Unpacking the meaning of closeness, reconsidering the concept of impact in suicide exposure, and expanding beyond bereavement: “Just, I hope you don’t forget about us”

Suicide exposure research has relied on samples of treatment-seeking kin, resulting in an attachment-based model centering bereavement as the most significant form of impact and obscuring other forms of significant and  life-altering impact. From a community-based sample (N = 3010) exposed to suicide, we examine a subset (n = 104) with perceived high impact from […]

Systematic review of the impact of suicides and other critical incidents on railway personnel

The review summarizes current scientific knowledge on the effects of railway critical incidents on railway workers and the associated risk and protective factors. Diagnosable traumatic reactions sometimes occur after a serious incident. However, the most frequent effects are long-term impairments that do not meet diagnostic criteria but can still profoundly affect people’s lives. Risk factors […]

Progress in postvention: A call to a focused future to support those exposed to suicide

This editorial presents a call to a focused future to support those exposed to suicide. In the late 1960s, Edwin Shneidman first focused attention on the needs of those bereaved by suicide and coined the term postvention. While we have not forgotten to cite Shneidman over the past 50 years, the crucial part of his message, […]

Acceptability and potential impact of the #chatsafe suicide postvention response among young people who have been exposed to suicide: Pilot study

Background: Young people are more likely to be affected by suicide contagion, and there are concerns about the role social media plays in the development and maintenance of suicide clusters or in facilitating imitative suicidal behavior. However, social media also presents an opportunity to provide real-time and age-appropriate suicide prevention information, which could be an […]

Suicide exposure and the impact of client suicide: A structural equation modeling approach

Objective: Client suicide, used to refer to situations where a mental health practitioner (MHP) is exposed, affected, or bereaved by a client’s suicide, is known to have a profound impact on MHPs. The current study investigated (1) the short- and long-term impact of client suicide and (2) to what extent gender, years of experience, therapeutic background, […]

Suicide attempters’ memory traces of exposure to suicidal behavior: A qualitative pilot study

Background: In the course of their lives individuals may encounter the phenomenon of suicide in various ways, for example, directly through suicidal behavior in the family or among peers; or indirectly through hearsay, the media, literature, etc. Aims: The study investigates such memory traces (engrams) in patients with and without a suicide attempt. Methods: Ten patients from a […]

Investigating the effects of suicide exposure among a clinical sample of active duty service members

Suicide exposure warrants further investigation as a risk factor for suicide among military service members. This study aimed to examine associations among suicide exposure, suicidal ideation (SI), and psychological symptoms in a clinical sample of service members (N = 1,565, 64.4% suicide-exposed) and identify how one’s relationship with the deceased impacts suicidality and psychological health in […]

Acceptability, family discord, loss survivor status, and mood disorder: Risk factors for suicide among South Koreans

The aim of the present study was to examine how exposure to suicidal behavior, family strain, and reasons for living influence both acceptability and suicidal behavior in South Korea. Based on 1,599 respondents to the 2009 South Korean General Social Survey data, the study found that acceptability of suicide and depression were the most consistent […]

Rates of exposure to natural, accidental, and suicide deaths

Objective We expand upon previous research examining the prevalence of exposure to suicide deaths by comparing these to natural and accidental deaths. Furthermore, we examine whether participants are more apt to lie about the cause of death for a suicide than for an accidental or natural death. Method The sample consisted of 1,430 respondents who […]

People exposed to suicide attempts: Frequency, impact, and the support received

Objective Little is known about people who have been exposed to a suicide attempt by someone they know. The purpose of this study was to examine how many people have been exposed to a suicide attempt by someone they knew and whether the exposure was associated with general well-being and suicidal ideation. Method A population-based […]

Suicide exposure experience screener for use in therapeutic settings: A validation report

Introduction A brief screener assessing experience of exposure to suicide for use in therapeutic settings is warranted. To examine the concurrent validity of such a screening tool, labeled as the Suicide Exposure Experience Screener (SEES), the associations of the two SEES items: (i) reported closeness with the person who died by suicide and (ii) perceived […]

From grief to hope: The collective voice of those bereaved or affected by suicide in the UK

This research report on the Impact of Suicide in the UK was published on 18th November 2020. It has been led by University of Manchester in collaboration with the SASP. It shows a poignant, personal and full picture of the impact of suicide on the lives of individuals, families, colleagues and professionals. It recognises progress made […]

