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The aftermath of suicide: managing survivors' bereavement
1University of Toronto, Head, High Risk Consultion Clinic, Center for Addition and Mental Health, Toronto, Ontario. isaac.sakinofsky@utoronto.ca
Objective:
To consider the management of bereavement in 1) those who have recently experienced the loss of a close family member or friend by suicide, 2) fellow patients on a ward or caregivers, and 3) therapists and other primary caregivers.
Method:
Systematic review of the literature.
Results:
The quality of treatment trials of suicide survivors and others with complicated grief reactions is poor, with a few exceptions.
Conclusions:
Emerging treatment methods with manualized complicated grief therapy (a form of cognitive-behavioural therapy) seem promising in adults, but there are also indications for interpersonal therapy (when the deceased is a child). Bereavement groups for children who have lost adult relatives may be useful.
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