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Sudden death liminality: dehumanisation and disengagement.

Tricia Scott1

  • 1Centre for Research in Primary and Community Care, University of Hertfordshire, Hatfield AL10 9AB, United Kingdom. p.scott3@herts.ac.uk

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Summary

Emergency personnel navigate complex emotions and practicalities during sudden death encounters. This study explores their disengagement process, offering insights into the sociology of death.

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Area of Science:

  • Sociology
  • Emergency Medicine
  • Thanatology

Background:

  • Sudden death work presents unique challenges for emergency personnel.
  • Understanding the psychological and social dynamics of these encounters is crucial.

Purpose of the Study:

  • To explore the beliefs, values, and disengagement processes of emergency personnel involved in sudden death work.
  • To analyze the intricate, intimate, and emotional aspects of dealing with the deceased.

Main Methods:

  • Ethnographic design involving an experienced emergency nurse as researcher.
  • Focus groups conducted with emergency nurses, paramedics, and police traffic officers in three North of England emergency departments.
  • Computerized qualitative data analysis software used for theme generation and thick description.

Main Results:

  • Key themes identified include role-related aspects (resignation, uncertainty, obstruction, routinization), legitimacy factors (age, mode of death, personal analogy), emotional responses (coping, exhaustion, annoyance, humor), and spiritual relevances.
  • The theme of 'liminality, dehumanisation and disengagement' was further explored through direct quotations concerning body preparation, property handling, and valuables.
  • Emerging categories from the preparation, washing, and wrapping of the body were analyzed.

Conclusions:

  • Gained insight into emergency personnel's perceptions of sudden death work and their disengagement from the deceased.
  • The findings contribute to the emerging field of the sociology of sudden death.
  • Highlights the intricate, intimate, and emotional nature of emergency response to sudden fatalities.