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Research / Funded grants

2018 Standard Research Grant

Understanding the Mediators of Suicide and Suicide Attempt Risk after Suicide Bereavement in the Danish Population

2 research findings from this AFSP-funded study.

Research finding · August 2024

Substance use and depression often contribute to risk for suicide in suicide loss survivors

Research has demonstrated a consistent association between losing a partner to suicide and subsequent risk of suicide. However, there isn’t sufficient understanding of the mechanisms that may underlie this elevated risk. Two factors that researchers suspect may be at play are depression and substance use, as both have been shown to be prevalent after a suicide loss. It is important to understand these factors further to inform how to emotionally support individuals bereaved by suicide.

Using data from Denmark spanning 1980 to 2016, Dr. Alexandra Pitman compared 22,668 people who experienced a partner's suicide with 913,402 people whose partners died from other causes. She found that for both groups, suicide rates were very low (0.8% suicide bereaved vs. 0.4% bereaved by other causes). With regard to the role of depression, rates were similarly low, but higher among those bereaved by suicide (4.1%) compared with those bereaved by other causes (2.9%). While it appeared as if there were differences with regard to substance use, the difference between groups was not found when depression was taken into account. The findings emphasize the importance of preventing and treating depression in suicide-bereaved individuals to mitigate potential suicide risk. More research is needed to identify other contributing factors.

Citation: Pitman, A., McDonald, K., Logeswaran, Y., Lewis, G., Cerel, J., Lewis, G., & Erlangsen, A. (2024). The role of depression and use of alcohol and other drugs after partner suicide in the association between suicide bereavement and suicide: cohort study in the Danish population. Psychological medicine, 1–10. https://doi.org/10.1017/S0033291724000448

This finding comes from an AFSP-funded study — see the grant below ↓

Research finding · December 2023

Risk for suicidal behavior fluctuates around emotionally significant times for loss survivors

For suicide loss survivors, anniversaries of their loved one’s death, along with their birthdays (also referred to as dates of emotional significance), can bring an elevated level of emotional intensity and distress when compared with other points of their grief journey. Since prior research has indicated that suicide loss survivors are at an increased risk for suicidal thoughts and behaviors, there has been a question as to whether this increases around dates of emotional significance.

To investigate this further, Dr. Alexandra Pitman conducted a case series study by compiling data from the national health registry in Denmark. Dr. Pitman included all individuals living in Denmark between 1980 and 2016 who had lost either an immediate family member or partner to suicide and also reported an incident of self-harm, suicide attempt, or died by suicide within five years of being bereaved. She compared incidents in two timeframes — the first 30 days after bereavement, and the six weeks before and after death anniversaries and birthdays — with the time between these periods and found no evidence of elevated risk for suicidal behavior during dates of emotional significance.

Citation: Pitman, A., Logeswaran, Y., McDonald, K., Cerel, J., Lewis, G., & Erlangsen, A. (2023). Investigating risk of self-harm and suicide on anniversaries after bereavement by suicide and other causes: A Danish population-based self-controlled case series study. Epidemiology and Psychiatric Sciences, 32, E53. https://doi.org/10.1017/S2045796023000653

This finding comes from an AFSP-funded study — see the grant below ↓

The grant behind this work · 2018 Standard Research Grant

Understanding the Mediators of Suicide and Suicide Attempt Risk after Suicide Bereavement in the Danish Population

Alexandra Pitman, PhD

Alexandra Pitman, Ph.D.

University College London

Amount awarded
$99,819
Focus area
Psychosocial, Loss Survivor

Inside the Research

Question: What are the mental health outcomes for relatives and partners who experienced a death of family or partner by suicide?

Strategy: A longitudinal, population-based study of relatives and cohabitees who have experienced the death of someone by suicide in a representative sample from the Danish registry of over 77,000 individuals bereaved by suicide in comparison with those who experienced a death by other causes and a group who did not experience a recent death will be conducted. Records will be reviewed for hospital-diagnosed cases of PTSD and depression, self-harm, suicide, healthcare use, and prescription of  antidepressants to understand the impact of suicide.

Impact: Information for the development of post-suicide interventions.

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