{"title":"Suicide Notes: A Scoping Review of Qualitative Studies to Highlight Methodological Opportunities for Prevention.","authors":"Giacomo Belli, Benedetta Trentarossi, Mateus Eduardo Romão, Makilim Nunes Baptista, Serena Barello, Silvia Damiana Visonà","doi":"10.1177/00302228251339862","DOIUrl":"https://doi.org/10.1177/00302228251339862","url":null,"abstract":"<p><p>Suicide is a public health concern, and prevention programs are fundamental to decreasing its rates. Suicide notes might be crucial to understanding motives associated with suicidal behaviours. In this way, it is necessary to understand the qualitative methods that are most frequently used to analyze this data. Investigating these factors is crucial for developing targeted and preventive interventions. This scoping review aimed to answer the question \"What is the state of art about qualitative methods adopted to analyze suicide notes?\" by systematically mapping the literature on this topic. This review adopted the JBI guidelines for Scoping Reviews and followed the PRISMA-ScR guidelines. A comprehensive search strategy has been implemented across PubMed, Web of Science, and Scopus databases. Grey literature was not included in this review. Eligible studies encompassed qualitative studies on suicide notes published in English. Two independent researchers screened titles and abstracts and subsequently conducted full-text assessments based on predefined inclusion criteria. Relevant data have been systematically extracted and tabulated. The findings were thematically organized and qualitatively summarized, with potential visual aids such as graphs and tables. The studies highlighted the most used qualitative methods to analyze suicide notes, such as LIWC, Leenar's, Grounded Theory, Thematic Analysis and others. This study summarizes the current knowledge about qualitative methods to analyze suicide notes. Further research is necessary for the development of prevention programs destined for this population.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251339862"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OmegaPub Date : 2025-05-06DOI: 10.1177/00302228251338587
Belén Ríos-Vizcaíno, Alfonso Chaves-Montero, Pilar Blanco-Miguel, Yolanda Navarro-Abal
{"title":"Suicidal Behavior in Women as a Risk Factor Generated by the Invisibilization of Their Affective Sexual Diversity, Gender Identity and LGTBphobia.","authors":"Belén Ríos-Vizcaíno, Alfonso Chaves-Montero, Pilar Blanco-Miguel, Yolanda Navarro-Abal","doi":"10.1177/00302228251338587","DOIUrl":"https://doi.org/10.1177/00302228251338587","url":null,"abstract":"<p><p><b>Introduction:</b> Suicidal manifestations during the invisibilization of sex-gender diversity arise from various factors. The link between internalized and externalized LGBTphobia and suicide is crucial, as both forms of discrimination can increase suicidal behaviors. Informal social networks are vital, offering support and community, but they can also exacerbate isolation if not managed properly. <b>Research Objective:</b> To analyze the manifestations of suicidal behaviors experienced during the period of invisibilization of gender diversity, considering the interrelation between internalized/externalized LGBTphobia and the role of informal support networks in addressing the issue under study. <b>Methodology and Study Design:</b> A qualitative, explanatory, and descriptive methodology was used, involving 40 Andalusian women from the LGBTQ+ community aged 40-70 years. The techniques employed included in-depth interviews/life histories and participant observation. Data exploitation was carried out using the ATLAS.ti 24 software. <b>Results and Analysis:</b> All participants concealed or denied their sex-gender diversity to avoid rejection. 72.5% reported suicidal ideation, primarily during adolescence, linked to LGBTphobia. After overcoming obstacles, they lived their identities openly without further suicidal thoughts. 10% experienced failed suicide attempts associated with extreme violence. 27.5% did not experience suicidal manifestations due to support from friends and family. <b>Discussion:</b> Suicidal behavior in women is closely tied to invisibilization and LGBTphobia, exacerbated by systemic discrimination. Addressing these risks requires strengthening public protection systems to ensure comprehensive services and assistance for the LGBTQ+ community. Additionally, professionals in social-healthcare, psychological, and educational fields must receive specialized training to provide culturally competent care, fostering inclusion and mental health support. <b>Conclusions:</b> Invisibilization and LGBTphobia can lead to suicidal ideation, which worsens in violent contexts. Visibility is crucial to recognizing diversity and combating oppressive structures.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251338587"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OmegaPub Date : 2025-05-05DOI: 10.1177/00302228251330057
Yudi Zhang, Xuecong Bai
