Feelings of blameworthiness and their associations with the grieving process in suicide mourning

Aims: This study focuses on identifying the correlates associated with the emergence of feelings of blameworthiness associated with a suicide or other traumatic death and its associations with grief complications. Methods: Based on a mailed questionnaire survey of 575 mostly white and economically advantaged bereaved parents, 462 who lost a child to suicide, 48 to a drug […]

The importance of timing, fundamental attitudes, and appropriate interventions as key aspects of chaplain suicide prevention: A European expert panel of mental health chaplains

An expert panel consisting of six mental health chaplains from several European countries was convened to ascertain the specific contribution of mental health chaplains to suicide prevention, and to generate good practices for suicide prevention. Three themes emerged: (1) the importance of timing; (2) fundamental attitudes of the chaplain towards the patient, and (3) appropriate […]

Longitudinal relationships between guilt and suicide risk among adolescents in a postdisaster context: Mediating roles of rumination and posttraumatic stress disorder

Objective To analyze the pathways and mechanisms underlying the impact of guilt on suicide risk using a well-controlled longitudinal study, we examined the mediating roles of intrusive rumination, deliberate rumination, and posttraumatic stress disorder (PTSD) in this association. Method Four hundred and eight adolescent survivors (Mage = 14.05 years) were assessed using self-report questionnaires three and a half […]

Suicide grief support program

Grieving a loss to suicide can seem overwhelming, but the support and understanding of others can be a powerful source of strength. Our Suicide Bereavement Support Groups welcome anyone who has lost someone to suicide. Each group includes 3 modules covered over a 12-week period. Participants must attend an intake session prior to joining a group.

The relations between childhood maltreatment, shame, guilt, depression and suicidal ideation in inpatient adolescents

Background Previous studies demonstrated positive relations between various forms of maltreatment and suicidal ideation; however, mechanisms underlying these relationships are not well understood. We propose that the experience of maltreatment in childhood may lead to high levels of generalized guilt and shame, resulting in an increase of depressive symptoms and suicidal thoughts in adolescents. The […]

The stigma perceived by people bereaved by suicide and other sudden deaths: A cross-sectional UK study of 3432 bereaved adults

Objective To test the hypothesis that perceived stigma scores in young adults bereaved by suicide are significantly higher than in young adults bereaved by other sudden deaths, whether blood-related to the deceased or not. Methods We conducted a cross-sectional study of all staff and students aged 18–40 at 37 UK higher educational institutions in 2010, and identified 3432 […]

Trauma-related guilt mediates the relationship between posttraumatic stress disorder and suicidal ideation in OEF/OIF/OND veterans.

Posttraumatic stress disorder (PTSD) and trauma-related guilt are risk factors for suicidal ideation (SI) in veterans. Components of trauma-related guilt were examined as serial mediators of the relationship between PTSD and SI. In a sample of 53 OEF/OIF/OND combat veterans, PTSD had an indirect effect on SI through a serial mediation chain of guilt cognitions, […]

Shame, guilt, and suicide ideation among bondage and discipline, dominance and submission, and sadomasochism practitioners: Examining the role of the interpersonal theory of suicide.

To date, no study has examined rates of suicide ideation or theory-based risk factors for suicide ideation among bondage and discipline, dominance and submission, and sadomasochism (BDSM) practitioners. Participants were 321 adults that endorsed BDSM involvement. Thirty-seven percent of the sample indicated a nonzero level of suicide ideation. Thwarted belongingness and perceived burdensomeness (PB) were […]

Conceptualizing suicide bereavement from an attachment lens.

Suicide is a devastating event for individuals, families, and societies. With a conservative estimate of 1 million deaths worldwide per year as the result of suicide, it affects every fabric of society. In addition to managing the trauma of the death, it is family structure and processes that are altered in significant ways, specifically with […]

Guilt is more strongly associated with suicidal ideation among military personnel with direct combat exposure.

Research suggests guilt is a significant predictor of suicidal ideation among military personnel, and may be especially pronounced among those who have been exposure to combat-related traumas. The current study explored the interactive effect of direct combat exposure and guilt on suicidal ideation in a clinical sample of military personnel. Contact us for a copy […]

The effect of shame-proneness, guilt-proneness, and internalizing tendencies on nonsuicidal self-injury.

Nonsuicidal self-injury is especially common in adolescents and young adults. Self-injury may be related to shame or guilt, two moral emotions, as these differentially predict other maladaptive behaviors. Using a college sample, we examined not only how shame-proneness, guilt-proneness, and internalizing emotional tendencies related to self-injury, but also whether these moral emotions moderate the relation […]

Last words: analysis of suicide notes from an RECBT perspective: an exploratory study.


The Relationship Between Police Officer Suicide and Posttraumatic Stress Disorder (In: Suicide and Law Enforcement, edited by D C Sheehan & J I Warren)

This chapter examines the relationship between posttraumatic stress disorder & police suicide. It examines the predisposing factors, time-of-incident variables, & long-term effects that can individually or in unison contribute to suicide. A multifaceted approach is offered to preventing suicide among officers suffering posttraumatic stress disorder, including training of officers, training of managers, policy & procedure […]

Factors Affecting Psychological Well-Being of Three Groups of Suicide-Prone Prisoners

This study examined institutional & individual factors that were related to levels of anxiety, depression, & psychological well-being in 3 groups of male prisoners (young remand, young sentenced, & those serving life sentences). A psychiatric history, religious faith, feelings of guilt, lack of close friends outside of prison, or disinclination to take part in sport, […]

Suicidal Behavior in Surviving Co-Twins

Doubt remains as to whether the increased risk of suicide in monozygotic twins is a response to the intense grief over the loss of a close relative, or whether a common genotype is associated with suicidal behaviour. A number of researchers have reported greater suicide ideation among bereaved monozygotic twins as compared to dyzygotic twins, […]

Surviving the Suicides of Significant Others: a Case Study


Attempted Suicide as Evidence of Guilt in Criminal Cases: the Legal and Psychological Views

The purpose of this article is to test the advisability of admitting evidence of attempted suicide by determining whether is is relevant to a fair inference of conscious & actual guilt &, if so, whether any of the recognized rules of exclusion in American law would bar its admission. It is concluded that any connection […]

Christian-based Counseling for the Suicide Survivor: a Guide for Pastoral Therapy

Guilt, Discord, and Alienation: the Role of Religious Strain in Depression and Suicidality


A Story About Private Practice


Shame and Guilt in Child Sexual Offenders

In this article, the authors build on previous discussions of the possible role of shame & guilt in sexual offending. They review the general psychological literature & conclude that the distinction between internal & external shame is an important one in considering sexual offenders. The effects of shame & guilt on victim empathy & relapse […]

If Only…

The Guilt of Surviving Death

Published in “The Suicidal Process: Challenges for Treatment and Prevention”