Healthcare Training Institute - Quality Education since 1979
CE for Psychologist, Social Worker, Counselor, & MFT!!
In the last section, we discussed the Letter to Grief technique and the Family Trigger Chart Technique.
In this section, we will discuss four types of reactions the siblings of a teenager who commits suicide may exhibit. These reactions are, feeling like secondary mourners, feeling like a substitute, rebellion, and parenting the parents.
4 Reactions a Sibling may Exhibit
Carrie stated, "I feel like I’ve lost my whole family. Sure, our family and friends are being supportive, but they only pay attention to Mom and Dad. Mom’s completely out of control. She spends all her time screaming and crying, and if I try to talk to her she just gets more upset. Dad acts like I don’t even exist. He can be looking right in my direction and it’s just like he’s seeing right through me. All my whole life it’s been ‘Bridget, Bridget, Bridget.’ I miss my sister, but even now that she’s dead she still getting all the attention! No one cares that I’m hurting too! I can’t sleep, I can’t concentrate… and no one cares!"
♦ 2. Substitute
♦ 3. Rebellion
I have found that grieving parents may be afraid to confront surviving siblings about rebellious or dangerous behavior out of fear that the surviving sibling may blame them for their brother or sister’s suicide. In my experience, a constructive strategy for helping grieving parents address the fears involved with reestablishing active parenting is for me to help these parents find a support group in which they can hear other brothers and sisters discuss what they went through after suicides in their families.
♦ 4. Parenting the Parents
Carrie stated, "No one has cooked a meal in my house other than me since Bridget died. No one cleans the house unless I do. I have to remind my dad to pay the bills. I started going over to my friend Tricia’s house every day for dinner, but then Tricia’s mom started asking why I never wanted to eat at home. So I just started going grocery shopping and cooking for everyone." Of course, other surviving siblings may put aside their own needs in a number of other ways as well.
Since Carrie had mentioned insomnia as a primary symptom, I included the Structured Sleeping Technique in my intervention with Carrie. Since Carrie felt that her life was very chaotic without the parental support she was used to having, I found that the Structured Sleeping Technique helped Carrie feel more in control, in addition to addressing her difficulty sleeping.
♦ Structured Sleeping Technique
I stated to Carrie, "Each evening, write down what you will do in 30-minute increments from the time you wake up until your normal rising time. Give yourself tasks to do that are unpleasant. Clean your room or bathroom, fold laundry, or anything you don’t like to do. Do not snack or lie in bed staring at the ceiling."
To complement the Structured Sleeping Technique, I instructed Carrie in a variety of relaxation breathing, progressive muscle relaxation, and visualization exercises. I stated to Carrie, "If you do find yourself going back to bed during your early morning waking, use one of these relaxation techniques to help you go back to sleep." I explained to Carrie that most people find that after a few nights of using the structured sleeping technique, they are sleeping until their normal rising time without further problems.
During our next session, Carrie stated, "I’m sleeping a lot better now. Things at home are still pretty bad, but I think I’m able to handle it a little better. Not losing so much sleep made a big difference in my mood."
Carrie found that once she was taking care of her body better, she was better able to work on addressing the process of mourning her sister Bridget. In addition to helping improve Carrie’s coping strategies, I of course also engaged Carrie’s parents in family therapy to help them identify and address the needs of their surviving daughter.
Think of your Carrie. Would the structured sleeping technique be helpful to him or her?
In this section, we have discussed four types of reactions the siblings of a teenager who commits suicide may exhibit. These reactions are, feeling like secondary mourners, feeling like a substitute, rebellion, and parenting the parents.
Love, H. A., & Durtschi, J. A. (2020). Suicidal ideation and behaviors in young adults: A latent profile analysis. Journal of Family Psychology. Advance online publication.