Grief and Coping of Family Members to Loved Ones’ Suicide: A Correlational Study

Authors

Daniel John D. Arboleda

Guimaras State University (Philippines)

Rosabeth M. Arturo

Guimaras State University (Philippines)

Rosebelle V. Tembrevilla

Guimaras State University (Philippines)

Article Information

DOI: 10.47772/IJRISS.2025.91100007

Subject Category: Psychology

Volume/Issue: 9/11 | Page No: 70-85

Publication Timeline

Submitted: 2025-11-07

Accepted: 2025-11-14

Published: 2025-11-27

Abstract

With the increasing rates of suicide in one of the provinces in the Philippines, there is a crucial need to research the levels of grief and coping with the bereaved families for prevention, mitigation, and intervention for further suicide cases. This descriptive-correlational research seeks to describe the socio-demographic profile of the 33 respondents; to measure the level of grief and coping of family members who were left by their loved ones who committed suicide; to identify the significant relationship between grief and coping with the demographic variables; and to find the strength of the correlation between grief and coping. Utilizing the Grief Experience Questionnaire and Brief Coping Orientation to Problems Experienced Inventory revealed low grief experience and moderate coping, respectively. Further, the Pearson Product Moment Correlation shows a significant relationship between grief and demographic variables such as municipality and relations to the victim. Similarly, coping is also associated with civil status. Likewise, there is a direct and strong relationship between grief and coping. Thus, the present study concludes that grief can be surpassed with an appropriate coping strategy. Comprehensive intervention programs such as psychoeducation, access to mental health services, financial support, and promotion of family values for bereaved families are suggested.

Keywords

Grief, Suicide, Bereaved Families, Correlational Study

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References

1. Ayalon, L., Doron, I., Bodner, E., Inbar, N., 2014. Macro-and micro-level predictors of age categorization: results from the European Social Survey. Eur. J. Ageing 11 (1). [Google Scholar] [Crossref]

2. Azorina, V., Morant, N., Nesse, H., Stevenson, F., Osborn, D., King, M., & Pitman, A. (2019). The perceived impact of suicide bereavement on specific interpersonal relationships: A qualitative study of survey data. International journal of environmental research and public health, 16(10), 1801.https://doi.org/10.3390/ijerph16101801 [Google Scholar] [Crossref]

3. Bellini, S., Erbuto, D., Andriessen, K., Milelli, M., Innamorati, M., Lester, D., Sampogna, G., Fiorillo, A., & Pompili, M. (2018). Depression, Hopelessness, and Complicated Grief in Survivors of Suicide. Frontiers in Psychology, 9. https://doi.org/10.3389/fpsyg.2018.00198 [Google Scholar] [Crossref]

4. Brazda, G. F., Range, L. M., Remley, T. P., & White, C. C. (2019). Does knowing that a suicide was “rational” influence grief?. Death studies, 43(4), 235-239. https://doi.org/10.1080/07481187.2018.1450792 [Google Scholar] [Crossref]

5. Burns, R.A., Anstey, K.J., Windsor, T.D., 2011. Subjective well-being mediates the effects of resilience and mastery on depression and anxiety in a large community sample of young and middle-aged adults. Aust. N. Z. J. Psychiatr. 45 (3). [Google Scholar] [Crossref]

6. Camacho, D., Pérez-Nieto, M.A., & Gordillo, F. (2018). Cause of Death and Guilt in Bereavement: The Role of Emotional Regulation and Kinship. Journal of Loss and Trauma, 23, 546 - 558. https://doi.org/10.1080/15325024.2018.1485277 [Google Scholar] [Crossref]

7. Capron, D.W., Bauer, B.W., & Bryan, C.J. (2021). When people die by suicide: Introducing unacceptable loss thresholds as a potential missing link between suicide readiness states and actively suicidal clinical states. Suicide & life-threatening behavior. https://doi.org/10.1111/sltb.12820 [Google Scholar] [Crossref]

8. Chakraborty, S., & Halder, S. (2018). Psychological sequelae in suicide survivors: A brief overview. Indian Journal of Social Psychiatry, 34, 105 - 110. https://doi.org/10.4103/ijsp.ijsp_57_17 [Google Scholar] [Crossref]

