Risk factors for complicated grief.

Author(s):  
William E. Piper ◽  
John S. Ogrodniczuk ◽  
Anthony S. Joyce ◽  
Rene Weideman
2018 ◽  
Vol 36 (3) ◽  
pp. 264-265
Author(s):  
Susan Carla Stone

Death by suicide has increased in the United States. Experts have identified risk factors that may identify those at risk. It is understood that depression is one of the major risk factor. The families and community are the secondary victims when a suicide attempt or completion is made, and they are at risk for complicated grief. Recently, our team was consulted for the case of a young woman with a catastrophic suicide attempt.


Death Studies ◽  
2009 ◽  
Vol 34 (1) ◽  
pp. 1-29 ◽  
Author(s):  
Nigel P. Field ◽  
Charles Filanosky

2005 ◽  
Vol 50 (11) ◽  
pp. 680-683 ◽  
Author(s):  
William E Piper ◽  
John S Ogrodniczuk ◽  
Rene Weideman

Objective: This study aimed to discover screening questions for initial assessments of psychiatric outpatients to identify which patients are likely experiencing complicated grief (CG). Method: We examined the responses of 235 outpatients to questionnaire items. One set came from the Texas Revised Inventory of Grief (TRIG). This set represented events cited in clinical literature as indicators or risk factors for CG. Another set came from a factor analysis of items that define CG. We determined relations between items and CG, analyzed sensitivity and specificity, and compared the 2 sets of items. Results: The factor analysis items were superior. The 2 best items correctly identified nearly 90% of patients with and without CG. Conclusion: The items can be transformed into screening questions to be used in initial interviews.


2020 ◽  
Vol 61 (5) ◽  
pp. 698-706
Author(s):  
Janske H. W. Eersel ◽  
Toon W. Taris ◽  
Paul A. Boelen

2012 ◽  
Vol 14 (2) ◽  
pp. 119-128 ◽  

Complicated grief is a recently recognized condition that occurs in about 7% of bereaved people. People with this condition are caught up in rumination about the circumstances of the death, worry about its consequences, or excessive avoidance of reminders of the loss. Unable to comprehend the finality and consequences of the loss, they resort to excessive avoidance of reminders of the loss as they are tossed helplessly on waves of intense emotion. People with complicated grief need help, and clinicians need to know how to recognize the symptoms and how to provide help. This paper provides a framework to help clinicans understand bereavement, grief, and mourning. Evidence-based diagnostic criteria are provided to help clinicians recognize complicated grief, and differentiate it from depression as well as anxiety disorder. We provide an overview of risk factors and basic assumptions and principles that can guide treatment.


Crisis ◽  
2014 ◽  
Vol 35 (3) ◽  
pp. 193-201 ◽  
Author(s):  
Ciska Wittouck ◽  
Sara Van Autreve ◽  
Gwendolyn Portzky ◽  
Kees van Heeringen

Background: Bereavement following suicide is associated with an increased vulnerability for depression, complicated grief, suicidal ideation, and suicide. There is, however, a paucity of studies of the effects of interventions in suicide survivors. Aims: This study therefore examined the effects of a cognitive behavioral therapy (CBT)-based psychoeducational intervention on depression, complicated grief, and suicide risk factors in suicide survivors. Method: In total, 83 suicide survivors were randomized to the intervention or the control condition in a cluster randomized controlled trial. Primary outcome measures included maladaptive grief reactions, depression, suicidal ideation, and hopelessness. Secondary outcome measures included grief-related cognitions and coping styles. Results: There was no significant effect of the intervention on the outcome measures. However, the intensity of symptoms of grief, depressive symptoms, and passive coping styles decreased significantly in the intervention group but not in the control group. Conclusion: The CBT-based psychoeducational intervention has no significant effect on the development of complicated grief reactions, depression, and suicide risk factors among suicide survivors. The intervention may, however, serve as supportive counseling for suicide survivors.


2015 ◽  
Vol 18 (5) ◽  
pp. 438-446 ◽  
Author(s):  
Sophie M. Bruinsma ◽  
Henning W. Tiemeier ◽  
Jolande Verkroost-van Heemst ◽  
Agnes van der Heide ◽  
Judith A.C. Rietjens

2017 ◽  
Vol 5 (5) ◽  
pp. 851-857 ◽  
Author(s):  
Manuel Fernández-Alcántara ◽  
Emmanuelle Zech

Previous research has paid little attention to the role of kinship in understanding the specific profiles of complicated grief (CG) reactions. To address this underinvestigated topic, the Inventory of Complicated Grief was used in five groups of bereaved participants ( N = 1,105) that differed in their family relationship with the deceased (child, spouse/romantic partner, sibling, parent, and grandparent). Results identified kinship relationship as the variable that predicted the highest amount of variance in the intensity of CG (standardized β = –.55), above other predictors such as gender, time since loss, or circumstances of death. More important, distinct profiles of CG reactions were found depending on kinship. These results highlight kinship as a major predictor of CG and open a new line of research that serves to clarify the role of kinship along with other risk factors.


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