Negotiating the postvention situation: A grounded theory of NHS staff experiences when supporting their coworkers following a colleague’s suicide

Spiers, Johanna; Causer, Hilary; Efstathiou, Nikos; Chew-Graham, Carolyn A.; Gopfert, Anya; Grayling, Kathryn; Maben, Jill; van Hove, Maria; Riley, Ruth

Abstract

Suicide is a leading cause of death. NHS workers, especially female nurses, have heightened vulnerability. Being impacted by a colleague’s suicide can lead to increased suicidality. Postvention refers to support following a suicide. We investigated current, available postvention for NHS workers following a colleague’s suicide and the experiences of staff who deliver it (“supporters”). Twenty-two supporters were interviewed, and data were analyzed using classic grounded theory. The theory of negotiating postvention situations was developed. Supporters must negotiate enabling and disabling elements that form a “postvention situation” and impact behaviors and postvention efficacy. Postvention delivery is emotionally burdensome. Supporters need support, which they do not always receive. Postvention can lead to learning, which can better inform future postvention. The extent to which NHS workers can effectively support colleagues will depend on their postvention situation. As such, work must be done to enable supporters to offer effective postvention in the future.

Citation

Spiers, J., Causer, H., Efstathiou, N., Chew-Graham, C. A., Gopfert, A., Grayling, K., …Riley, R. (in press). Negotiating the postvention situation: A grounded theory of NHS staff experiences when supporting their coworkers following a colleague’s suicide. Death Studies, 1-11. https://doi.org/10.1080/07481187.2023.2297056

• Journal Article Type: Article
• Acceptance Date: Jan 10, 2024
• Online Publication Date: Jan 10, 2024
• Deposit Date: Jan 22, 2024
• Journal: Death Studies
• Print ISSN: 0748-1187
• Electronic ISSN: 1091-7683
• Publisher: Routledge
• Peer Reviewed: Peer Reviewed
• Pages: 1-11
• DOI: https://doi.org/10.1080/07481187.2023.2297056
• Keywords: Arts and Humanities (miscellaneous), Clinical Psychology, Developmental and Educational Psychology