9. Corrigan, P.W., Sheehan, L., Al-Khouja, M., Lewy, S.A., Major, D.R., Mead, J.K., Redmon, M., Rubey, C.T., & Weber, S. (2018). Insight into the Stigma of Suicide Loss Survivors: Factor Analyses of Family Stereotypes, Prejudices, and Discriminations. Archives of Suicide Research, 22, 57 - 66. [Google Scholar] [Crossref]

10. Drapeau, C.W., Lockman, J.D., Moore, M., & Cerel, J. (2019). Predictors of Posttraumatic Growth in Adults Bereaved by Suicide. Crisis, 40 3, 196-202 . https://doi.org/10.1027/0227-5910/a000556 [Google Scholar] [Crossref]

11. Dutra, K., Preis, L., Caetano, J., Santos, J.L., & Lessa, G. (2018). Experiencing suicide in the family: from mourning to the quest for overcoming. Revista brasileira de enfermagem, 71 suppl 5, 2146-2153 . https://doi.org/10.1590/0034-7167-2017-0679 [Google Scholar] [Crossref]

12. Feigelman, W., Cerel, J., McIntosh, J.L., Brent, D.A., & Gutin, N.J. (2018). Suicide exposures and bereavement among American adults: Evidence from the 2016 General Social Survey. Journal of affective disorders, 227, 1-6 . https://doi.org/10.1016/j.jad.2017.09.056 [Google Scholar] [Crossref]

13. Feigelman, W., & Cerel, J. (2020). Feelings of Blameworthiness and Their Associations With the Grieving Process in Suicide Mourning. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.00610 [Google Scholar] [Crossref]

14. Gallardo-Flores, A., Morán-Carrillo, J., & García-Carmona, M. (2023). The Detection of Resilience in Families Grieving Over a Suicide. Omega, 302228231219047 . https://doi.org/10.1177/0030222823121904 [Google Scholar] [Crossref]

15. Geležėlytė, O., Gailienė, D., Latakienė, J., Mažulytė-Rašytinė, E., Skruibis, P., Dadašev, S., & Grigienė, D. (2020). Factors of seeking professional psychological help by the bereaved by suicide. Frontiers in Psychology, 11, 592. https://doi.org/10.3389/fpsyg.2020.00592 [Google Scholar] [Crossref]

16. Goulah-Pabst, D.M. (2021). Suicide Loss Survivors: Navigating Social Stigma and Threats to Social Bonds. OMEGA - Journal of Death and Dying, 87, 769 - 792. https://doi.org/10.1177/00302228211026513 [Google Scholar] [Crossref]

17. Groh, C.J., Anthony, M.J., & Gash, J. (2018). The Aftermath of Suicide: A Qualitative Study With Guyanese Families. Archives of Psychiatric Nursing, 32, 469–474. https://doi.org/10.1016/j.apnu.2018.01.007 [Google Scholar] [Crossref]

18. Hamdan, S., Berkman, N., Lavi, N., Levy, S., & Brent, D.A. (2019). The Effect of Sudden Death Bereavement on the Risk for Suicide. Crisis, 1-11 . https://doi.org/10.1027/0227-5910/a000635 [Google Scholar] [Crossref]

19. Heckhausen, J., 2001. Adaptation and resilience in midlife. In: Lachman, M.E. (Ed.), Handbook of Midlife Development. John Wiley & Sons, Inc., [Google Scholar] [Crossref]

20. Iemmi V, Bantjes J, Coast E, Channer K, Leone T, McDaid D, Palfreyman A, Stephens B, Lund C (2016). Suicide and poverty in low-income and middle-income countries: a systematic review. The Lancet Psychiatry 3. [Google Scholar] [Crossref]

21. Im, J.S., Choi, S.H., Hong, D., Seo, H.J., Park, S., Hong, J.P., 2011. Proximal risk factors and suicide methods among suicide completers from national suicide mortality data 2004-2006 in Korea. Compr. Psychiatr. 52 (3). [Google Scholar] [Crossref]

22. Infurna, F.J., Gerstorf, D., Lachman, M.E., 2020. Midlife in the 2020s: opportunities and challenges. Am. Psychol. 75 (4). [Google Scholar] [Crossref]

23. Kheibari, A., & Cerel, J. (2021). The Role of Death Anxiety and Self-Esteem in Suicide Attitudes. OMEGA-Journal of Death and Dying, 86, 1069 - 1088. https://doi.org/10.1177/00302228211000935 [Google Scholar] [Crossref]

