b'|Suicide Prevention Workplan - Los Angleles |83|84 Individuals who experience the suicide death ofThe impacts of suicide are not time-limited. In the weeks and months after a death, Immediate a friend or loved one are exposed to immensesurvivors may be in shock and consumed by the details and logistics that follow any death before trauma and complicated grief. The negativeIn 201 , 891they are confronted by their grief. The deeper impacts may not be felt for months, and even 7consequences in the bereaved can include anyears. They may flare up during certain periods such as holidays, birthdays, or the anniversary of increased risk of suicide themselves. people died the death.Suicide deaths are usually sudden, unexpected, andby suicide in violent, leaving many unfinished and unresolvedLos Angelesissues. Survivors of suicide loss can be impacted by three sources of trauma: psychological trauma,County.direct exposure such as witnessing the death or theThe Continuum Model: Effects of Suicide Exposure body, and imagined exposure or conjuring images of the death or the process. The Continuum Model of Suicide Exposure groups those impacted by suicide into four nested tiers. Where individuals fall in this Centers for Disease Control andcontinuum is not dependent on their relationship to the deceased, but on the persons reaction to the death. Prevention, National Center for Health In addition to grief stemming from the loss, survivorsStatistics. Underlying Cause of Death of suicide loss frequently experience complicated1999-2017 on CDC WONDER OnlineSuicide Exposedemotions related to the manner of death, includingDatabase, released December, 2018 (74).Everyone who has connection to the deceased or toIt is estimated that 50% of the population will be exposed to the suicide of shame, guilt, anger, resentment, abandonment, and the death itself, including witnesses someone they know at some point in their life. blame. They can become consumed with questions about why the person ended their life that can beSuicide Affecteddifficult or impossible to answer. When the suicide occurred after a long illness or struggleThose for whom the exposure causes a reaction, whichAn average of 115 people are exposed when a suicide occurs. Of these, 63 with mental health or substance abuse, survivors may feel a sense of relief that can feelmay be mild, moderate or severe, self-limiting or ongoing will identify as having a high or very high level of closeness with the person. painful and confusing.Suicide Bereaved Short-Term On average, 25 people will have their lives impacted in a major way, and a The intensity of complicated grief after suicide can also put survivors at increased risk ofsuicide will have a devastating impact on the 11 people closest to the person. suicide themselves. The complicated grief and stigma that often surrounds suicide can leavePeople who have an attachment bond with the deceased and gradually adapt to the them feeling isolated and can strain relationships, eroding their social support system. loss over timeExposure to the suicide death of a family member doubles or triples the risk Postvention is defined as an organized response after a suicide death with three main goals:Suicide Bereavedthat another person in that family will die by suicideto promote healing and support to individuals, groupsand communities impactedLong-Termby a suicide death;Those for whom grieving becomes a protracted struggle that includes diminshed functioning inElevated rates of suicidal ideation are detected in parents bereaved bymitigate other negative effects of exposure to suicide, including the riskimportant aspects of their life suicide as many as 10 years after the death.of contagion;Responding to Grief, Trauma, and Distress After aand prevent suicide among people who are at high risk after exposure to suicide.Suicide: U.S. National Guidelines. John R. Jordan Postvention includes a range of strategies, from immediate response after a suicide(2017) Postvention is preventionThe case for death to options for ongoing support for loss survivors.suicide postvention, Death Studies, 41:10, 614-621Draft 3.3.2020 Not For Distribution Draft 3.3.2020 Not For Distribution'