Title:
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A review of the psycho-social interventions for children and adolescents bereaved by parental suicide : do adult-child survivors of parental suicide experience re-grief?
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Systematic Literature Review:
The psychological impact of sudden and unexpected loss (especially of a family member) Is associated with a particularly
difficult bereavement course (Rando, 1996). This is further complicated when the loss is through suicide thus Increasing the
likelihood of psychological disturbance. It is now generally accepted that some bereaved children will experience a
complicated or prolonged grief reaction in such circumstance. Whilst a body of research has begun to be complied, until
relatively recently little was known as to the nature of these studies, nor about the efficacy of Interventions aimed at
amelioreting this distress; this remains an underdeveloped area. The current paper systematically reviews the current literature
base.
Three bibliographic databases, namely; PsychlNFO, ISI Web of Science and the Cumulative Index to Nursing and Allied
Health (CINAHL) were searched from 1980 to 6th December 2013. Identified articles of interest were closely examined and a
search of their reference sections was also used to elicit further articles of relevance. Seven studies were identified and
included in this narrative synthesis of quantitative Information.
Outcomes; Few programmes targeted children who lost a parent to completed suicide, Instead the evaluated treatment
Interventions which also Included bereavement owing to other causes; suggesting no distinction in grief between types of loss.
Evidence would suggest that those Interventions where trauma was addressed prior to attending to grief/bereavement factors
were more effective.
There remains a significant need for further research in this area.
Empirical Study:
The impact over the long-term of parental suicide is poorly understood and a neglected area in psychological research. This
study explored the experiences of five participants who, when they were a child, lost a parent to completed suicide. Their
experiences of the grieving and re-grieving process were explored through Interview; the material from which was interpreted
using thematic analysis. Three themes emerged which were characterised under the following headings: "A Way our,
"Knowledge and Information" and "A Way Forward".
These themes illustrate their attempts to understand and comprehend what has happened, manage the plethora of confusing
emotions and find a way to live with what has happened to them and move forward in their lives.
Clinical applicability of the findings is also discussed.
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