TABLE 2.
Code | Example quote (type of bereavement in brackets) |
1 No change in use | “It has not altered my drinking habits or my used of drugs. I would say that I am a social drinker and still am. I used to be also a social drug user as well, mainly weed, but I have not taken drugs in a very long time” (sudden natural causes). |
2 Brief temporary increase (<1 week) | “It hasn’t affected me in the long term, but the night I found out what had happened I drank to try and forget about it, but instead I became more miserable and ended up going home in a ridiculous, drunken state” (suicide). |
3 Stopped | “Stopped drinking alcohol immediate aftermath of bereavement as felt numb, alcohol appeared to have no effect on me and I was afraid to drink too much as I know alcohol is a depressant (I was depressed enough!)” (sudden unnatural causes) |
4 Reduced | “I was more dedicated to not using drink or drugs for fear any use would tempt me to use them to drown my sorrows and lead to addiction” (suicide). |
5 Increased (unclear if perceived as helpful or harmful) | “I have hit alcohol quite hard at certain times since the bereavement, sometimes I can go weeks without a single drop, but other times I could get drunk 5 days in a week” (sudden natural causes). |
6 Increased (perceived as helpful) | “I definitely drink to numb myself and physically relax, and I would say I’ve drunk more heavily since Dad died” (sudden natural causes). |
7 Increased (perceived as harmful) | “My drinking increased significantly and was self-destructive. Even though it was a death from natural causes I carried a lot of guilt about being alive when he wasn’t and this carried on to my 30th birthday (when I became older then he was) but I had managed to get a hold of and sort my drinking out a few months before this time. I never indulged in drugs” (sudden natural causes). |
8 Increased (unclear if perceived as helpful or harmful) but then resumed pre-loss pattern of use | “For the couple of months following his death, I definitely drank more, but I think it was more a case of making sure I was out and busy all the time. Now my drinking habits are pretty much as they were” (sudden natural causes). “I drank a fair bit in the first year, whilst going out partying hard and trying to find oblivion. I now socially drink only” (suicide). |
9 Increased (perceived as helpful) but then resumed pre-loss pattern of use | “In the first month following his death I was drinking excessively and smoking marijuana a lot to try and numb myself from the reality of what had happened” (sudden unnatural causes). |
10 Increased (unclear if perceived as helpful or harmful) but then stopped | “After the bereavement I drunk a lot of alcohol and went out a lot but now I don’t drink at all” (sudden unnatural causes) |
11 Unable to classify | “I feel guilty about drinking” (sudden unnatural causes) “Whenever I drink too much I become depressed and cry a lot about the death” (sudden natural causes). |