Utilization of Postvention Supports: A National Cross-Sectional Survey of Adults Bereaved by Suicide

BackgroundLong COVID has widened the health gap across society and highlighted the vulnerabilities and risks faced by health care systems. For instance, the global trend of medical workers resigning has become a prominent topic on social media. In response to this severe social problem in global public health within the digital society, it is urgent to investigate how the professional identity of medical students, who are digital natives and the future workforce of medical practitioners, is affected by the media environment.ObjectiveThis study aims to examine how media exposure relates to medical students’ perceptions of informational and emotional support, and how these perceptions further influence the development of their professional identity.MethodsBuilding on the Stimulus-Organism-Response (SOR) framework, this study develops a theoretical model to illustrate how media exposure affects medical students’ professional identity through the mediation of social support. Specifically, media exposure was assessed through online news media and social media exposure; social support was evaluated in terms of informational and emotional support; and professional identity was measured through medical students’ sense of belonging and professional commitment. A survey was conducted at a medical school in China, yielding 1087 valid responses that were analyzed using SmartPLS 4.0.ResultsConsistent with our expectations, online news media exposure was positively associated with both informational support (β=.163; P<.001) and emotional support (β=.084; P=.007). Similarly, social media exposure showed positive associations with informational support (β=.122; P<.001) and emotional support (β=.235; P<.001). Thereafter, informational support (β=.228; P<.001) and emotional support (β=.344; P<.001) were positively associated with students’ sense of belonging. Meanwhile, both informational support (β=.245; P<.001) and emotional support (β=.412; P<.001) positively impacted medical students’ professional commitment. In addition, a mediation test was conducted. The results confirmed that informational support and emotional support partially mediated the effect of online news media, while fully mediating the effect of social media on medical students’ sense of belonging and professional commitment.ConclusionsThis study finds that exposure to online news media and social media can enhance medical students’ sense of belonging and professional commitment through the formation of informational and emotional support. It expands the discussion on the role of media in providing social support and facilitating the development of medical students’ professional identity. This is a valuable contribution to addressing complex public health crises through effective media governance in the network era.

Objectives Depression is a major public health concern due to its high prevalence and association with functioning. Ethnic minorities in Western countries are more likely to experience economic disadvantage and exposure to stressors that may put them at higher risk of developing depression. One major protective factor associated with reduced depressive symptoms is an existing support network. This study examined the associations between economic disadvantage, formal and informal social support, and depressive symptoms among two ethnicity groups in Israel: Arab and Jewish mothers of young children, as well as the potential mediating role of formal and informal social support in the associations between economic disadvantage and depressive symptoms. Design We recruited a representative sample of 837 Jewish and Arab mothers of children aged 2–6 years. We collected data via structured face-to-face interviews following approval of the university ethic committee. We used the Center for Epidemiologic Studies Depression Scale (CES-D), the Medical Outcomes Study (MOS) scale to measure maternal perceived social support, and a measure designed for this study to quantify formal social support. Results Compared to the Jewish mothers, Arab mothers reported more depressive symptoms, greater economic disadvantage, and fewer informal and formal support networks. Economic disadvantage was negatively associated with informal support but positively associated with formal support among both Jewish and Arab mothers. Results further revealed that informal and formal social support mediated the associations between economic disadvantage and symptoms of depression. Conclusions More attention should be paid to the associations between social determinants and mothers’ mental health, with a possible shift of focus to macro-level factors, such as economic inequality and minority status.

Background/Purpose: Adverse childhood experiences (ACEs) have a significant impact on the developmental trajectory of healthy aging. The profound impact of ACEs on individuals may spill over to influence the informal social support and social participation (SP) of middle-aged and older adults. However, the precise influence of ACEs on SP and informal social support is not yet clear. Therefore, to fill the research gap, we examined the characteristics of different subgroups of ACEs and analyzed the effects of ACEs on SP and informal social support among middle-aged and older adults. Method: Data were obtained from the China Health and Retirement Longitudinal Study (CHARLS, 2011 - 2018) and the 2014 Life History Survey (N=11070). Diverse aspects of SP frequency, informal social support, and ACEs were identified based on the CHARLS questionnaire items and ACEs were categorized using latent profile models. The fixed effects model was used to understand the impact of ACEs on SP and informal social support and to explore differences in ACE subgroups. Results: Three distinct subgroups of ACE were determined. It was found that in the group with excellent and good parental mental group, older adults with poorer parental mental health, lower quality family relationships, and better socioeconomic conditions were more likely to engage in SP with higher frequency (p &lt; 0.05). There was a clear correlation between ACEs and informal support (p &lt; 0.05), but no significant differences were found in the poor parental mental group. Conclusion/Discussion: In conclusion, the present study demonstrated that ACEs have an impact on SP and informal social support. To mitigate the adverse effects of ACEs, middle-aged and elderly individuals engage in SP and seek social support. As parents, it is crucial to take preventive measures during the child's formative years and particularly focus on mental health. Moreover, it is essential to pay attention to childhood SES and provide equal opportunities and resources to promote SP and development. This will ultimately improve mental and physical health in later life and foster healthy aging.