24. Kõlves, K., Zhao, Q., Ross, V., Hawgood, J., Spence, S.H., & de Leo, D. (2019). Suicide and other sudden death bereavement of immediate family members: An analysis of grief reactions six-months after death. Journal of affective disorders, 243, 96-102 . https://doi.org/10.1016/j.jad.2018.09.018 [Google Scholar] [Crossref]

25. Kõlves, K., Zhao, Q., Ross, V., Hawgood, J., Spence, S. H., & De Leo, D. (2020). Suicide and sudden death bereavement in Australia: A longitudinal study of family members over 2 years after death. Australian & New Zealand Journal of Psychiatry, 54(1), 89-98. https://doi.org/10.1177/0004867419882490 [Google Scholar] [Crossref]

26. Kourkouta, L.I., Koukourikos, K., Iliadis, C., & Tsaloglidou, A. (2019). CHILD SUICIDE: FAMILY’S REACTIONS. https://doi.org/10.32437/mhgcj.v2i2.57 [Google Scholar] [Crossref]

27. Levi-Belz, Y., & Lev-Ari, L. (2019). “Let’s talk about it”: The moderating role of self-disclosure on complicated grief over time among suicide survivors. International journal of environmental research and public health, 16(19), 3740. https://doi.org/10.3390/ijerph16193740 [Google Scholar] [Crossref]

28. Levi-Belz, Y., & Gilo, T. (2020). Emotional Distress Among Suicide Survivors: The Moderating Role of Self-Forgiveness. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00341 [Google Scholar] [Crossref]

29. Levi-Belz, Y., & Hamdan, S. (2023). Shame, depression, and complicated grief among suicide loss-survivors: the moderating role of self-disclosure. European Journal of Psychotraumatology, 14. https://doi.org/10.1080/20008066.2023.2182820 [Google Scholar] [Crossref]

30. Liu RT, Miller I. Life events and suicidal ideation and behavior: a systematic review. Clin Psychol Rev 2014;34:181–92. [Google Scholar] [Crossref]

31. Matilla Santander N, Blazevska B, Carli V, et al. Relation between occupation, gender dominance in the occupation and workplace and suicide in Sweden: a longitudinal study. BMJ Open 2022. [Google Scholar] [Crossref]

32. Mathieu, S.L., Todor, R., de Leo, D., & Kõlves, K. (2022). Coping Styles Utilized during Suicide and Sudden Death Bereavement in the First Six Months. International Journal of Environmental Research and Public Health, 19. https://doi.org/10.3390/ijerph192214709 [Google Scholar] [Crossref]

33. McCann, T.V., & Lubman, D.I. (2018). Adaptive coping strategies of affected family members of a relative with substance misuse: A qualitative study. Journal of Advanced Nursing, 74, 100–109. https://doi.org/10.1111/jan.13405 [Google Scholar] [Crossref]

34. Mercado, G. (2019). anxiety. The Filmmaker's Eye: The Language of the Lens. [Google Scholar] [Crossref]

35. https://doi.org/10.4324/9780429446894-39 [Google Scholar] [Crossref]

36. Morphew JA. Religion and Attempted Suicide. International Journal of Social Psychiatry. 1968;14(3) [Google Scholar] [Crossref]

37. O’Neill, S., Ennis, E., Corry, C., Bunting, B., 2018. Factors associated with suicide in four age groups: a population based study. Arch. Suicide Res. 22 (1). [Google Scholar] [Crossref]

38. Ohayi, S.R. (2019). “Doctor, please don’t say he died by suicide”: exploring the burden of suicide survivorship in a developing country. Egyptian Journal of Forensic Sciences, 9, 1-7. https://doi.org/10.1186/s41935-019-0153-3 [Google Scholar] [Crossref]

39. Øien-Ødegaard C, Hauge LJ, Reneflot A. Marital status, educational attainment, and suicide risk: a Norwegian register-based population study. Popul Health Metr. 2021 Jul 12;19(1):33 [Google Scholar] [Crossref]

40. Perdomo Jurado, Y.E., Caro Delgado, Á.G., Ortiz Amerita, N., & Ramírez Jaramillo, C.L. (2021). Duelo por suicidio. Salud y afrontamiento. Una revisión de literatura. Poliantea.https://doi.org/10.15765/poliantea.v16i28.2332 [Google Scholar] [Crossref]

