BackgroundWhen a patient commits suicide while hospitalized in the psychiatric ward, the mental
healthcare professionals (MHCPs) who have had the patient in their care encounter the
family members immediately following the suicide. Professionals who encounter the
bereaved in this first critical phase may have a significant impact on the grieving
process. By providing ethically responsible and professionally competent care, they have
the opportunity to influence what can alleviate and reduce suffering and promote health
in a longer perspective.AimThe aim of this study is to investigate MHCPs’ experiences in the encounter with family
members who has been bereaved by suicide.MethodsData material consists of text from in-depth interviews with six MHCPs belonging to a
total of five different psychiatric units in two hospitals. The findings have emerged
through analysis using a hermeneutical approach based on Gadamer’s philosophical
hermeneutics.Ethical considerationsThe study was approved by the Ombudsman for Privacy of the Norwegian Social Science
Data Services and is based on informed consent and confidentiality.FindingsThree themes emerged: Confirming the suffering. Creating encounter through dialogue.
Providing consolation and reconciliation. Findings illuminate how MHCPs understand their
responsibilities and how they act in the encounter with the bereaved following
suicide.ConclusionThe participants appear to be led by the responsibility that grows through witnessing
the suffering of the bereaved. Encountering the family member’s aggression and threats
against staff members is an ethical challenge to the professional’s ability to confirm
the bereaved, create dialogue and provide consolation and reconciliation at the start of
their grieving process. MHCPs need to be aware of the different reactions and needs of
family members following suicide. More research is needed about how to provide sensitive
and flexible care in ways that can be perceived as helpful for those left behind.