risk Associated With the Loss of a Child, Feelings of Guilt and Shame, and Perceived Avoidance From Family Members
title_short Suicidal Thoughts and Behaviors Among Swedish Suicide-Bereaved Women: Increased Risk Associated With the Loss of a Child, Feelings of Guilt and Shame, and Perceived Avoidance From Family Members
title_sort suicidal thoughts and behaviors among swedish suicide bereaved women increased risk associated with the loss of a child feelings of guilt and shame and perceived avoidance from family members
topic suicidal thoughts and behaviors
bereavement
child bereavement
social avoidance
guilt
shame
url https://www.frontiersin.org/article/10.3389/fpsyg.2020.01113/full
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