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Dealing with the After-Effects of Suicide

by Heidi Levine, Ph.D.
Director, Lauderdale Center for Student Health and Counseling
SUNY Geneseo


Loss, and particularly death loss, brings with it a range of feelings and experiences. We can be overwhelmed with sadness, anger, confusion and a sense of disbelief. When the death is the result of suicide these feelings are intensified.

Survivors frequently experience tremendous guilt, believing that if only they had noticed or done something they would have been able to keep that person from killing him or herself. They carry the responsibility for that individual's death, losing sight of the fact that someone else's suicide is an event over which only that person had control.

Shame is another feeling which is especially provoked by suicides. That someone we loved was the agent of his or her own death feels shameful to admit, again largely tied to our own feelings of personal responsibility. This sense of shame is also a reflection of the continued taboos in our society against speaking directly about both depression and death.

With the death of most people who were important in our lives we may feel angry and abandoned. Once again, with suicide these feelings are heightened. We may think that the person chose to leave or intentionally hurt us. This anger is accompanied by confusion - we ask how we can be angry at someone who is now dead.

Another after-effect of suicide is our own questioning of whether life is truly worth living, worth facing the pain we encounter. If we have ever been depressed or suicidal ourselves experiencing someone else's suicide can either be a powerful reality check of how devastating this act is to those left behind or a sign that suicide is a reasonable way to deal with problems. And when the person who has committed suicide was a leader these messages are even more confusing and difficult to disentangle.

The process of grieving for this loss becomes complicated by all of the questions and feelings we have about how the person died. One of the things which can help us begin to heal is to separate our thoughts about the person from those about the suicide itself. We can both be hurt, angry and confused about the suicidal act and still mourn the loss of the person about whom we cared. We can also remind ourselves that suicide is an irrational act born of desperation. The person who commits suicide is not able to think clearly about his or her act, the great likelihood that with time and treatment their depression will lift, or the true impacts of this act on the lives of others.

To deal with the after-effects of suicide we can use many of the same healthy strategies which can help us cope with loss in general. Openly expressing our feelings and thoughts about our loved one and the impact of the loss helps us to process our feelings and heal. Remembering the good times we had and positive things about that person and our relationship helps us to deal with feelings of guilt. And taking good care of ourselves physically - eating, sleeping, exercising, and being thoughtful about our alcohol intake - helps to minimize possible negative health impacts.

Understanding and trusting that our feelings are normal and okay, and that grief is a process which unfolds and passes, helps us to cope. Sometimes we may feel the need to speak with someone outside our family or circle of friends for additional support or to make sure that we're really "okay." Those experiencing their own struggles with depression and suicidal thoughts should especially know that treatment is available and effective. Seeking help and support can be crucial to us as we move through our own healing.

More information for survivors can be found at the SOLOS website.