SOPRoxi: a research-intervention project for suicide survivors

In Italy, postvention models specifically designed for people surviving the suicide of a loved one are very scarce. The SOPRoxi project was developed to respond to this particular lack. By involving different professional and nonprofessional figures (GPs, mental health professionals, social workers, volunteers, etc), the SOPRoxi project aims to remove the stigma associated with this condition and to offer adequate, multifaceted help to survivors.     

Current understandings of suicide survivor issues: research, practice, and plans. Report of the 1st International Suicide Postvention Seminar, September 8, 2006, Portoroz, Slovenia

The goals of the Postvention Taskforce of the International Association for Suicide Prevention (IASP) are to increase awareness of postvention and survivor issues. One of the strategies is to organize meetings. We report on the 1st International Suicide Postvention Seminar, held as a 1-day preevent at the 11th European Symposium on Suicide and Suicidal Behavior in Portoroz, Slovenia, September 2006. The seminar provided a state of the art review of the postvention field, with plenary presentations on research, psychotherapeutic care, development of national networks, and of postvention materials. We summarize the presentations below.     

Bereavement after suicide--how far have we come and where do we go from here?

This paper identifies major issues faced by the bereaved, the community, and the helping professions after a suicide. Some significant milestones in knowledge and service provision that have been achieved so far are discussed. It considers how past research in the fields of suicide postvention and general bereavement have developed new variables and frameworks with which to find a way forward in understanding this neglected field. The new standards of care and public policy are described that are anticipated in the light of these insights.     

Risk Avoidance Strategies After Sexual Assault: A Dyadic Study of Survivors and Informal Support Providers

Interview data from 45 matched pairs of survivors disclosing sexual assaults and their primary informal support provider (friend, family, significant other) were used to explore survivor-support provider perspectives on self-protective behaviors survivors and those close to them take to protect themselves from future assaults. Strategies for reducing risk taken by survivors included behavioral changes, security measures, self-defense strategies, avoiding alcohol or drugs, and protecting others. Support providers play critical roles by encouraging survivors to pursue risk avoidance strategies, and employing these strategies themselves. Counseling and prevention implications are drawn in the context of risks facing survivors trying to avoid further sexual victimization.     

Networking to support suicide survivors

This paper is the first report on a national program for increasing bereavement support for suicide survivors in the Flemish region in Belgium. A Working Group consisting of representatives of a wide variety of mental health institutions, social programs, and suicide survivor groups in the area determined that a program developing networks between the services seems to hold the greatest promise for both an increase in the number of services available and an improvement in the quality of services offered.     

Passing on the history of ‘comfort women’: the experiences of a women’s museum in Japan

This article explores the activities and experiences of a women’s peace museum in Japan which especially tries to pass on the history of Japan’s military sexual slavery, or the ‘comfort women’ issue. The system of Japan’s military sexual slavery had not been written as a part of history until courageous survivors testified and documentary evidence was unearthed in the 1990s. With few material exhibits of sexual violence, testimonies play a significant role in the exhibitions. Panels displaying the testimony of both survivors and former soldiers try to represent the person as a whole, situating sexual enslavement or crimes as part of their overall life, rather than extracting the harsh experience in an isolated way. The concrete and detailed activities of this privately run museum show the challenges faced by museums dealing with the dark history of their own country.     

Provider Perspectives on Sex Trafficking: Victim Pathways,Service Needs, & Blurred Boundaries

This study examines service providers’ perspectives on survivors of trafficking using a purposeful sample of professionals specializing in intimate partner violence, sexual assault, and child maltreatment. Entry points into trafficking included recruitment by Romeo pimps, survival sex, kidnapping, and deceptive offers of employment. Service needs of survivors were described as more extreme and enduring than those of other types of victims served, with particular needs in long-term housing, health and mental health, substance use treatment, legal aid, and employment assistance. An overarching issue involved survivors’ dual identities as both victims and offenders, including self-identification and understanding/treatment by human service providers and law enforcement officers.     