{"title":"The Stress and Coping of Shiduers on Special Days: A Qualitative Study in China.","authors":"Yudi Zhang, Xuecong Bai","doi":"10.1177/00302228251330057","DOIUrl":"https://doi.org/10.1177/00302228251330057","url":null,"abstract":"<p><p>Shiduers are individuals who have lost their only child. These individuals have a high risk of physical and mental health issues. To explore the well-being of shiduers on special days, in-depth interviews were conducted with 10 shiduers. An analysis of the results revealed that shiduers regarded different days as special. The stressors experienced by shiduers on special days included contrast-type stressors and meaning-type stressors. Stress responses included cognitive responses, emotional responses and physiological-behavioral responses. Coping styles included associative coping, confrontation coping, diverting coping, avoidance coping and religious coping. The factors that influenced the stress process included individual differences and social support. An amplifier model is proposed to explain shiduers' stress and coping on special days. The amplifier model suggests that special days highlight their identity as shiduers, thus amplifying the grief response. Increasing the level of support from communities, social organizations and peers would be helpful.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"302228251330057"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OmegaPub Date : 2025-05-01Epub Date: 2022-10-11DOI: 10.1177/00302228221133589
Elizabeth A Minton, Cindy Xin Wang, Carissa Anthony, Alexa Fox
{"title":"Advice from Bereaved Parents on Strategies to Heal After Baby Loss.","authors":"Elizabeth A Minton, Cindy Xin Wang, Carissa Anthony, Alexa Fox","doi":"10.1177/00302228221133589","DOIUrl":"10.1177/00302228221133589","url":null,"abstract":"<p><p>With close to one in three babies dying between conception and infancy, research examining how to assist bereaved parents after loss is critical. Prior research focuses primarily on a general understanding of the journey post-loss or on a specific strategy that can be pursued to assist in healing but does not adequately provide a holistic examination of post-loss strategies nor is it from firsthand recommendations of bereaved parents. Our research addresses this gap in the literature by identifying the post-loss healing strategies recommended by bereaved parents themselves, thereby informing coping post-loss. To do this, 30 semi-structured interviews were conducted with bereaved mothers. Four themes emerged from our findings: (1) honor the deceased baby, (2) engage in helpful practices, (3) pursue healing now, and (4) embrace the post-loss journey as unique.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"243-262"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33499669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OmegaPub Date : 2025-05-01Epub Date: 2022-10-13DOI: 10.1177/00302228221133436
Kathleen Garces-Foley
{"title":"New Faces at the Bedside: Death Doulas, Vigilers, and Companions.","authors":"Kathleen Garces-Foley","doi":"10.1177/00302228221133436","DOIUrl":"10.1177/00302228221133436","url":null,"abstract":"<p><p>A growing number of nonmedical caregivers seek to improve dying in the United States. They call themselves end-of-life doulas, death midwives, soul guides, compassionate companions, and vigilers, among other names. These new faces at the bedside share a common goal of comforting the dying and their loved ones. Their work is both humanitarian and spiritual as they bring compassionate presence into the sacred space of dying. Thousands of individuals provide end-of-life caregiving through volunteer programs in hospitals, hospices, and community non-profits; hundreds more provide their services to clients for a fee. Using in-depth interviews and analysis of print and online materials, this article traces the development of nonmedical end-of-life caregiving from volunteer vigiling and companioning programs to the professionalization of end-of-life doulaing. Though professional doulas are in the media spotlight, this work began with volunteers who continue to provide most of the nonmedical end-of-life care support for the dying in the United States.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"117-135"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33504818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The End of Life Accompanied by COVID-19: A Qualitative Study on Grief During the First OutBreak In Peru (Part I).","authors":"Jeel Moya-Salazar, Nahomi Zuñiga, Betsy Cañari, Alexis Jaime-Quispe, Karina Chicoma-Flores, Hans Contreras-Pulache","doi":"10.1177/00302228221134424","DOIUrl":"10.1177/00302228221134424","url":null,"abstract":"<p><p>Due to the massive deaths and high level of contagion brought about by COVID-19, burial practices and the way we bury our dead are being affected by SARS-CoV-2 confinement and control measures. Here, we aimed to examine the changing of death, dying, and mourning during the first wave and quarantine applied in Peru with the arrival of COVID-19 in 2020. Using a qualitative approach, 15 participants who lost a family member because of COVID-19 were interviewed by telephone and video call. Our results revealed that death in isolation, the loss of rituals, and the farewell to relatives have dramatically affected family members. Peruvian funeral practices were altered by health provisions, making it a challenge to accompany relatives at the end of life. This way of coping with death can affect family wellbeing, for which no interventions have yet been proposed to improve the quality of life during bereavement.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"383-400"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9561526/pdf/10.1177_00302228221134424.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33504491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OmegaPub Date : 2025-05-01Epub Date: 2022-10-15DOI: 10.1177/00302228221134830
Rebecca G Mirick, Larry Berkowitz
