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Foreword | p. xiii |
Acknowledgments | p. xix |
Introduction | p. 1 |
Theoretical Issues Guiding This Study and How the Data Were Collected | p. 15 |
The Plan of This Book | p. 15 |
Theoretical Issues Guiding This Research | p. 17 |
Studying a More Approachable Question | p. 20 |
Study Methods, Sample Characteristics, and Measurements | p. 22 |
Quantitative Data Sources, and Methods | p. 22 |
Characteristics of the Sample | p. 25 |
Measurements | p. 26 |
Additional Qualitative Data Sources | p. 28 |
Thoughts on the Difficulties of Doing Traumatic-Loss Research | p. 29 |
Factors Associated With the Loss Experience | |
Suicide Stigma and Compounding a Survivor's Grief Difficulties | p. 39 |
Introduction | p. 39 |
Findings on Stigmatization | p. 45 |
Implications | p. 53 |
Drug-Overdose Deaths and Survivors' Grief: A Greatly Neglected Subject | p. 59 |
Introduction | p. 59 |
The Trajectory of Grief After Drug-Overdose Deaths | p. 63 |
Methodological Concerns | p. 66 |
Measures | p. 67 |
Type of Loss | p. 67 |
Results | p. 69 |
Stigma, Grief, and Mental Health Problem Behaviors | p. 69 |
Controlling for Potential Confounding Variables | p. 70 |
Discussion | p. 74 |
Conclusion | p. 78 |
Differences in the Suicide Death Circumstances and How They May Affect a Survivor's Grief | p. 81 |
Introduction | p. 81 |
Measures of Interest | p. 84 |
Finding the Body | p. 84 |
Surprise at the Death | p. 84 |
Prior Relationships | p. 84 |
Suicide Method | p. 85 |
Results | p. 85 |
Interpreting Our Findings | p. 91 |
Grief Overload: The Impact of Multiple Losses, Only-Child Loss, and Multiple Stressor Events on Bereaved Parents | p. 97 |
Sustaining Multiple Losses | p. 98 |
Differences in Grief and Mental Health Problems | p. 103 |
Losing One's Only Child | p. 106 |
Exploring Associations Between Other Potential Stressful Events and Parent Survivors' Grief | p. 114 |
Summary and Conclusion | p. 116 |
Forms of Bereavement Assistance and How They Help Survivors Cope | |
Early Years After Loss: Survivors Get Help and Advance From Their Depths of Despair | p. 225 |
Responses From Our Survey Participants | p. 127 |
Help-Seeking Activities of All Newly Bereaved Parents | p. 128 |
What Helps Survivors the Most? | p. 132 |
Type of Loss and Differences in Getting Help | p. 133 |
How Did Our Respondents Use Different Healing Aids? | p. 138 |
The Social Characteristics of Those Avoiding All Professional Mental Health and Peer Help Altogether | p. 139 |
Social and Grief Characteristics of Those Using Support Groups and Professional Counseling Help | p. 141 |
Summing Up | p. 144 |
Later Years After Loss: Identifying the Postvention Needs of Survivors | p. 147 |
Introduction | p. 147 |
Investigating the Correlates of Grief and Psychological Difficulties Among Longer Term Bereaved Parents | p. 152 |
Bereaved Parents' Use of Healing Aids in Later Years After Loss, Their Postvention Needs, and Examining Whether They Comprise an At-Risk Population | p. 158 |
The Healing Potential of Suicide Survivor Support Groups | p. 171 |
Introduction | p. 171 |
The Group Studied | p. 174 |
Survivors Pursue Their Common Goals | p. 175 |
Conclusion | p. 183 |
Suicide Survivor Support Groups: Comings and Goings | p. 187 |
Introduction | p. 187 |
Social Factors Associated With Joining a Support Group | p. 188 |
Findings | p. 189 |
Frequency of Peer Support Group Participation During the Past Year | p. 189 |
Correlates of Current Support Group Participation | p. 190 |
Conclusions: Who Joins Support Groups? | p. 192 |
Why Do Many Survivors Eventually Withdraw From Support Groups? | p. 195 |
Findings on Support Group Departures | p. 197 |
Clarifying the Synergistic Association Between Seeing Bereavement Counselors and Going to Support Groups | p. 197 |
Why Survivors Leave Support Groups During Early Grieving Years: Facilitator Skill Issues | p. 199 |
Departures Among the Newly Bereaved (Not Associated With Leadership Deficiencies) | p. 202 |
Departures Among Survivors With Longer Associations in Support Groups | p. 206 |
Posttraumatic Growth Through Social Activism | p. 209 |
Summary and Conclusions | p. 211 |
Personal Growth After a Suicide Loss: Is It Associated With a Survivor's Mental Health? | p. 215 |
Introduction | p. 215 |
Findings | p. 219 |
Summary and Study Limitations | p. 224 |
Conclusions | p. 228 |
Internet Support Groups for Suicide Survivors: A New Form of Grief Support | p. 232 |
Introduction | p. 231 |
Gathering the Data for This Chapter | p. 233 |
Results | p. 234 |
Use Patterns | p. 234 |
What Internet Support Group Members Value About Online Participation | p. 236 |
Reasons for Seeking an Internet Group | p. 239 |
Demographic Characteristics of Internet and Face-to-Face Group Affiliates | p. 240 |
Differences in Grief Difficulties and Mental Health Problems | p. 240 |
Summary and Implications | p. 247 |
The Impact of a Child's Traumatic Death on Married Couples | |
Gender Differences in Grief After the Death of a Child | p. 255 |
Marital Cohesion and Help Seeking | p. 263 |
Gender Differences in Grief and Mental Health Difficulties | p. 265 |
Investigating Whether Child Loss Promotes Harmony or Discord Among Married Couples | p. 273 |
Survey Data | p. 277 |
Marital Solidarity | p. 279 |
Demographic Variables | p. 281 |
Psychological Variables | p. 282 |
Correlates of Increased Marital Closeness | p. 287 |
Summing Up | p. 289 |
Where Do We Go From Here? | p. 293 |
Suggestions for Future Research | p. 295 |
Appendix | p. 303 |
Index | p. 335 |
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