Surviving the suicides of significant others: a case study

Psychological pain has been reported to be major contributing factor for completed suicide, and classical suicidology based its wisdom on this construct. In this paper we report the case of a patient whose family experienced a high number of suicides apparently due to an escalation of psychological pain in the family members after the successive suicides. We also briefly discuss the problem of helping survivors after the suicide of loved one.     

Suicidology: a victimology perspective

In this brief essay, I have tried to show that the discipline of victimology, when applied to suicidal behavior, suggests new questions for researchers to address, including survivor surveys to identify who the survivors really are and what is the role of the survivor in the suicide-survivor interpersonal dynamic.     

The impact of suicide on the family

Little research has examined the consequences of a suicide for social or family networks. Because suicide occurs within families, the focus on the aftermath of suicide within families is an important next step to determine exactly how to help survivors. In this article, we review and summarize the research on the impact of suicide on individuals within families and on family and social networks. We begin with a discussion of family changes following suicide. Next, we discuss the effects of suicide on social networks overall and responses of children and the elderly to a suicide in the family. Finally, we identify key issues that remain to be resolved in family survivor research and make recommendations for future studies.     

What can we do to help and understand survivors of suicide in Hong Kong?

Survivors of suicide or people bereaved by suicide are underresearched and underserviced. This report contains preliminary data, collected from a psychological autopsy study, which examines the characteristics of suicide survivors in Hong Kong. This paper considers the preliminary data currently available and attempts to suggest a way forward toward understanding and help for this underrecognized group of individuals in Hong Kong.     

Two Models of Monetary Redress: A Structural Analysis

Monetary redress is a developing area of human rights policy. The article examines how a redress program’s design affects the interests of program applicants. It distinguishes two program models, individual assessment and common experience, and explores their differing effects on applicants’ interests. Analyzing two Irish cases, redress for survivors of the industrial schools and the Magdalene laundries, the discussion is applicable to a wide range of redress programs including those in postconflict, transitional justice, and postcolonial contexts.     

Death and survivorship: the final transition

In spite of some recent increases in services for bereaved persons, the availability of such services is minimal. The process of grieving itself takes place in time in several ways: the extent to which the death is sudden, expected, and timely; the passage of time from the beginning of anticipatory grieving before the actual death through the diminishing effects of the loss over an extended period of time; and the age and stage in life of the grieving persons. During the grieving process the survivors often develop physical and health problems, face psychological and emotional distress, encounter difficulties with social relationships, and must cope with numerous practical issues. The subsequent adjustment of widows and widowers appears to be related to the extent to which there had been the opportunity for open communication. Whether widows fare better than widowers after the death is uncertain; research has provided conflicting results and equally conflicting interpretations of the results.     

From clouds of chemical warfare to blue skies of peace: the Tehran Peace Museum,Iran

Despite the limited number of peace museums around the world, there exists an essential role for existing peace museums to promote a culture of peace and peace education. The purpose of this article was to introduce the origins, rationale, scope and work of the Tehran Peace Museum in Iran. The concept of the museum is to facilitate peace education and develop peaceful environments drawn from the personal experiences of war survivors. The museum encompasses exhibitions about the horrors of chemical and nuclear warfare and is balanced with awareness programmes, bridge-building dialogues, connections with other peace museums and a comprehensive peace education programme catering for younger and older members of society. It offers the space and opportunity for a community of learning within the museum and welcomes fresh ideas and initiatives from visitors and volunteers. The Tehran Peace Museum is unique in its body of volunteers, men and women who have been directly affected by chemical weapons. They are involved in the Veterans Voices of Peace Oral History Project and actively voice the need for creating peaceful societies in today’s world.     

