Is it possible to adapt to the suicide of a close individual? Results of a 10-year prospective follow-up study.

We conducted a prospective ten-year follow-up study on the consequences of a suicide among relatives or other individuals close to the suicide victim. Baseline interviews (n = 104) were carried out during the National Suicide Prevention Project in Finland from 1987 to 1988. Semi-structured follow-up interviews including the 12-item General Health Questionnaire and the 21-item Beck Depression Inventory were carried out ten years later (n = 64, 64% of those still alive). Mental symptoms were reported to have been common after suicide but they had subsided during three years. Mental symptoms had been common especially among children after their parent's suicide. At baseline mothers had had depressive symptoms more often than others, but at follow-up there was no statistical difference. Life changes associated with the suicide were common, and they could be unfavourable as well as favourable. At the time of the follow-up study, half of the interviewees felt that baseline interviews had helped them to adjust to the suicide.