A parent's death it is one of the most stressful and traumatic events in a child's life (Guldin et al., 2015; Worden, 1996, 2008). In particular, when bereavement is linked to a parent's suicide, children face unique challenges and are more vulnerable to potentially negative outcomes (Brent, Melhem, Donohoe, & Walker, 2009; Haine, Ayers, Sandler, & Wolchik, 2008; Pitman, Osborn, King, & Erlangsen, 2014; Young et al., 2012). Although many factors influence children's recovery following a parent's suicide, the surviving parent's emotional stability and emotional availability to support their children are of critical importance. Additionally, negative outcomes are often linked to unhealthy patterns of grief, such as avoidance and blame (Ratnarajah & Schofield, 2008), social isolation, closed communication (not talking about the suicide), and secrets kept within the family (Cerel, Jordan, & Duberstein, 2008). Furthermore, society's stigmatization of suicide impedes survivors' emotional healing (Mitchell et al., 2006). In recent years, researchers have consistently shown the success of bibliotherapy in helping increase children's and parents' understanding and communication about death. However, this efficacy has not been demonstrated specifically with grief related to suicide. No bibliotherapy-related research specifically addresses children's grief associated with a parent's suicide. Addressing this lack of research, a focus group study was conducted to obtain paraprofessional counselors' opinions about which type of story would be most effective in supporting this unique population of child survivors. We sought participants' (n=5) perceptions regarding which specific criteria should be considered when selecting child-appropriate reading materials (picture books) for bibliotherapy. We focused on the purpose of opening communication with young children (ages 4—8-years old) following their parent's suicide. The following summary and recommendations are based on participants' input. Following a parent's suicide, participants emphasized the critical need to individualize treatment to fit the unique needs of the child. Participants repeatedly stressed the need to know the child-the circumstances surrounding the suicide and the child's specific situation. They also recommended that counselors should strive to find books that fit the child's individual needs; books need to be forthright and honest in their portrayal of suicide; and stories need to show a way forward, provide hope, and assure the child that that they are not alone. Participants endorsed suicide-specific books, indicating that these books tended to be best for helping the child talk about the suicide and their grief. As a foundation for conversation with the child, participants noted the importance of children's books that helped identify and address specific emotions. Additionally, participants cautioned adults to avoid sharing stories that included ambiguous and unresolved issues, as children needed stories that offered closure and directly taught effective coping strategies. Future research is recommended to further explore the efficacy of children's picture books that were endorsed by this study's focus group. It is important to assess child survivors' and surviving parents' perceptions of these stories and the effectiveness of stories in opening communication about the deceased parent's suicide. Additionally, future research needs to investigate licensed counseling professionals' perceptions of children's picture books, specifically their perception of the story's capacity to open communication and provide adaptive grief support to child survivors. Additionally, longitudinal research should focus on the long term effectiveness of sharing carefully selected stories to facilitate healthy grieving patterns in child survivors.

Children who experience a parent's death by suicide are a vulnerable population at risk for emotional and mental health issues as well as suicide attempts (Cerel, Fristad, Weller, & Weller, 1999; Kuramoto et al., 2010; Wilcox et al., 2010). Yet, in spite of the knowledge that effective postvention is in reality prevention (Cerel et al. 2008), relatively little is known about these children and adolescents, particularly regarding their experiences following the suicide. The current research study investigated which resources, assistance, and actions of those around the child were perceived as most helpful and unhelpful following the parental suicide. Through semi-structured qualitative interviews using the hermeneutic approach, the researcher interviewed 17 adults who, as children or adolescents, were bereaved by parent suicide. Helpful experiences and support included assistance processing the suicide and an openness in the face of stigma. Unhelpful experiences included judgment and blame, silence regarding the suicide and deceased parent, and a heightened awareness of the surviving parent's challenges. Individuals who were perceived as helpful generally had pre-existing relationships with the children and helped meet their practical and emotional needs. It is recommended that customized and varied support be offered, along with the message that it is important to talk about suicide and memorialize the deceased parent. Additional research is needed to further explore the complex experiences of children of parent suicide; this will aid in the development of evidence-based interventions to better support them.

This qualitative case study describes the disparate experiences of how three siblings reacted and were affected by their father's suicide death. Specifically, through individual interviews, this study explores the siblings' individual memories, emotions, and perceptions of support connected with the time directly before and after their father's death. In addition, the researchers considered the long-term effects of their father's death by suicide as lived by the sibling survivors. In seeking to understand the siblings' experiences, this study also explores each sibling's reaction as they were presented with a group of children's picture books that were developed to help children express their emotions and are used by therapists who counsel with children bereaved by suicide. Findings suggested that, although the siblings shared the trauma of the father's suicide, each had different perceptions and experiences surrounding that trauma; they also reacted differently to the books presented to them. Implications for practice for teachers, parents, and school-based mental health practitioners (e.g., school psychologist and school counselors) are provided. These implications include the importance of knowing the specifics of each child's perceptions and providing supportive interventions that match the individual child's needs. Also, when selecting therapeutic books to share with a grieving child, consider presenting options and allowing the child to select a book. Also, be aware that a book that is preferred by one child, may not be preferred by another. Additionally, certain pictures included in children's books may trigger memories of the parent's suicide that could potentially further traumatize the child.

Suicide has immediate and long-term negative effects on surviving family members and adverse effects in the school and community. Suicide rates for children and adolescents have increased in the United States since 2009. As part of suicide prevention efforts, information about risk factors and warning signs are typically addressed in schools, private organizations, and communities. In addition to academic literature for professional audiences, various therapeutic resources are available to assist those who grieve the suicide of a loved one. In particular, practical and easy-to-implement interventions are needed by those who offer support to suicidal individuals and survivors of suicide. Practical resources are needed to address suicide prevention, intervention, and postvention needs. This study is based on a questionnaire that was given to 250 registered individuals at an annual state suicide prevention training conference. Of those attending, 60 (24%) completed the questionnaire. Participants who did not have experience working with suicidal youth did not participate, so the actual participation rate was influenced by this factor. Questions explored the recommendations of mental health professionals (N=60) who worked with (a) suicidal youth, (b) siblings of youth who completed suicide, and/or (c) youth whose parent completed suicide. More specifically this study investigated specific strategies and resources for working with these three specific groups of survivors. Findings from this study indicated that mental health professionals recommend a variety of suicide prevention resources and strategies such as implementing evidenced-based prevention programs, accessing community resources, offering individual and group counseling for survivors, involving or creating support systems, and listening to the affected youth. Also, recommended therapeutic approaches should include an action plan where students are able to receive appropriate mental health services. Based on this study, mental health professionals may be more effective as they acquaint themselves with available resources such as counselors, school psychologists, and community services to comprehensively care for struggling individuals. Mental health professionals, educators, and staff members should obtain relevant information and utilize effective intervention models in order to better address the prevention, intervention, and postvention needs of surviving individuals.Recommendations are made for future research in identifying the combination of resources that are most helpful. Recommendations are also made regarding specific content and training strategies to more effectively prepare and equip professionals to engage more fully in effective and supportive suicide prevention efforts.