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13 - Children and adolescents bereaved by a suicidal death: implications for psychosocial outcomes and interventions

Published online by Cambridge University Press:  04 December 2009

By
Cornelia L. Gallo  and
Cynthia R. Pfeffer
Edited by
Robert A. King  and
Alan Apter
Cornelia L. Gallo
Affiliation:
Assistant Clinical Professor of Child Psychiatry, Yale Child Study Center, 230 South Frontage Road, POB 207900, New Haven, CN 06511 USA
Cynthia R. Pfeffer
Affiliation:
Professor of Psychiatry, Director of the Childhood Bereavement Program, Weill Medical College of Cornell University, New York Presbyterian Hospital, 21 Bloomingdale Road, White Plains, NY 10605 USA e-mail: cpfeffer@med.cornell.edu
Robert A. King
Affiliation:
Yale University, Connecticut
Alan Apter
Affiliation:
Tel-Aviv University
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Summary

Epidemiology of suicide in U.S.

Although the 30 575 Americans who committed suicide in 1998 did not represent a substantial change in the total number of annual deaths, the suicide rate among adolescents aged 15–19 years old in the United States increased 11% from 1980–1997, while the rate among youngsters 10%–14 years old increased over the same period by 109% (Centers for Disease Control, 2002). “The increased suicide rates are thought to reflect changes in the social environment, changing attitudes toward suicide and increasing availability of the means to commit suicide”, (Kaplan, et al., 1994, p. 1121). Of the nearly 5000 individuals under age 25 years who killed themselves, a large proportion left siblings behind. Furthermore, of the roughly 13 000 people in the 25- to 44-years-old age group who committed suicide in 1998, probably at least half were parents and of the 6000 people 65 years old or older many were grandparents. Thus, it is likely that over 12 000 children and adolescents yearly are affected by suicidal deaths of close family members. This chapter will focus on the psychosocial impact of a family suicide on children and adolescents and discuss intervention strategies at the individual, family, and community level. It will also discuss how these effects may elevate the risk for suicidal behavior of children and adolescents.

An urgent clinical research imperative is to identify factors that elevate or diminish the risk of detrimental outcome for children and adolescents bereaved by the suicide of a relative.

Keywords

adolescentsanxietybereavementchildrenPTSDpsychosocial impactsuicidal deathmajor depressive disorder
Type
Chapter
Information
Suicide in Children and Adolescents , pp. 294 - 312
Publisher: Cambridge University Press
Print publication year: 2003

