Culture of Caring

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Postvention

What is Postvention?

Postvention is a term used in the suicide prevention field. It means having an organized response in the aftermath of a suicide to accomplish any one or more of the following:

  • To facilitate the healing of individuals from the grief and distress of suicide loss
  • To mitigate other negative effects of exposure to suicide
  • To prevent suicide among people who are at high risk after exposure to suicide

Why You Need a Plan

As with any crisis, having a plan in place BEFORE anything happens will help those affected by a suicide loss begin to address the trauma.

When a person dies by suicide, many others are deeply affected. Some call it a ripple effect.

  • One study estimated that 115 people are exposed to each suicide, with 1 in 5 reporting that this experience had a devastating impact or caused a major life disruption.1
  • Everyone grieves differently. Some people may experience short-term reactions, while others may have long-term responses or complicated grief.
  • Exposure to suicide can lead to an array of negative outcomes, including mental health issues, social isolation, and an increased risk of suicide.1

What Should the Plan Include?

A comprehensive postvention effort includes:

  • Planning ahead to address individual and community needs
  • Providing immediate and long-term support
  • Tailoring responses and services to the unique needs of suicide loss survivors
  • Involving survivors of suicide loss in planning and implementing postvention efforts

Get Started Now

All settings should incorporate postvention as a component of a comprehensive approach to suicide prevention.

All communities and organizations should be prepared to respond to a suicide death, including tribes, towns, schools, senior living facilities, workplaces, and health care providers.

Plan Ahead:

  • Gather a crisis team to lead the postvention response. The team should include a spokesperson, mental health professional, counselor, nurse or physician, and others who can contribute their expertise to the plan.
  • Develop a plan and protocols in advance that will enable your institution or community to respond quickly and compassionately in the crisis period after a suicide death.
  • Be prepared to respond to the immediate emotional needs of people affected by the crisis as well as to the long-term effects and risks that may be associated with exposure.
  • Educate and build relationships among those who will interact with bereaved people to enable a coordinated community response rather than fragmented services. Involve law enforcement, emergency medical services, community mental health, social service agencies, and other institutions.

Respond effectively:

  • Immediately following a suicide, work with the news media to encourage safe reporting.
  • Work with those affected by the suicide death to aid mourning in ways that avoid increasing the risk of contagion.
  • Build capacity for ongoing support and treatment, including professional and peer-support options, for those who need it.
  • Provide support and guidance for friends and family members of the bereaved to help them provide effective ongoing support.

For more action steps, see the U.S. National Guidelines. Appendix B provides recommendations specific to national organizations; state and tribal governments; communities and local officials; schools, universities, businesses, and workplaces; mental health and public health agencies; professional organizations and accrediting bodies; faith communities and leaders; funeral professionals; first responders; social media and online communities; media; loss and attempt survivors; and researchers.

Reference

  1. Survivors of Suicide Loss Task Force. (2015, April). Responding to grief, trauma, and distress after a suicide: U.S. National Guidelines (p. 1). Washington, DC: National Action Alliance for Suicide Prevention. Retrieved from http://www.sprc.org/online-library/responding-grief-trauma-and-distress-after-suicide-us-national-guidelines 
A Culture of Caring: A Suicide Prevention Guide for Schools (K-12) was created as a resource for educators who want to know how to get started and what steps to take to create a suicide prevention plan that will work for their schools and districts. It is written from my perspective as a school principal and survivor of suicide loss, not an expert in psychology or counseling. I hope that any teacher, school counselor, psychologist, principal, or district administrator can pick up this book, flip to a chapter, and easily find helpful answers to the questions they are likely to have about what schools can do to prevent suicide.

Theodora Schiro