Grieving patients treated with talk therapy have lower risk of suicide and psychiatric illness

In a comprehensive study, researchers from Aarhus University show that grieving patients who receive what is known as talk therapy at the general practitioner shortly after a relative's death, have a lower risk of suicide and psychiatric illness than others. Data from 207.000 million Danes is included in the register-based study, which can contribute to new practices in the preventative area.

Losing a close family member is psychologically painful. In fact, it is so painful that the risk of committing suicide or developing other serious psychiatric conditions increases for grieving people who have experienced a serious bereavement. A study now suggests that talk therapy with a general practitioner early in the grief process can reduce this risk.

This is shown by a new, nationwide study of health data on Danes over the age of 18 who have lost a child, a spouse, siblings or parents during the period 1996-2013. The results have just published in Clinical Epidemiology.

"The study shows that patients whose general practitioners often use talk therapy have a lower risk of suicide and other psychological disorders than others," says senior statistician and PhD student, Morten Fenger-Grøn from Aarhus University, who is behind the study.

The purpose of the study was to investigate the effects of early treatment with talk therapy or antidepressant medicine on grieving patients. The researchers looked at three specific consequences in connection with the grief resulting from the death of a close relative: suicide, self-harm and admission to a psychiatric hospital.

Scalpels and prescriptions are not enough

A simple comparison showed that the grieving patients who were treated with talk therapy or antidepressant medicine had an increased risk of developing psychological disorders or committing suicide.

In the period from six months to two years after the bereavement, 4,584 patients (2.2 per cent) were affected by one of these events; suicide, self-harm and admission to a psychiatric ward, of which suicide was the rarest. Among patients who had received antidepressant treatment in the first six months, the figure was 9.1 per cent, and among patients who received talk therapy, it was 3.2 per cent.

"It was an expected finding which could in principle be due to the fact that the treatment is harmful, or the more desirable situation that the general practitioners are able to target the treatment towards the most seriously ill patients. The question was whether these patients would have had an even greater risk, if they had not received treatment," says Morten Fenger-Grøn.

To answer this question, the researchers used a new analytical approach, where they utilised the fact that there are differences between general practitioners' propensity to use different treatments.

"We're talking about a so-called marginal patient, a patient that some doctors will choose to treat and others will not," says Morten Fenger-Grøn.

The study showed that the risk of a serious psychiatric condition during the grief process would be 1.7 per cent lower if the patient received talk therapy.

"It seems to document the importance of doctors having other means than scalpels and prescriptions. Our results suggest that early intervention in response to grieving patients can prevent serious psychiatric events. Unfortunately, the study cannot tell us the most effective form of therapy, or whether general practitioners are well enough prepared for the task, but it appears that taking time to talk with the patient works," he says.

The research results have been adjusted for both the patient's characteristics and the general practitioners' propensity to prescribe antidepressant medicine. The study could not, however, provide any precise measurements for the significance of antidepressant medicine in this context.

The research results - more information

The study is a so-called population-based instrument variable study - a systematic register-based study with health data from more than five million Danes who had a general practitioner between 1996-2013, with special focus on the 207,000 people who experienced a serious bereavement during the period.

The researchers made use of a new analytical approach which has been developed in collaboration between the Research Unit for General Practice and the Section for Biostatistics at Aarhus University.​

Comments

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
Post a new comment
Post

While we only use edited and approved content for Azthena answers, it may on occasions provide incorrect responses. Please confirm any data provided with the related suppliers or authors. We do not provide medical advice, if you search for medical information you must always consult a medical professional before acting on any information provided.

Your questions, but not your email details will be shared with OpenAI and retained for 30 days in accordance with their privacy principles.

Please do not ask questions that use sensitive or confidential information.

Read the full Terms & Conditions.

You might also like...
Trump’s picks for top health jobs not just team of rivals but ‘team of opponents’