Forgotten but not gone: A heuristic literature review of sibling suicide bereavement
DOI:
https://doi.org/10.11157/anzswj-vol33iss2id862Keywords:
Sibling suicide, suicide bereavement, suicide survivors, sibling loss, bereaved by suicideAbstract
INTRODUCTION: It is often said that Aotearoa New Zealand suffers from a “culture of silence” around suicide. The sibling experience, it seems, forms a silence within that silence. Suicide- bereaved siblings face what has been termed a “double loss.” Their sibling is gone, and so
is their family as they knew it. Typically, they mourn both losses in isolation, the “forgotten bereaved.” Although Aotearoa New Zealand’s suicide rates are amongst the highest in
the developed world, there are currently no academic papers dedicated exclusively to the sibling experience of suicide loss. This has serious implications, as suicide-bereaved siblings experience significantly higher rates of mental illness compared to control groups even when pre-existing psychopathology, health problems, and social disadvantages are taken into consideration. In addition, their own risk of suicide has been found to double.
METHOD: This heuristic literature review aims to clarify and summarise what research focused on the sibling experience of suicide bereavement has highlighted so far, drawing on the author’s lived experience to examine key themes of guilt, “unacceptable” anger, social stigmatisation, self-judgement, isolation, and the shattering of relational trust.
FINDINGS AND IMPLICATIONS: Siblings cannot be expected to “seek” help, it needs to be offered—strongly and repeatedly. With this in mind, potential implications for mental health practice with suicide-bereaved siblings will be discussed, as well as broader social initiatives and areas in need of future research.
References
A sister’s tale: What happens when a family member ends it all. (2011, August 3). New Zealand Herald. https://www.nzherald.co.nz/nz/news/article.cfm?c_ id=1&objectid=10742554
Bolton, J. M., Katz, L. Y., Sareen, J., Chateau, D., Martens, P. J., Au, W., Walld, R., Leslie, W. D., Enns, J., & Logsetty, S. (2016). Bereavement after sibling death: A population-based longitudinal case-control study. World Psychiatry, 15(1), 59–66. doi: 10.1002/wps.20293
Brent, D. A., Perperb, J. A., Moritz, G., Liotus, L., Schweers, J., Roth, C., Balach, L., & Allman, C. (1993). Psychiatric impact of the loss of an adolescent sibling to suicide. Journal of Affective Disorders, 28(4), 249–256. doi:10.1016/0165-0327(93)90060-W
Coronial Services of New Zealand (2020). Annual provisional suicide statistics for deaths reported to the Coroner between 1 July 2007 and 30 June 2020. https:// coronialservices.justice.govt.nz/assets/ Documents/Publications/2020-Annual-Provisional- Suicide-Statistics.pdf
Dyregrov, K., & Dyregrov, A. (2005). Siblings after suicide – “the forgotten bereaved”. Suicide and Life- Threatening Behavior, 35(6), 714–724. doi:10.1521/ suli.2005.35.6.714
Feigelman, W., Gorman, B. S., & Jordan, J. R. (2009). Stigmatization and suicide bereavement. Death Studies, 33(7), 591–608.
Fletcher, J., Mailick, M., Song, J., & Wolfe, B. (2015). A sibling death in the family: Common and consequential. Demography, 50(3), 803–826. doi:10.1007/s13524-012- 0162-4
Gall, T. L., Henneberry, J., Eyre, M. (2014). Two perspectives on the needs of individuals bereaved by suicide. Death Studies, 38(7), 430–437. doi:10.1080/07481187.2013. 772928
Haugen, A. E., Cookman, M. L., King, A R., & Preszler, J. R. (2016). Sibling death and adult maladjustment indices: A brief report. Journal of Loss and Trauma, 21(4), 265–274. doi:10.1080/15325024.2015.1048152
Jordan, J. R. (2009). After suicide: Clinical work with survivors. Grief Matters: The Australian Journal of Grief and Bereavement, 12(1), 4–9.
Lindqvist, P., Johansson, L., & Karlsson, U. (2008). In the aftermath of teenage suicide: A qualitative study of the psychosocial consequences for the surviving family members. BMC Psychiatry, 8(1), 26. https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471- 244X-8-26
Miers, D., Abbott, D., & Springer, P. R. (2012). A phenomenological study of family needs following the suicide of a teenager. Death Studies, 36(2), 118–133. do i:10.1080/07481187.2011.553341
Moustakas, C. (1990). Heuristic research: design, methodology, and applications [Sage Ebooks version]. http://www.autonline.ac.nz/
Perlman F., & Frankel, J. (2009). Relational psychoanalysis: A review. Psychoanalytic Social Work, 16(2), 105–125. doi:10.1080/15228870903200277
Pettersen, R., Omerov, P., Steineck, G., Dyregrov, A., Titelman, D., Dyregrov, K., & Nyberg, U. (2013). Suicide- bereaved siblings’ perception of health services. Death Studies, 39(6), 323–331. doi:10.1080/07481187.2014. 946624
Powell, K. A., & Matthys, A. (2013). Effects of suicide on siblings: Uncertainty and the grief process. Journal of Family Communication, 13(4), 321–339. doi:10.1080/15 267431.2013.823431
Rakic, A. S. (1992). Sibling survivors of adolescent suicide [Unpublished doctoral dissertation]. Available from ProQuest Dissertations and Theses Full Text database. (ProQuest ID: 304032612)
Rappaport, J. (1994). Sibling suicide: Its effects on the
wish for a child and on the maternal transference/countertransference interaction. Journal of Clinical Psychoanalysis, 3(2), 241–258. http://www.pep-web.org/
Rostila, M., Berg, L., Saarela, J., Ichiro, K., & Hjern, A. (2017). Experience of sibling death in childhood and risk of death in adulthood: A national cohort study from Sweden. American Journal of Epidemiology, 185(12), 1247–1254.
Rostila, M., Saarela, J., & Kawachi, I. (2013). “The psychological skeleton in the closet”: Mortality after a sibling’s suicide. Social Psychiatry and Psychiatric Epidemiology, 49(6), 919–927. doi:10.1007/s00127-013- 0780-1
Royden, L. (2018). Better silent than silenced: searching for the words of sibling suicide bereavement [Master’s thesis]. AUT, Auckland, New Zealand. https://aut.researchgateway.ac.nz/handle/10292/11582
Sandler, I., Tein, J., Wolchik, S., & Ayers, T. S. (2016). The effects of the family bereavement program to reduce suicide ideation and/or attempts of parentally bereaved children six and fifteen years later. Suicide & Life- Threatening Behavior, 46, 32–38. doi:10.1111/sltb.12256
Statistics New Zealand (2019). Parenting and fertility trends in New Zealand: 2018. https://www.stats.govt.nz/reports/ parenting-and-fertility-trends-in-new-zealand-2018
Todd, S. H. (1980). Sibling survivors of suicide: A qualitative study of the experience of adolescent siblings whose brother or sister completed suicide [Unpublished doctoral dissertation]. Available from ProQuest Dissertations and Theses Full Text database. (ProQuest ID No. 303003183)
Van der Kolk, B. (2014). The body keeps the score [Apple iBooks version]. Penguin Books.
White, K. S. (2012). Surviving the suicide of a sibling: A phenomenological study [Unpublished doctoral dissertation]. Available from ProQuest Dissertations and Theses Full Text database. (ProQuest ID No. 1439437483)
Wood, L., Byram, V., Gosling, A. S., Stokes, J. (2012). Continuing bonds after suicide bereavement in childhood. Death Studies, 36(10), 873–898. doi:10.1080/ 07481187.2011.584025
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