An examination of suicide exposure and fearlessness about death on suicide risk among active duty service members, veterans, and civilians

Suicide exposure is associated with an increased risk for suicide. There is limited research on the mechanisms that increase this risk. This study aims to: (1) compare suicide exposure and associated variables in veteran, active duty, and civilian participants, (2) examine the extent to which fearlessness about death and suicide risk factors differ as a […]

Pulling together: The protective role of belongingness for depression, suicidal ideation and behavior among suicide-bereaved individuals

Background: While belongingness has frequently been investigated in the general population as an antidote to experiencing depression, suicidal thoughts, and suicidal behavior, it has rarely been evaluated as a protective factor among individuals bereaved by suicide. Aims: We examined whether perceived belongingness could moderate the differences between suicide-bereaved, suicide-exposed, and nonexposed respondents regarding depression, suicide ideation, and suicide […]

Transgenerational concordance in parent-to-child transmission of suicidal behaviour: A retrospective, nationwide, register-based cohort study of 4419642 individuals in Denmark

Background Suicidal behaviour runs in families, but the nature of transgenerational concordance needs elucidation. The aim of this study was to examine parent-to-child transmission by investigating whether presence and nature of parental suicidal behaviour was associated with suicidal behaviour in children. Methods We did a retrospective, nationwide, register-based cohort study in Demark using register data. […]

Suicide exposure in crisis workers

Background: Crisis workers provide services to individuals who are in acute distress. There is no research examining personal and occupational exposure to suicide in these workers. Aims: We aimed to examine the prevalence of personal, occupational, and colleague suicide exposure among crisis workers, the mental health outcomes associated with suicide exposures, and perceived professional preparedness for client suicide. Method: Crisis […]

Offspring’s risk for suicidal behaviour in relation to parental death by suicide: Systematic review and meta-analysis and a model for familial transmission of suicide

Background: Exposure to parental suicide has been associated with increased risk for suicide and suicide attempts, although the strength of this association is unclear as evidence remains inconsistent. Aims: To quantify this risk using meta-analysis and identify potential effect modifiers. Method: A systematic search in PubMed, PsycInfo and Embase databases to 2020 netted 3614 articles. […]

Exposure to suicide in the family and suicidal ideation in Portugal during the Covid-19 pandemic: The mediating role of unbearable psychache

Objectives: This study tested the mediation effects of two facets of psychache – bearable and unbearable – in the relationship between exposure to suicide in the family and suicidal ideation in Portugal during the Covid-19 pandemic. Methods: Two hundred and forty-four adults aged between 19 and 64 participated. Two groups were defined: one exposed to suicide in […]

Suicide exposure in crisis workers

Background: Crisis workers provide services to individuals who are in acute distress. There is no research examining personal and occupational exposure to suicide in these workers. Aims: We aimed to examine the prevalence of personal, occupational, and colleague suicide exposure among crisis workers, the mental health outcomes associated with suicide exposures, and perceived professional preparedness for client suicide. Method: Crisis […]

How relatives look back at suicide risk after their close one’s death by suicide

The aim of the current study is to analyze how relatives understand in retrospect the suicide risk of their next of kin who died by suicide. We interviewed 103 adult relatives who lost their significant others to suicide, using qualitative content analysis to explore the data. Participants expressed difficulties understanding suicide risk by identifying personal traits […]

Youth exposure to suicide attempts: Relative impact on personal trauma symptoms

Introduction: The purpose of this study is to report the prevalence of youth lifetime exposure to suicide attempts by people close to them, and its association with personal nonvictimization adversities, suicidal ideation, thoughts of self-harm, and trauma symptoms. Methods: Data were collected as part of the National Surveys of Children’s Exposure to Violence, comprising three cross-sectional studies […]

Sex differences in mental health outcomes of suicide exposure

Past research has robustly supported differences in prevalence and severity of mental health disorders between males and females in general. Less is known in regards to how suicide exposure and related factors may be associated with these mental health outcomes in men and women. This study seeks to explore similarities and differences between suicide exposure […]

Suicide exposure in transgender and gender diverse adults

Objective The purpose of this study is to examine the psychological effects of suicide exposure for Transgender and Gender Diverse (TGD) adults. Method Using data from a national online survey of 2,784 self-identified TGD adults, the current study investigated the prevalence of suicide death and suicide attempt exposure and demographic and mental health correlates. Results […]