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Bereavement through substance use: findings from an interview study with adults in England and Scotland

Templeton, L and Ford, A and McKell, J and Valentine, C and Walter, T and Velleman, R and Bauld, L and Hay, G and Hollywood, J (2016) Bereavement through substance use: findings from an interview study with adults in England and Scotland. Addiction Research and Theory. ISSN 1606-6359

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Abstract

Background Deaths associated with alcohol and/or drugs belong to a category of ‘special’ deaths due to three characteristics: traumatic circumstances of the death, stigma directed to both the bereaved and the deceased, and resulting disenfranchised grief experienced by the bereaved. These factors can impede those who are bereaved in this way from both grieving and accessing support. In response to a lack of research in this area this paper reports on an interview study that has aimed to better understand the experiences and needs of this neglected group of bereaved people. Method Interviews with 106 adults (parents, children, spouses, siblings, nieces and friends) bereaved through substance use in Scotland and England. Results Five themes describe interviewee experiences: possibility of death, official processes, stigma, grief and support. These findings suggest what is dominant or unique in this group of bereaved people; namely, that living with substance use (including anticipatory grief), experiencing the subsequent death (often traumatic and stigmatised) and the responses of professionals and others (more likely negative than positive) can disenfranchise grief and negatively impact bereavement and seeking support. Conclusions This article describes a large and unique sample, the largest in the world to be recruited from this population. Our study raises awareness of a hitherto largely ignored and marginalised group of bereaved people, highlighting what might be particular to their bereavement experience and how this may differ from other bereavements, thereby providing an evidence base for improving the availability, level and quality of support. © 2016 Taylor & Francis

Item Type: Article
Additional Information: This is an Accepted Manuscript of an article published by Taylor & Francis in Addiction Research and Theory on 12/03/2016, available online http://dx.doi.org/10.3109/16066359.2016.1153632
Uncontrolled Keywords: 1117 Public Health And Health Services, 1701 Psychology
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Public Health Institute
Publisher: Taylor and Francis Ltd
Related URLs:
Date Deposited: 09 May 2016 11:07
Last Modified: 12 Mar 2017 01:03
DOI or Identification number: 10.3109/16066359.2016.1153632
URI: http://researchonline.ljmu.ac.uk/id/eprint/3505

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