First month after loss is most vulnerable time, review shows
FRIDAY, Dec. 7 (HealthDay News) -- The grieving that follows a loved one's death can increase your risk of death, from suicide as well as other causes, a new review shows.
The most vulnerable period was the first 30 days following the loss.
More research needs to be done on targeting high-risk individuals and on what interventions might be helpful, according to the article in the Dec. 8 issue of The Lancet.
"There is a strong need for more evaluation of the efficacy of psychotherapeutic intervention programs for bereaved people, to better establish: (1) what type of help is [most] effective; (2) who precisely benefits from it; and (3) under what circumstances positive results are most likely to occur," said study author Margaret Stroebe, special chair of the Research Institute for Psychology and Health at Utrecht University in the Netherlands, in association with the Dutch Association for Grief Counseling. "Bereavement intervention is not indicated for all bereaved persons, just on the grounds that they have suffered the loss of a loved person... We need to increase understanding and channel resources to those who do need and are likely to benefit from professional help."
Even in the 21st century, grief carries with it a stigma that is hard to erase.
"So often in our society, grief is still viewed as something abnormal. You have to go back to work within two days, if you're lucky, five days," said Rebekah Lancto, bereavement coordinator at Metropolitan Jewish Hospice and Metropolitan Jewish Palliative Care, in New York City. "It doesn't go away six months later. In fact, that may be when grief really hits you, but life goes on, and people ask you why aren't you happy."
According to this article, death of a spouse is highly stressful and ranks as the life event needing the most "readjustment."
Others point to the difficulty of losing a spouse, especially during the first year.
"You may frequently see spouses engaging in leisure activities that they previously engaged in such as horseback riding or car racing or skiing that they might do now in a more dangerous way," said Rhoda Goldstein, a bereavement care coordinator for the Lippincott Family Hospice at Fox Chase Cancer Center in Philadelphia. "I frequently hear spouses say immediately after a death, 'My life has no meaning any more.' Many people have passive suicidal ideation, not that they intend to do anything deliberate to act on it, but they wish they wouldn't wake up in the morning."
According to Goldstein, some spouses may drink more heavily or use more prescription medications. And some spouses may have neglected their own health while taking care of an ailing husband or wife, leading to their own death.
The authors of the Lancet paper went through the available literature on grief and bereavement, focusing on papers published after 1997. Here are their main points:
In general, however, the authors stated, grief is a normal, natural process and "professional psychological intervention is generally neither justified nor effective for uncomplicated forms of grief."
"We try to educate people before they go through a death that this is healthy, normal response and being able to talk about it is a healthy, normal thing to do," Lancto said.
The National Cancer Institute has more on loss, grief and bereavement.
SOURCES: Rebekah Lancto, bereavement coordinator, Metropolitan Jewish Hospice and Metropolitan Jewish Palliative Care, New York City; Margaret Stroebe, Ph.D., professor and special chair, Research Institute for Psychology and Health, Utrecht University, Netherlands; Rhoda Goldstein, M.A., LSW, clinical social worker and bereavement care coordinator, Lippincott Family Hospice, Fox Chase Cancer Center, Philadelphia; Dec. 8, 2007, The Lancet
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