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. 2022 Sep 14;19(18):11565. doi: 10.3390/ijerph191811565

Table 3.

Attributes of the included empirical studies, survey studies, case studies, and opinion pieces.

Author & Date Location Type of Study Study Aim/Research Question Setting and Participant Details Data Collection Data Analysis Results/Findings
Bogle, C.L. (2018) [51] US Qualitative study Exploring the lived experiences of law enforcement officers concerning colleague suicide and the impact a suicide has on a law enforcement agency/department. Police Department
Law enforcement officers
n = 11
Male = 7
African American = 10
Caucasian = 1
Semi-structured interviews Thematic analysis Four major themes: (1) Uniqueness of the law enforcement community (2) Lack of available resources regarding mental health services (3) Reactive response to the suicide event and (4) The necessity for consistent mental health
services.
Carr, R.B. (2011) [52] Iraq First-person
account
Reporting the author’s first-hand experience of supporting a US army unit in Iraq after a soldier suicide. US Army
Psychiatrist in support role.
n = 1 Male
N/A N/A Acute effects of suicide and effects over the subsequent four months.
Deheeger, J. (2008) [53] Belgium Report Reporting the incidence, impact and postvention response following a colleague suicide in the Belgian Defence. Belgian Armed Forces
No Participants
N/A N/A Grief, guilt, and feelings of blame
Fear of social stigma
The service member’s need for help
Postvention trajectory of care:
Pre-incident education
Post-incident procedure of psychosocial care for victims
Structure of the postvention crisis intervention procedure.
Gulliver et al. (2016) [36] US Evaluation To subject the New York City Fire Department (FDNY) standard operating procedure (SOP) to an iterative process to develop a national guideline for suicide postvention. US Fire Department
Initial Expert Review Group:
n = 5
Female = 1
All = at least two years exp in fire service
Expert review group and 90-min focus groups, video
recorded.
Data were taken at face value and used to inform the development of the guidance. The expert review group discussed the need for more depth in the FDNY SOP as well as adding more information and procedures around responding to family and department members. Focus groups suggested making the SOP more operational and directive and breaking it up into two documents: (1) educational material (to be shortened into a pamphlet) and (2) the SOP. They also suggested calling it a guideline rather than an SOP. Feedback was incorporated into the final version of the SOP guidelines.
Six focus groups:
n = 61
75% male
Mean age = 47 years
22.9% Hispanic
9.8% African American
72/1% Caucasian
Six focus groups in three test cities reviewed the SOP manual and provided feedback on barriers to implementation
Kleespies et al. (2011) [54] US Literature review, interviews, and review of case reports To investigate the incidence of psychologist suicide and its impact on colleagues, students
or interns, patients
or clients and
the profession.
US Psychologists.
Reports that 14 cases of suicide were identified but does not clarify the number of participants interviewed nor participant details.
Interviews Not reported Postvention efforts to address the needs of all survivors are needed. Professionals can help colleagues by clarifying the wishes of the deceased for closing their practice. The extent to which colleagues may experience a complicated bereavement and need support is undetermined.
Lynn, C.W. (2008) [55] US Case study To explore the role of the occupational health nurse in supporting staff following the death co-worker suicide. US Hospital
Health workers
Case Study N/A Occupational health nurses can be the guiding force for first-line nurses after a suicide. Preparation begins with recognising that suicide is a genuine health emergency and requires the same planning as any other safety-related issue. Education and resources through EAP can prevent suicide and facilitate postvention.
Malecka, K.A. (2020) [56] Poland Qualitative multiple case study Exploring how four Polish universities managed suicides. Presenting the lived experiences of participants holistically. Higher Education Institutions
Colleagues of deceased HE workers. n = 7
Academic staff = 5
Administrative staff = 2
Polish = 5
‘Of foreign descent’ = 2
Semi-structured
interviews
Thematic data
explication
Eight thematic areas:
Notification of the deaths
Personal responses to the deaths
Institutional & managerial responses
Professional help
Formal and informal acknowledgements
Administrative matters
The reality of organisationally sponsored loss of education
Mortality (mis)management: additional loss stories
Pak et al. (2019) [57] US Literature review Providing a summary of the postvention literature with special emphasis placed on the military organisation; proposing a conceptual model for understanding Military-Unit Suicide Survivorship; and highlighting postvention strategies within the DoD. US Army
No participants
Qualitative, narrative, and evaluative
review.
Methods of data collection and analysis are not reported.
Proposes a conceptual model for military unit suicide survivorship based on the literature.
Proposes postvention strategies and
recommendations.
Makes research, clinical, and policy
recommendations.
Sever & Ozdemir (2019) [58] Turkey Qualitative study Exploring the impact of a staff
member’s suicide on the organisation, faculty, and administration in
a Turkish academic institution. Highlighting the influence of culture and belief in responses to suicide, where many people are Sunni Muslims, a
belief system that strongly
disapproves of suicide.
Higher Education Institution
n = 7
Male = 4
Colleagues n = 5
Administrators n = 2
Open questions provided by email Interpretative phenomenological
design
Two categories, seven themes
Personal:
Shock
Questioning and feeling responsible
Stigmatisation or asking for forgiveness
Personal lessons
Regrets
Organisational:
Solidarity and administrative support
What needs to be changed
Yentis, Shinde, Plunkett & Mortimore (2019) [59] UK Survey A working party to review anaesthetist suicide and provide guidance for anaesthetists, departments, and
employers.
Survey sent to anaesthetists working in the UK.
n = 3638
Anonymous online survey Descriptive
statistics
Most respondents were unaware of the existence of policies on mental illness, addiction, or suicide. 1916 cases of suicide were reported by 1397 respondents. A third of respondents who reported a suicide had experienced more than one case. Most reported suicide in the last 10 years involving anaesthetic drugs. Deficiencies were noted in support and how deaths were handled, although examples of good support were also described.