41. Pitman, A. L., Rantell, K., Moran, P., Sireling, L., Marston, L., King, M. B., & Osborn, D. P. J. (2017). Support received after bereavement by suicide and other sudden deaths: a cross-sectional UK study of 3,432 young bereaved adults. BMJ Open, 7(5), Article e014487. [Google Scholar] [Crossref]

42. Pitman, A.L., Stevenson, F.A., Osborn, D.P., & King, M.B. (2018). The stigma associated with bereavement by suicide and other sudden deaths: A qualitative interview study. Social Science & Medicine (1982), 198, 121 - 129. https://doi.org/10.1016/j.socscimed.2017.12.035 [Google Scholar] [Crossref]

43. Sajan, M., Kakar, K., & Majid, U. (2021). Social Interactions While Grieving Suicide Loss: A Qualitative Review of 58 Studies. The Family Journal, 30, 401 - 410. [Google Scholar] [Crossref]

44. Sheehan, L., Corrigan, P.W., Al-Khouja, M., Lewy, S.A., Major, D.R., Mead, J.K., Redmon, M., Rubey, C.T., & Weber, S. (2018). Behind Closed Doors. OMEGA-Journal of Death and Dying, 77, 330 - 349.https://doi.org/10.1177/0030222816674215 [Google Scholar] [Crossref]

45. Silvén Hagström, A. (2019). “Why did he choose to die?”: A meaning-searching approach to parental suicide bereavement in youth. Death Studies, 43(2), 113-121. https://doi.org/10.1080/07481187.2018.1457604 [Google Scholar] [Crossref]

46. Soulsby LK and KM Bennett, 2015. Marriage and psychological wellbeing: The role of social support. Psychology, 6: 1349 [Google Scholar] [Crossref]

47. Spillane, A., Matvienko-Sikar, K., Larkin, C., Corcoran, P., & Arensman, E. (2018). What are the physical and psychological health effects of suicide bereavement on family members? An observational and interview mixed-methods study in Ireland. BMJ Open, 8. https://doi.org/10.1136/bmjopen-2017-019472 [Google Scholar] [Crossref]

48. Spillane, A., Matvienko-Sikar, K., Larkin, C., & Arensman, E. (2020). How do people experience a family member’s high-risk self-harm? An interpretative phenomenological analysis. Archives of Suicide Research, 24, 280 - 302. https://doi.org/10.1080/13811118.2019.1574248 [Google Scholar] [Crossref]

49. Van der Hallen, R., & Godor, B. P. (2022). Exploring the role of coping strategies on the impact of client suicide: a structural equation modeling approach. OMEGA-Journal of death and dying, 00302228211073213.https://doi.org/10.1177/00302228211073213 [Google Scholar] [Crossref]

50. Wagner, B., Hofmann, L., & Grafiadeli, R. (2021). The relationship between guilt, depression, prolonged grief, and posttraumatic stress symptoms after suicide bereavement. Journal of clinical psychology. https://doi.org/10.1002/jclp.23192 [Google Scholar] [Crossref]

51. Weinberg, M., & Soffer, M. (2021). The Relationships Between Personality Traits and Public Stigma Attached to Families Bereaved Due To Suicide. OMEGA - Journal of Death and Dying, 87, 872 - 883. https://doi.org/10.1177/00302228211029147 [Google Scholar] [Crossref]

52. Westerlund, M., Hökby, S., & Hadlaczky, G. (2020). Suicidal thoughts and behaviors among Swedish suicide-bereaved women: increased risk associated with the loss of a child, feelings of guilt and shame, and perceived avoidance from family members. Frontiers in psychology, 11, 539028.https://doi.org/10.3389/fpsyg.2020.01113 [Google Scholar] [Crossref]

53. Willis, S.L., Martin, M., Rocke, C., 2010. Longitudinal perspectives on midlife development: stability and change. Eur. J. Ageing 7 (3). [Google Scholar] [Crossref]

54. Zavrou, R., Charalambous, A., Papastavrou, E., Koutrouba, A., & Karanikola, M.N. (2022). Trying to keep alive a non-traumatizing memory of the deceased: A meta-synthesis on the interpretation of loss in suicide-bereaved family members, their coping strategies and the effects on them. Journal of psychiatric and mental health nursing. https://doi.org/10.1111/jpm.12866 [Google Scholar] [Crossref]

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