Abstract

Background
This thesis addresses a significant gap in suicide prevention research by examining how the experiences of people bereaved or otherwise affected by suicide can contribute to formal systems of learning and prevention. Focusing on Northeast and North Cumbria, it challenges the dominance of medical and psychological accounts by advancing a more socially grounded understanding of suicide and its aftermath.
Methodology
Using a constructivist grounded theory design, the study combined 17 in-depth interviews with bereaved or affected individuals and family groups in Northeast England with secondary suicide-audit data. This methodological design makes an original contribution by extending sociological autopsy beyond retrospective case reconstruction to include survivor testimony as a source of analytic insight into the wider social and structural conditions shaping suicide.
Findings
The findings demonstrate that suicide has profound and enduring effects on survivors’ identities, relationships and wellbeing, while also exposing significant limitations in existing support and review systems. They show that suicide is shaped by interconnected social and structural factors, including trauma, domestic abuse, bereavement, deprivation, substance use and stigma, which are insufficiently accounted for in dominant individualised models. On this basis, the thesis develops a novel analytical framework that links audit intelligence with lived experience, generating new knowledge about how survivor-informed evidence can strengthen trauma-informed postvention, earlier multi-agency learning and more socially responsive suicide prevention.
Conclusions
Overall, the thesis shows that losing a loved one to suicide has devastating and enduring consequences for survivors, while the support available to them remains limited, often ad hoc, and insufficiently responsive to their needs. It highlights the underestimated impact on children and young people, the importance of community response in shaping survivors’ experiences, and the potential for targeted prevention where familial and social patterns of suicide become visible. As the first study of its kind to extend sociological autopsy through the integration of survivor testimony with audit data, it offers an original framework for more socially informed suicide prevention, postvention and future research.