TY - JOUR PY - 2019// TI - Use of alcohol and unprescribed drugs after suicide bereavement: qualitative study JO - International journal of environmental research and public health A1 - Eng, Jessica A1 - Drabwell, Lauren A1 - Stevenson, Fiona A1 - King, Michael A1 - Osborn, David A1 - Pitman, Alexandra SP - e16214093 EP - e16214093 VL - 16 IS - 21 N2 - Studies describing the impact of suicide bereavement report an excess risk of suicide, suicide attempt, psychiatric illness, and drug and alcohol use disorders compared with the general population. However, the nature of patterns of drug and alcohol use after suicide bereavement is unclear. We used an online survey to collect qualitative data to understand whether and how drug and alcohol use changes after suicide bereavement. We conducted thematic analysis of free-text responses to a question capturing their use of alcohol and drugs after the suicide of a family member or a close friend. Analysing data from 346 adults in Britain aged 18-40, we identified three main themes describing the relationship of suicide bereavement to alcohol or drug use: (1) control over drug or alcohol use, (2) the perceived purpose of using drugs or alcohol, and (3) the attribution of drug or alcohol misuse to external factors. Overlying these themes were dimensions of control and of awareness of potential harms. This study highlights that increased use of drugs and alcohol after suicide bereavement may form part of a bereaved person's coping strategies, and that sensitive approaches are needed when judging whether and when to intervene.

Language: en

LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph16214093 ID - ref1 ER -