- freely available
Int. J. Environ. Res. Public Health 2019, 16(22), 4561; https://doi.org/10.3390/ijerph16224561
2. Materials and Methods
Statement on Ethics
3.1. Step One
3.2. Step Two
3.3. Step Three
3.3.1. Addressing the Stigma of Suicide Bereavement and Impact on Help-Seeking
3.3.2. Reluctance to Access Support
3.3.3. Was It Accidental Death due to Drugs/Alcohol or Was It Suicide?
3.3.4. The Impact on Wider Communities
3.3.5. Supporting Those Beyond the Next of Kin
3.3.6. Matching Types of Support to Needs
3.3.7. Does the Term Digital Put People off?
3.3.8. Timing of Service Provision (in Relation to Loss)
3.4. Step Four
4.1. Ethical Challenges Identified
Conflicts of Interest
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|Priority Identified||Discussions and Potential Solutions|
|The stigma of suicide bereavement||DSP offers a potential solution for overcoming the stigma of suicide bereavement by providing connectivity and a safe, knowledge-based support system through personal empowerment via the range of support that could be offered.|
|Reluctance to access support||Educating people about vulnerabilities and how to address them could ease the stigma around seeking support.|
|Was it accidental death due to drugs/alcohol or was it suicide?||The sensitivities around suicide deaths involving drugs and/or alcohol misuse, and also acceptance of the term ‘suicide’, requires language consideration within any system of support. ‘Traumatic death’ is more sensitive than ‘suicide’.|
|The impact on wider communities||Distinguish between post-suicide activities that carry a risk of leading to heightened emotions versus those that are useful for raising awareness. To counter any negative impact, there needs to be wider roll-out and publicity of support services. Future development of the digital solution could also include self-referral.|
|Supporting those beyond next of kin||There is a need to develop more effective means of identifying and supporting those beyond the next of kin. See also: Reluctance to Access Support and Impact on Wider Communities.|
|Matching types of support to needs||Gaps in provision should be identified. Consider links with Coroners’ services.|
|Does the term ‘digital’ put people off?||Capacity building for using a digital social prescribing platform should be offered through software training. Use of champions models to cascade awareness and training could assist with changing the management process.|
|Timing of service provision (in relation to loss)||The bereaved clients could be followed up at different stages post bereavement; support should be tailored to the needs of the individual; initially focusing on practical hurdles, later providing emotional support options.|
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