Suicidality and Bereavement: Complicated Grief as Psychiatric Disorder Presenting Greatest Risk for Suicidality
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The influence of complicated grief (CG) on suicidality among bereaved adults was examined. The Yale Evaluation of Suicidality scale and the Inventory of Complicated Grief‐Revised were administered to 309 bereaved adults in face‐to‐face interviews conducted at baseline (6.2 months post‐loss) and at follow‐up (10.8 months post‐loss). Cross‐sectionally, CG was associated with a 6.58 (95% CI: 1.74–18.0) times greater likelihood of “high suicidality” at baseline, and an 11.30 (95% CI: 3.33–38.10) times greater risk of high suicidality at follow‐up, after controlling for gender, race, major depressive disorder (MDD), posttraumatic stress disorder (PTSD), and social support. Longitudinally, CG at baseline was associated with an 8.21 (95% CI: 2.49–27.0) times greater likelihood of high suicidality at follow‐up, controlling for the above confounders. The study results indicate that CG substantially heightened the risk of suicidality after controlling for important confounders such as MDD and PTSD, suggesting that CG poses an independent psychiatric risk for suicidal thoughts and actions.
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Persistent grief reactions are associated with elevated rates of other mental disorders and symptoms, including depression, PTSD, suicidality, and panic.
“There is also overwhelming evidence that persistent grief reactions are associated with elevated rates of other mental disorders and symptoms, including depression 62,63 , PTSD 52 , suicidality 64,65 , and panic 66 .”
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- Authors
- Latham, A. E., & Prigerson, H. G.
- Affiliations
- Yale University (US)
- Corresponding author
- Prigerson, Holly G.
- ORCID
- Prigerson, Holly G.
- Venue
- Suicide and Life-Threatening Behavior
- Publisher
- Wiley
- Published
- 2004-12
- Volume
- 34
- Issue
- 4
- Pages
- 350-362
- ISSN
- 0363-0234 (ISSN-L)
- 1943-278X
- PMC
- PMC1459278
- OpenAlex
- W2114330737
- Cited by
- 448
- References
- 45
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 23 · 2023: 34 · 2022: 25 · 2021: 29 · 2020: 29 · 2019: 22 · 2018: 21 · 2017: 26 · 2016: 14 · 2015: 22 · 2014: 23 · 2013: 24 · 2012: 21
- FWCI
- 15.58
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Suicide and Life-Threatening Behavior (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH056529, MH-56529, MH-63892, R01MH063892)
- National Cancer Institute (R01CA106370, CA106370)
- 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
- complicated grief, suicidality, bereavement, suicide risk, bereaved adults, major depressive disorder, post-traumatic stress disorder, social support, suicidal ideation, longitudinal risk
- MeSH terms
- Mental Disorders, Bereavement, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Male, Surveys and Questionnaires, Risk Factors, Suicide, Attempted, Prevalence, Confidence Intervals
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