Do Suicide Survivors Suffer Social Stigma: A Review of the Literature
Open accessAbstract
One of the delineating elements found in suicide bereavement versus normal bereavement is the stigma experienced by survivors. This review of the literature will provide insight into stigma as an underlying element in suicide bereavement and point to the role of health professionals in dealing with this complex issue. Historical review and empirical studies are analyzed to provide a framework for how suicide relates to natural bereavement. The conclusion is that suicide bereavement is different from natural loss. The challenge to health care providers is to sort through the complex issues surrounding the individual and their social network to find mechanisms that lead to resolution. Suicide has a profound effect on the family, friends, and associates of the victim that transcends the immediate loss. As those close to the victim suffer through bereavement, a variety of reactions and coping mechanisms are engaged as each individual sorts through individual reactions to the difficult loss. Bereavement refers to "all the physiological, psychological, behavioral, and social response patterns displayed by an individual following the loss (usually through death) of a significant person or thing" (Dunne, Dunne-Maxim & McIntosh, 1987). Bereavement following suicide is complicated by the complex psychological impact of the act on those close to the victim. It is further complicated by the societal perception that the act of suicide is a failure by the victim and the family to deal with some emotional issue and ultimately society affixes blame for the loss on the survivors. This individual or societal stigma introduces a unique stress on the bereavement process that in some cases requires clinical intervention.
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Previous qualitative studies of the experience of suicide bereavement have identified strong perceptions of stigma, the characteristics of which differ according to cultural settings.
“Previous qualitative studies of the experience of suicide bereavement have identified strong perceptions of stigma, the characteristics of which differ according to cultural settings (Cvinar, 2005, Hanschmidt et al., 2016).”
From The stigma associated with bereavement by suicide and other sudden deaths: A qualitative interview study (2018) · cites this paper as Cvinar, 2005
In “Suicide Bereavement is Different” (page unavailable), Cvinar describes interviews in which bereaved people felt marked by stigma. The review also discusses qualitative findings of stigma, but the passages do not establish that its characteristics differ across cultural settings; a reference to society being culturally ill-prepared is not a comparison between settings. (LLM, conf=0.86)
Experimental — accuracy not yet measuredExisting reviews on stigma associated with suicide survivors used non-systematic modes of data collection, limiting conclusions.
“While few existing reviews have focused on stigma associated with suicide survivors [12,13], non-systematic modes of data collection limit conclusions and several new studies have been published since the publication date of the most recent review in 2008.”
From The Stigma of Suicide Survivorship and Related Consequences—A Systematic Review (2016) · cites this paper as [12]
Cvinar’s paper is a review focused on stigma among suicide survivors. The Literature Review and Discussion describe weak study designs and poorly defined or indirect data-collection methods in the underlying studies, which limit conclusions. They do not establish that existing reviews themselves used non-systematic data-collection methods. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe interview topic guide was based on published research and policy literature and suggestions of an advisory group of young bereaved adults and bereavement counsellors.
“This was based on the published research and policy literature (Cvinar, 2005, Public Health England & National Suicide Prevention Alliance, 2015, Sveen and Walby, 2008), and the suggestions of an advisory group of young bereaved adults and bereavement counsellors.”
From The stigma associated with bereavement by suicide and other sudden deaths: A qualitative interview study (2018) · cites this paper as Cvinar, 2005
Social stigma attached to suicide survivors may greatly complicate the grieving process after suicide.
“Another factor that characterizes suicide bereavement and that may greatly complicate the grieving process after suicide is the social stigma attached to suicide survivors [7,10–13].”
From The Stigma of Suicide Survivorship and Related Consequences—A Systematic Review (2016) · cites this paper as [12]
Several new studies on suicide survivor stigma have been published since the most recent review in 2008.
“While few existing reviews have focused on stigma associated with suicide survivors [12,13], non-systematic modes of data collection limit conclusions and several new studies have been published since the publication date of the most recent review in 2008.”
From The Stigma of Suicide Survivorship and Related Consequences—A Systematic Review (2016) · cites this paper as [12]
Evidence tentatively supports that stigma complicates the grieving process of suicide survivors.
“This evidence tentatively supports the assumption that stigma complicates the grieving process of suicide survivors [8,12].”
From The Stigma of Suicide Survivorship and Related Consequences—A Systematic Review (2016) · cites this paper as [12]
People bereaved by suicide tend to avoid seeking help.
“The next challenges are the paucity of trial evidence for effective interventions7 and the tendency of people bereaved by suicide to avoid seeking help8 9 despite expressing clear unmet needs.10”
From Support received after bereavement by suicide and other sudden deaths: A cross-sectional UK study of 3432 young bereaved adults (2017) · cites this paper as [9]
High levels of stigma relative to other bereaved groups may reduce both willingness to seek help and friends' or relatives' readiness to offer support.
“High levels of stigma relative to other bereaved groups11 may reduce both willingness to seek help and friends’ or relatives’ readiness to offer support.9 12”
From Support received after bereavement by suicide and other sudden deaths: A cross-sectional UK study of 3432 young bereaved adults (2017) · cites this paper as [9]
People bereaved by suicide's avoidance of help-seeking is likely linked to stigmatising societal beliefs about suicide as a failure of problem solving.
“This avoidance is likely to be linked to stigmatising societal beliefs about suicide as a failure of problem solving.9”
From Support received after bereavement by suicide and other sudden deaths: A cross-sectional UK study of 3432 young bereaved adults (2017) · cites this paper as [9]
Stigma was identified as a defining element of the bereavement process, echoing previous literature.
“The experience of stigma was identified as a defining element of the bereavement process, echoing previous reports of suicide bereavement in the literature.3,12,13”
From Experiences of suicide bereavement: A qualitative study exploring the role of the GP (2016) · cites this paper as [13]
Stigma amplifies the grief of suicide survivors and strongly affects social interactions and help-seeking.
“The grief of survivors of suicide is also amplified by stigma, which has a profound impact on social interactions and help-seeking behaviour.3,12,13”
From Experiences of suicide bereavement: A qualitative study exploring the role of the GP (2016) · cites this paper as [13]
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- Authors
- Cvinar, J. G.
- Affiliations
- University of Massachusetts Lowell (US)
- Corresponding author
- Cvinar, Jacqueline G.
- Venue
- Perspectives In Psychiatric Care
- Publisher
- Hindawi Limited
- Published
- 2005-01
- Volume
- 41
- Issue
- 1
- Pages
- 14-21
- ISSN
- 0031-5990 (ISSN-L)
- 1744-6163
- OpenAlex
- W2042405163
- Cited by
- 298
- References
- 15
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 15 · 2023: 11 · 2022: 22 · 2021: 17 · 2020: 15 · 2019: 13 · 2018: 20 · 2017: 25 · 2016: 30 · 2015: 21 · 2014: 15 · 2013: 17 · 2012: 15
- FWCI
- 8.47
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Perspectives In Psychiatric Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
- Keywords
- suicide bereavement, suicide survivors, social stigma, grief, coping strategies, healthcare workers, family impact of suicide, bereavement interventions
- MeSH terms
- Adaptation, Psychological, Attitude of Health Personnel, Attitude to Health, Avoidance Learning, Family, Grief, Health Services Needs and Demand, Humans, Health Knowledge, Attitudes, Practice, Prejudice, Psychiatric Nursing, Social Support, Social Values, Stereotyping, Stress, Psychological, Suicide, Survivors, Nurse's Role, Friends
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