{"title":"Adolescents' Experiences With School-Based Postvention Services: Needs, Supports, and Recommendations.","authors":"Rebecca G Mirick, Larry Berkowitz","doi":"10.1177/00302228221134830","DOIUrl":"10.1177/00302228221134830","url":null,"abstract":"<p><p>This exploratory qualitative study of youth (N = 13) exposed to a peer's suicide death examined responses to the death and needed school-based responses and supports. Youth reported emotions including anger, grief, and fear, described suicide as a profound and impactful experience, and shared beliefs about entitlement to grief. Participants wanted schools to provide support for grief, to feel cared about by adults at school, to receive education about grief and suicide at school, and to have school-based opportunities to commemorate the deceased. Recommendations for schools include strategies for facilitating healthy grieving, supporting students, educating the community, and memorializing the deceased, while remaining cognizant of the need to prevent suicide contagion in the community.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"418-435"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33516896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"I Just Needed a Hug\": Culturally-Based Disenfranchised Grief of Jewish Ultraorthodox Women Following Pregnancy Loss.","authors":"Fayga Levitan, Rivi Frei-Landau, Na'ama Sabar-Ben-Yehoshua","doi":"10.1177/00302228221133864","DOIUrl":"10.1177/00302228221133864","url":null,"abstract":"<p><p>Pregnancy loss (PL) often results in disenfranchised grief. Although much is known about women's experience of PL in general, less is known about PL among women from different backgrounds, particularly the Ultraorthodox community, where the woman's role is often defined by childbearing, but fertility is not openly discussed. The study's goal was to explore PL experiences among this unique sociocultural group: Jewish Ultraorthodox women. Employing a qualitative approach, we interviewed 14 women about their PL. Analysis revealed five themes denoting Ultraorthodox women's struggles post-PL, within two arenas: <i>religiously-based marital struggle</i> (restricted physical support, challenged emotional support) and <i>social struggle/conflict regarding sharing</i> (due to PL as a taboo, perceived failure to fulfill the woman's fertility role, and yearning for \"room to grieve\"). The findings highlight that PL-grief may be disenfranchised for religious reasons, underscoring the need for a culturally-sensitive inquiry of PL and disenfranchised grief. Therapeutically, clinicians' additional awareness is required.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"342-360"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33503259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OmegaPub Date : 2025-05-01Epub Date: 2022-10-12DOI: 10.1177/00302228221133584
Mei Qi Tey, Geok Ling Lee
{"title":"Understanding Bereavement Experiences and Coping Among Bereaved Family Caregivers in Singapore: Positive Meaning Reconstruction in the Dual Process Model.","authors":"Mei Qi Tey, Geok Ling Lee","doi":"10.1177/00302228221133584","DOIUrl":"10.1177/00302228221133584","url":null,"abstract":"<p><p>The aim of this retrospective qualitative study was to examine the bereavement experiences and coping of family caregivers, with the Dual Process Model (DPM) as the theoretical framework. A purposive sample of 15 bereaved family caregivers, who had lived with and/or cared for their dying spouse or parent, were recruited from a local hospice. Using the interpretative phenomenological analysis approach, all one-to-one interviews were audio-recorded, transcribed, and entered into NVivo 12 Plus software for analysis. The major themes in this study mirrored well-established components of the DPM, including the concept of overload from the revised model. The cognitive processes of meaning making, an integral component of the DPM, were also discovered and put forth as a fifth theme to illustrate reconstruction of positive meaning. This is posited as an adaptive outcome to successful oscillation between loss-oriented and restoration-oriented grieving processes and, hence, leading to implications for bereavement care and support.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"263-280"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33501194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
OmegaPub Date : 2025-05-01Epub Date: 2022-10-13DOI: 10.1177/00302228221133895
Maria Kletecka-Pulker, Sabine Völkl-Kernstock, Atanas G Atanasov, Klara Doppler, Magdalena Eitenberger, Marcus Gabriel, Elisabeth Klager, Sophie Klomfar, Anna Teufel, Ann-Kathrin Ruf
{"title":"Views on Assisted Suicide and Religious Beliefs.","authors":"Maria Kletecka-Pulker, Sabine Völkl-Kernstock, Atanas G Atanasov, Klara Doppler, Magdalena Eitenberger, Marcus Gabriel, Elisabeth Klager, Sophie Klomfar, Anna Teufel, Ann-Kathrin Ruf","doi":"10.1177/00302228221133895","DOIUrl":"10.1177/00302228221133895","url":null,"abstract":"<p><p>After the Austrian constitutional court decided to legalise assisted suicide, we conducted this cross-sectional survey study to assess how persons living in Austria viewed the decision, and whether their views associated with religious and/or moral beliefs. We found that persons claiming to be religious were significantly less likely to approve of the court's decision. They also advocated for significantly stricter regulations than non-religious respondents. When asked to give reasons for their response, several religious respondents cited their religious beliefs, highlighting that there is often an association between stronger religious beliefs and less favourable views on assisted suicide.</p>","PeriodicalId":74338,"journal":{"name":"Omega","volume":" ","pages":"325-341"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33504815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}