What to do
Information for GPs
The following information has been prepared to assist doctors in general practice in responding to their patients who are bereaved by suicide. The overall website provides additional information that is relevant to both the practitioner and the patient.
If you would like to receive more information or make a referral please contact us.
What to Expect with the Bereaved
Kalischuk and Hayes (2004)¹ outline specific issues for the suicide bereaved:
- The grief is more intense and often never fully resolved
- The bereaved are more likely to become socially isolated and withdrawn because of the stigma that still surrounds suicide death
- The bereaved engage in a continuous search for the reason and are likely to assume greater responsibility for the death
- The bereaved experience significant guilt associated with not anticipating / preventing the suicide.
Children - heightened insecurities (eg. fearful, clingy, tearful) and regressive behaviours (eg. changes in eating, sleeping and toileting patterns).
Young People - increased risk-taking behaviours (use of alcohol / drugs, sexual activity, use of cars / motorbikes in unsafe ways), withdrawal from friends and family, sudden loss of interest / poor performance at school, engaging in 'attention-seeking' behaviours.
Adults - acutely distressed / agitated, in shock, withdrawn, depressed, unable to attend to usual responsibilities, hyperactivity, sensitised to own mortality, any range of bereavement and traumatic responses.
Responding to Suicide Bereavement
Essentially, people need to be listened to and supported in their grief. People experience and express their grief in a variety of ways and it is important that the bereaved are supported in whatever is their way and in their timeframe.
The GPs role is to:
- Be there and listen, respond from the heart
- Assure the bereaved that they are normal. Intense and overwhelming emotions may cause the bereaved to think they are going mad
- Pay attention to others who might be affected, e.g. siblings, peers and children
- Offer ongoing support
- Deal with the suicidal thoughts of those affected and refer for specialist advice and support if this is needed
- Be prepared to answer questions and provide information and advice.
- Refer to a specialist bereavement service for counselling and group support if it is needed and available.
- Prescription of medication may be appropriate depending on the circumstances, keeping in mind that a distinction needs to be made between normal and appropriate sadness, which includes the painful emotional reactions of bereavement, and clinical depression.
Suicide Specific Counselling & Crisis Lines
Click here to find a list of support services.
¹ Kalischuk, R. G., and Hayes, V. E. (2004). Grieving, mourning, and healing following youth suicide: A focus on health and well being in families. Omega, 48, 45D67.