Women’s experiences of peacebuilding in violence-affected communities in Kenya

Despite the attention to gender and conflict in empirical positivist peace research, and the interest in local agency in recent peacebuilding literature, women’s understandings and lived experiences of peacebuilding are not necessarily well accounted for. This article, drawing on interviews, focus groups and observation research with 57 female victims/survivors of post-election violence in Kenya, provides an ethnographic study of women’s largely informal peacebuilding activities, ranging from mediation and dialogue to economic empowerment. It analyses women’s constructions and ways of making sense of being peacebuilders, demonstrating that, while participants employed dominant gender frames, they exerted considerable transformative agency in their communities. It argues that their ‘gendered responsibility for peace’ at community level is simultaneously empowering and disempowering. The research aims to increase understanding of the gendered nature of peacebuilding and the ways in which women exercise peacebuilding agency through a focus on their own voices and lived experiences.     

Public-Sector Reform: Employment Security and Quality of Decision Making in the Australian Taxation Office

This article examines the impact of structural reforms and industrial relations changes on the employment security and decision behaviors of middle-level managers in the Australian Taxation Office (ATO). This article is based on an empirical study using focus group and survey data that investigated how structural change and public-sector reforms substantially altered the employment environment. This research reveals that the ATO environment can be characterized by low morale, risk aversion, fear, and distrust brought about, in part, by employment insecurity. Where middle managers perceived organizational threats to their employment security, they engaged in self-protective “survivor” behaviors even when no such threats to their employment security existed. The article concludes that a substantial number of middle-level managers, survivors of years of restructuring, downsizing, and organizational change, were unlikely to display high-quality decision-making behaviors.     

Chapter 10. Central American Survivors of Political Violence

Abstract

Despite compelling, well-documented findings on the levels of stress and trauma among Central American refugees, this group continues to be underserved. A host of issues contributes to this underservice, ranging from macro-level imposed obstacles, such as citizenship and health insurance as determining factors for accessing social and health services, to institutional factors that impede service utilization, such as an insufficient number of translators or a cumbersome and confusing bureaucracy. This chapter adopts a human rights framework as a strategy for working with groups of Central Americans who have experienced political violence. The ongoing effects of political violence on Central Americans, as they relate to mental and physical health problems, are reviewed and a case vignette is used to illustrate how political violence affects individuals and how macro-level forces and institutions create barriers to access and use of health care and social services. Treatment approaches for helping survivors of political violence in the context of a human rights framework are suggested.     

The Survivor Network: The Role of Shared Experiences in Mass Shootings Recovery

ABSTRACT

Social support from others with shared experiences can be an invaluable resource for individuals impacted by traumatic events, like school and mass shootings. While a growing body of literature explores the psychological impacts of these events on those who survive them, these studies predominantly focus on shootings at two universities, do not assess the effects beyond three years post-shooting, and rely almost exclusively on quantitative methodologies. To extend this body of literature, the present study relies on in-depth interviews with 16 survivors of the April 20, 1999 shooting at Columbine High School to explore the way in which they viewed various forms of social support during their trauma recovery process in both the short- and long-term. The findings indicate that the most effective support came from “similar others,” or those who had experienced the shooting in an analogous manner. Social support from the outside, even when well-intended, was viewed as unhelpful, while mixed perspectives were found related to community-level support. Based on these findings, broader consideration is given to the benefits of informal survivor networks.     

Under their “control”: Perceptions of Traffickers’ Power and Coercion Among International Female Trafficking Survivors During Exploitation

Despite an increase in knowledge about human trafficking, little is understood about interpersonal power dynamics between traffickers and their victims; particularly in relation to coercion. Understanding victims’ perceptions of power is critical to developing trauma informed, targeted services for prevention, intervention, and aftercare services for survivors. This paper explores human trafficking victims’ (n = 31; adult, female, international) perceptions of traffickers’ interpersonal social power as influenced by prior entrapment factors and traffickers’ characteristics during the controlling period of the exploitation, the “maintenance phase”. Findings from this study reveal that entrapment factors and shared characteristics between victims and traffickers influenced perceptions of specific kinds of power. Moreover, findings suggest that more investigation is need to explore how much influence dynamics outside of the trafficking relationship (i.e., social and environmental factors) have on victims’ perceptions of traffickers’ power. Further, results suggest a need for anti-trafficking professionals to be particularly cognizant that victims may perceive individuals in positions of power such as social service providers and law enforcement, as similar to their traffickers.