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References

American Association of Suicidology (AAS) (1997). Suicide Postvention Guidelines. Washington DC: AAS
American Psychiatric Association (APA) (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. Washington, DC: American Psychiatric Association
Black, D. (1996). Childhood bereavement. British Medical Journal, 312, 1496Google Scholar
Brent, D. A., Perper, J., Moritz, G., Allman, C., Schweers, J., Roth, C., Balach, L., and Canobbio, R. (1993a). Bereavement or depression? The impact of the loss of a friend to suicide. Journal of the American Academy of Child and Adolescent Psychiatry, 32(6), 1189–1197Google Scholar
Brent, D. A., Perper, J. A., Moritz, G., Allman, C., Liotus, L., Schweers, J., Roth, C., Balach, L., and Canobbio, R. (1993b). Psychiatric sequelae to the loss of an adolescent peer to suicide. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 509–517Google Scholar
Brent, D. A., Perper, J. A., Moritz, G., Liotus, L., Schweers, J., Roth, C., Balach, L., and Allman, C. (1993c). Psychiatric impact of the loss of an adolescent sibling to suicide. Journal of Affective Disorders, 28, 249–256Google Scholar
Brent, D. A., Perper, J., Moritz, G., Liotus, L., Schweers, J., and Canobbio, R. (1994). Major depression or uncomplicated bereavement? A follow-up of youth exposed to suicide. Journal of the American Academy of Child and Adolescent Psychiatry, 33(2), 231–239Google Scholar
Brent, D. A., Perper, J. A., Moritz, G., Liotus, L., Richardson, D., Canobbio, R., Schweers, J., and Roth, C. (1995). Posttraumatic stress disorder in peers of adolescent suicide victims: predisposing factors and phenomenology. Journal of the American Academy of Child and Adolescent Psychiatry, 34(2), 209–215Google Scholar
Brent, D. A., Moritz, G., Bridge, J., Perper, J., and Canobbio, R. (1996a). The impact of adolescent suicide on siblings and parents: a longitudinal follow-up. Suicide and Life-Threatening Behavior, 26(3), 253–259Google Scholar
Brent, D. A., Moritz, G. et al. (1996b). Long-term impact of exposure to suicide: a three year controlled follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 35(5), 646–653Google Scholar
Cain, A. C. (ed.) (1972). Survivors of Suicide. Springfield, IL: Charles Thomas
Cain, A. C. (1995). Identificatory symptoms in bereaved children: a diagnostic note. Developmental and Behavioral Pediatrics, 16(4), 282–284Google Scholar
Cain, A. C., and Fast, I. (1966). Children's disturbed reactions to parental suicide. American Journal of Orthopsychiatry, 36, 873–880Google Scholar
Calhoun, L. G., Selby, J. W., and King, H. E. (1976). Dealing with Crisis: a Guide to Critical Life Problems, Englewood Cliffs, NJ: Prentice-Hall
Caplan, M. G., and Douglas, V. I. (1969). Incidence of parental loss in children with depressed mood. Journal of Psychology and Psychiatry, 10, 225–244Google Scholar
Centers for Disease Control (CDC) (2002). Unpublished mortality data from the National Center for Health Statistics (NCHS) Mortality Data Tapes, CDC website www.cdc.gov/ncipc/factsheets/suifacts.htm[updated September 9, 2002]
Cerel, J.Fristad, M., Weller, E. B., and Weller, R. A. ((1999). Suicide-bereaved children and adolescents: a controlled longitudinal examination. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 672–679Google Scholar
Cerel, J.Fristad, M., Weller, E. B., and Weller, R. A. ((2000). Suicide-bereaved children and adolescents: II. Parental and family functioning. Journal of the American Academy of Child and Adolescent Psychiatry, 39(4), 437–444Google Scholar
Clark, D. C., and Goebel, A. E. (1996). Siblings of youth suicide victims. In Pfeffer, C. R. (ed.) Severe Stress and Mental Disturbance in Children. Washington DC: APA Press
Cleiren, M. P., and Grad, O. (1994). Mode of death and kinship in bereavement: focusing on “who” rather than “how”. Crisis, 15(1), 22–36Google Scholar
Cleiren, M. P., and Grad, O. (1996). Psychosocial impact of bereavement after suicide and fatal traffic accident: a comparative two-country study. Acta Psychiatria Scandinavica, 94(1), 37–44Google Scholar
Constantino, R. E., and Bricker, P. L. (1995). Nursing postvention for spousal survivors of suicide. Issues in Mental Health Nursing, 17, 131–152Google Scholar
