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Published in: BMC Psychiatry 1/2021

Open Access 01-12-2021 | Suicide | Research

How best to provide help to bereaved adolescents: a Delphi consensus study

Authors: Anna M Ross, Karolina Krysinska, Debra Rickwood, Jane Pirkis, Karl Andriessen

Published in: BMC Psychiatry | Issue 1/2021

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Abstract

Background

Many adolescents struggle with their grief and mental health issues after the death of a close person, such as a family member or a friend. Given the potentially devastating impact of the loss on the adolescent and their family, professional help can be warranted. However, little is known about how to best help these adolescents. This study aimed to address this gap by determining what help professionals (i.e., counselors) should provide to bereaved adolescents.

Methods

The Delphi method was used to achieve consensus regarding the importance of statements that describe actions a helping professional can take to help a bereaved adolescent. Statements were compiled through a systematic search of the scientific and grey literature, and reviewing interview data from a recent related research study with bereaved adolescents, parents and counselors. An expert panel (N = 49) comprising 16 adolescents, 14 parents and 19 helping professionals, rated each statement. Statements that were endorsed by at least 80% of panellists were considered consensus recommendations.

Results

Panellists endorsed 130 out of 190 statements as appropriate actions. These included help for a bereaved adolescent being offered on an ongoing basis, with support to be provided flexibly to meet individual adolescent needs and to acknowledge the agency of the adolescent. Support after a loss by suicide should be tailored to address specific suicide-related issues. Parents of bereaved adolescents should also be offered support so that they are better equipped to help their bereaved adolescent.

Conclusions

This study identified consensus recommendations on how a helping professional might best help bereaved adolescents. It is hoped that these recommendations will guide helping professionals and enhance adolescent grief interventions.
Appendix
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Literature
10.
go back to reference Jordan JR, McIntosh JL. Is suicide bereavement different? Perspectives from research and practice. In: Neimeyer RA, Harris DL, Winokuer HW, Thornton GF, editors. Grief and bereavement in contemporary society: bridging research and practice. New York, NY: Routledge; 2011. p. 223–34. https://doi.org/10.4324/9781003199762-20.CrossRef Jordan JR, McIntosh JL. Is suicide bereavement different? Perspectives from research and practice. In: Neimeyer RA, Harris DL, Winokuer HW, Thornton GF, editors. Grief and bereavement in contemporary society: bridging research and practice. New York, NY: Routledge; 2011. p. 223–34. https://​doi.​org/​10.​4324/​9781003199762-20.CrossRef
13.
go back to reference Silverman PR, Worden JW. Children's reactions to the death of a parent. Handbook of bereavement: Theory, research, and intervention. New York: Cambridge University Press; 1993. p. 300–16.CrossRef Silverman PR, Worden JW. Children's reactions to the death of a parent. Handbook of bereavement: Theory, research, and intervention. New York: Cambridge University Press; 1993. p. 300–16.CrossRef
15.
17.
go back to reference Andriessen K, Dudley M, Draper B, Mitchell PB. Suicide bereavement and postvention among adolescents. In: Andriessen K, Krysinska K, Grad O, editors. Postvention in action: The international handbook of suicide bereavement support. Göttingen/Boston: Hogrefe; 2017. p. 27–38. https://doi.org/10.1027/00493-000.CrossRef Andriessen K, Dudley M, Draper B, Mitchell PB. Suicide bereavement and postvention among adolescents. In: Andriessen K, Krysinska K, Grad O, editors. Postvention in action: The international handbook of suicide bereavement support. Göttingen/Boston: Hogrefe; 2017. p. 27–38. https://​doi.​org/​10.​1027/​00493-000.CrossRef
25.
go back to reference Andriessen K, Krysinska K, Hill NTM, Reifels L, Robinson J, Reavley N, et al. Effectiveness of interventions for people bereaved through suicide: a systematic review of controlled studies of grief, psychosocial and suicide-related outcomes. BMC Psychiatr. 2019;19(1):49. https://doi.org/10.1186/s12888-019-2020-z.CrossRef Andriessen K, Krysinska K, Hill NTM, Reifels L, Robinson J, Reavley N, et al. Effectiveness of interventions for people bereaved through suicide: a systematic review of controlled studies of grief, psychosocial and suicide-related outcomes. BMC Psychiatr. 2019;19(1):49. https://​doi.​org/​10.​1186/​s12888-019-2020-z.CrossRef
26.
go back to reference Jorm AF. Using the Delphi expert consensus method in mental health research. Aust N Z J Psychiatr. 2015;49(10):887–97.CrossRef Jorm AF. Using the Delphi expert consensus method in mental health research. Aust N Z J Psychiatr. 2015;49(10):887–97.CrossRef
37.
go back to reference Oltjenbruns KA. Developmental context of childhood: grief and regrief phenomena. In: Stroebe MS, Hansson RO, Stroebe W, Schut H, editors. Handbook of bereavement research: consequences, coping, and care. Washington, DC: American Psychological Association; 2001. https://doi.org/10.1037/10436-007.CrossRef Oltjenbruns KA. Developmental context of childhood: grief and regrief phenomena. In: Stroebe MS, Hansson RO, Stroebe W, Schut H, editors. Handbook of bereavement research: consequences, coping, and care. Washington, DC: American Psychological Association; 2001. https://​doi.​org/​10.​1037/​10436-007.CrossRef
42.
go back to reference Krysinska K, Andriessen K. Online suicide bereavement and support. In: Andriessen K, Krysinska K, Grad O, editors. Postvention in action: the international handbook of suicide bereavement support. Göttingen/Boston: Hogrefe; 2017. p. 197–211. https://doi.org/10.1027/00493-000.CrossRef Krysinska K, Andriessen K. Online suicide bereavement and support. In: Andriessen K, Krysinska K, Grad O, editors. Postvention in action: the international handbook of suicide bereavement support. Göttingen/Boston: Hogrefe; 2017. p. 197–211. https://​doi.​org/​10.​1027/​00493-000.CrossRef
Metadata
Title
How best to provide help to bereaved adolescents: a Delphi consensus study
Authors
Anna M Ross
Karolina Krysinska
Debra Rickwood
Jane Pirkis
Karl Andriessen
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-021-03591-7

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