title: The burden of living with and caring for a suicidal family member.
abstract: BACKGROUND
  The family has a primary role in caring for family members who are suicidal and in the prevention of future suicide. However, the impact that suicidal behaviour has on these family members is poorly understood.
  
  
  OBJECTIVE
  To explore the lived experiences of participants who cared for suicidal family members.
  
  
  METHODS
  Eighteen participants were interviewed using a short topic guide. Responses were digitally recorded and transcripts were analysed using thematic analysis.
  
  
  RESULTS
  One overarching theme: "Hard work for the whole family" and four sub-themes: (i) Family burden, (ii) competing pressures, (iii) secrecy and shame and (iv) helplessness and guilt.
  
  
  CONCLUSIONS
  Caring for a suicidal family member may be euphemistically summarised as "hard work" that impacts heavily on the day-to-day tasks of other family members. Participants spent much time worrying and ruminating about the risk of suicide in their family member. Mental health care professionals ought to acknowledge and address the impact that suicidal behaviour has on family carers.
authors.affiliation: School of Nursing, University of Ulster , Magee, Derry, Northern Ireland.
authors.forename: Columba
authors.initials: C
authors.lastname: McLaughlin
authors.forename: Iain
authors.initials: I
authors.lastname: McGowan
authors.forename: Siobhan
authors.initials: S
authors.lastname: O'Neill
authors.forename: George
authors.initials: G
authors.lastname: Kernohan
mesh_terms: D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D017281:Cost of Illness; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059020:Suicidal Ideation
keywords: Burden on family members; impact; informal carers; mental health; suicidal behaviour; suicide