Gould, M. S., Fisher, P., Parides, M., Flory, M., and Shaffer, D. (1996). Psychosocial risk factors of child and adolescent completed suicide. Archives of General Psychiatry, 53, 1155–1162Google Scholar
Grossman, J. A., and Clark, D. C. (1995). Child bereavement after paternal suicide. Journal of the American Academy of Child and Adolescent Psychiatry, 8(2), 5–17Google Scholar
Jordan, J. R. (2001). Is suicide bereavement different? A reassessment of the literature. Suicide and Life-Threatening Behavior, 31(1), 91–102Google Scholar
Kaffman, M., and Elizur, E. (1983). Bereavement responses of kibbutz and non-kibbutz children following the death of the father. Journal of Child Psychology and Psychiatry, 24, 435–442Google Scholar
Kaffman, M., and Elizur, E. (1996). Bereavement as a significant stressor in children. In Pfeffer, C. J. (ed.) Severe Stress and Mental Disturbance in Children. Washington DC: APA Press
Kaplan, H. I., Sadock, B. J., and Grebb, J. A. (1994). Kaplan and Sadock's Synopsis of Psychiatry (7th edn.) Baltimore, MD: Williams & Wilkins
Kranzler, E. M., Shaffer, D., Wasserman, G., and Davies, M. (1990). Early childhood bereavement. Journal of the American Academy of Child and Adolescent Psychiatry, 29(4), 513–520Google Scholar
Lewis, M. (ed.) (1996). Child and Adolescent Psychiatry: A Comprehensive Textbook (2nd edn.). Baltimore, MD: Williams & Wilkins
Melges, F. T., and DeMaso, D. R. (1980). Grief-resolution therapy: reliving, revising, and revisiting. American Journal of Psychotherapy, 34(1), 51–61Google Scholar
Ness, D., and Pfeffer, C. (1990). Sequelae of bereavement resulting from suicide. American Journal of Psychiatry, 147(3), 279–285Google Scholar
Osterweis, M., Solomon, F., and Green, M. (eds.) (1984). Bereavement: Reactions, Consequences, and Care. Washington, DC: National Academy Press
Parkes, C. M. (1980). Bereavement counseling: does it work?British Medical Journal, 281, 3–6Google Scholar
Pfeffer, C. R., Martins, P., Mann, J., Sunkenberg, M., Ice, A., Damore, J. P. Jr., Gallo, C., Karpenos, I., and Jiang, H. (1997). Child survivors of suicide: psychosocial characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36(1), 65–74Google Scholar
Pfeffer, C. R., Karus, D., Siegel, K., and Jiang, H. (2000). Child survivors of parental death from cancer or suicide: depressive and behavioral outcomes. Psycho-Oncology, 9(1), 1–10Google Scholar
Pfeffer, C. R., Jiang, H., Kakuma, T., Hwang, J., and Metsch, M. (2002). Group intervention for children bereaved by the suicide of a relative. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 505–513Google Scholar
Polak, P. R., Egan, D., Vandenbergh, R., and Williams, W. V. (1975). Prevention in mental healths. American Journal of Psychiatry, 132, 146–149Google Scholar
Raphael, B. (1982). The young child and the death of a parent. In Parkes, C. M., Stevenson-Hinde, J. (eds.) The Place of Attachment in Human Behavior. London: Tavistock
Rogers, J., Sheldon, A., Barwick, C., Letofsky, K., and Lancee, W. (1982). Help for families of suicide: Survivors Support Program. Canadian Journal of Psychiatry, 27, 444–449Google Scholar
Schneiderman, G., Winders, P., Tallett, S., and Feldman, W. (1994). Do child and/or parent bereavement programs work?Canadian Journal of Psychiatry, 39, 215–218Google Scholar
Shepherd, D. M., and Barraclough, B. M. (1974). The aftermath of suicide. British Medical Journal, 2, 600–603Google Scholar
Shepherd, D. M., and Barraclough, B. M. (1976). The aftermath of parental suicide for children. British Journal of Psychiatry, 129, 267–276Google Scholar
Tennant, C. (1988). Parental loss in childhood. Its effect in adult life. Archives of General Psychiatry, 45(11), 1045–1050Google Scholar
Eerdewegh, M. M., Bieri, M. D., Parilla, R. H., and Clayton, P. J. (1982). The bereaved child. British Journal of Psychiatry, 140, 23–29Google Scholar
Weller, R. A., Weller, E. B., Fristad, M. A., and Bowes, J. M. (1991). Depression in recently bereaved prepubertal children. American Journal of Psychiatry, 148, 1536–1540Google Scholar
Wessel, M. A. (1978). The grieving child. Clinical Pediatrics, 17(7), 559–568Google Scholar

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