Support needs and barriers to accessing support: Baseline results of a mixed-methods national survey of people bereaved during the COVID-19 pandemic
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Abstract
Background: The COVID-19 pandemic is a mass bereavement event which has profoundly disrupted grief experiences. Understanding support needs and access to support among people bereaved at this time is crucial to ensuring appropriate bereavement support infrastructure. Aim: To investigate grief experiences, support needs and use of formal and informal bereavement support among people bereaved during the pandemic. Design: Baseline results from a longitudinal survey. Support needs and experiences of accessing support are reported using descriptive statistics and thematic analysis of free-text data. Setting/participants: 711 adults bereaved in the UK between March and December 2020, recruited via media, social media, national associations and community/charitable organisations. Results: High-level needs for emotional support were identified. Most participants had not sought support from bereavement services (59%, n = 422) or their General-Practitioner (60%, n = 428). Of participants who had sought such support, over half experienced difficulties accessing bereavement services (56%, n = 149)/General-Practitioner support (52%, n = 135). About 51% reported high/severe vulnerability in grief; among these, 74% were not accessing bereavement or mental-health services. Barriers included limited availability, lack of appropriate support, discomfort asking for help and not knowing how to access services. About 39% ( n = 279) experienced difficulties getting support from family/friends, including relational challenges, little face-to-face contact and disrupted collective mourning. The perceived uniqueness of pandemic bereavement and wider societal strains exacerbated their isolation. Conclusions: People bereaved during the pandemic have high levels of support needs alongside difficulties accessing support. We recommend increased provision and tailoring of bereavement services, improved information on support options and social/educational initiatives to bolster informal support and ameliorate isolation.
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Bereavement support needs increased during the COVID-19 pandemic, with many people reporting severe grief and difficulties accessing support.
“Bereavement support needs increased during the COVID-19 pandemic, with many people reporting severe grief and difficulties accessing support.11,12”
From Acceptance and Commitment Therapy (ACT) for people with advanced progressive illness, their caregivers and staff involved in their care: A scoping review. (2023) · cites this paper as [12]
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- Authors
- Harrop, E., Goss, S., Farnell, D., Longo, M., Byrne, A., Barawi, K., Torrens-Burton, A., Nelson, A., Seddon, K., Machin, L., Sutton, E., Roulston, A., Finucane, A., Penny, A., Smith, K. V., Sivell, S., & Selman, L. E.
- Affiliations
- Cardiff University (GB)
- PRIME Centre, Division of Population Medicine, Cardiff University, Cardiff, UK
- Keele University (GB)
- University of Bristol (GB)
- Queen's University Belfast (GB)
- University of Edinburgh (GB)
- Childhood Bereavement Network (GB)
- University of Oxford (GB)
- Corresponding author
- Harrop, Emily
- ORCID
- Venue
- Palliative Medicine
- Publisher
- SAGE Publications
- Published
- 2021-10-22
- Volume
- 35
- Issue
- 10
- Pages
- 1985-1997
- ISSN
- 0269-2163 (ISSN-L)
- 1477-030X
- PMC
- PMC8637353
- OpenAlex
- W3172502655
- Cited by
- 92
- References
- 34
- Citations by year
- 2026: 13 · 2025: 29 · 2024: 21 · 2023: 9 · 2022: 18 · 2021: 2
- FWCI
- 8.52
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Palliative Medicine (publishedVersion, cc-by)
- medRxiv (acceptedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
- Bristol Research (University of Bristol) (acceptedVersion, cc-by)
- Keele Research Repository (Keele University) (submittedVersion, cc-by)
- Research Portal (Queen's University Belfast) (submittedVersion, cc-by)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by)
- Funders
- uk research and innovation (ES/V012053/1)
- marie curie (MCCC-FCO-11-C)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
- Keywords
- bereavement, COVID-19 pandemic, grief, support needs, barriers to support, informal support, general practitioner support, bereavement services, social isolation, mental health services, family and friend support
- MeSH terms
- COVID-19, SARS-CoV-2, Adult, Bereavement, Grief, Humans, Social Support, Pandemics
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