This study aimed to determine if personality, social support and marital satisfaction influence paternal post-natal depression. The study used descriptive- correlational design, where in data from 300 respondents gathered through purposive sampling were analyzed using descriptive and inferential statistics. The respondents’ personality in term of openness, conscientiousness, extraversion, and agreeableness was high while neuroticism was moderate. Social support from the wife in terms of emotional, informational was high and instrumental was very high. Further, social support from the mother in terms of emotional was high but informational and instrumental support was moderate. Furthermore, social support from the respondents’ father in terms of emotional, informational and instrumental support was moderate. On the other hand, social support of the siblings in terms of emotional and informational support was also moderate but instrumental support was low. The respondents enjoy a satisfactory married life and paternal post-natal depression was low. Personality in term of agreeableness, conscientiousness and openness were significantly related to paternal post- natal depression. Neuroticism was positively related to paternal post-natal depression but extraversion was not significantly related to paternal post-natal depression. Further, social support in terms of wife’s emotional, mother’s emotional, informational and instrumental support, father informational and instrumental support as well the siblings informational have a significant relationship with paternal post-natal depression. Furthermore, marital satisfaction had a significant relationship with paternal post-natal depression. Moreover, there was no significant difference on the respondent’s level of post- natal depression when age, education, gross family income, parity and the age of the youngest child were considered. Conscientiousness, neuroticism, informational support from the mother and the respondents’ marital satisfaction predicted paternal post-natal depression.

BackgroundSynergistic effects of diverse social supports (informational, tangible, emotional and belonging) on cardiovascular disease risk factors (CVRF), by gender, is unknown.AimTo quantify gender differences in the singular and combined associations of four different forms of social support with cardiovascular disease risk factors (CVRF) in aging adults.MethodsCross-sectional study of 28,779 adults (45−85 years) in the Canadian Longitudinal Study on Aging Comprehensive cohort (2011−15); independent variables were self-reported measures of informational, tangible, emotional and belonging support; dependent variables were clinically measured BMI, waist circumference and blood pressure. We used stratified multivariable linear and logistic regression with principal component regression with cross-product terms to post-estimate adjusted means and 95% CIs for combined associations.ResultsAll low-low support combinations were consistently associated with the highest adjusted mean BMI and WC levels among women. Adjusted mean BMI differences were largest among women with low informational and low tangible supports (27.95 kg/m2 [27.93, 27.97]), compared to women with high informational and high tangible supports (27.34 kg/m2 [27.30, 27.38]). Similarly, the greatest difference in adjusted mean WC was seen among women with low informational and low emotional supports (88.69 cm [88.62, 88.76]) compared to the high-high combination (86.88 cm [86.75, 87.01]). Women with low availability of informational support, with or without deficits in a second support type, had the highest adjusted mean SBP levels (range: 119.94 to 119.95 mmHg). Among men, mean CVRFs were not consistently worse for combinations of dual deficits in social support. Results were null for DBP.ConclusionWomen with two deficits in social supports, particularly combinations with low informational support, showed worse CVRF measures than one social support deficit. Results indicated no antagonistic/synergistic effects of social support on CVRFs. Heart health care and prevention for aging women would benefit from ensuring informational support with other supports is available.

BackgroundSynergistic effects of diverse social supports (informational, tangible, emotional and belonging) on cardiovascular disease risk factors (CVRF), by gender, is unknown.AimTo quantify gender differences in the singular and combined associations of four different forms of social support with cardiovascular disease risk factors (CVRF) in aging adults.MethodsCross-sectional study of 28,779 adults (45−85 years) in the Canadian Longitudinal Study on Aging Comprehensive cohort (2011−15); independent variables were self-reported measures of informational, tangible, emotional and belonging support; dependent variables were clinically measured BMI, waist circumference and blood pressure. We used stratified multivariable linear and logistic regression with principal component regression with cross-product terms to post-estimate adjusted means and 95% CIs for combined associations.ResultsAll low-low support combinations were consistently associated with the highest adjusted mean BMI and WC levels among women. Adjusted mean BMI differences were largest among women with low informational and low tangible supports (27.95 kg/m2 [27.93, 27.97]), compared to women with high informational and high tangible supports (27.34 kg/m2 [27.30, 27.38]). Similarly, the greatest difference in adjusted mean WC was seen among women with low informational and low emotional supports (88.69 cm [88.62, 88.76]) compared to the high-high combination (86.88 cm [86.75, 87.01]). Women with low availability of informational support, with or without deficits in a second support type, had the highest adjusted mean SBP levels (range: 119.94 to 119.95 mmHg). Among men, mean CVRFs were not consistently worse for combinations of dual deficits in social support. Results were null for DBP.ConclusionWomen with two deficits in social supports, particularly combinations with low informational support, showed worse CVRF measures than one social support deficit. Results indicated no antagonistic/synergistic effects of social support on CVRFs. Heart health care and prevention for aging women would benefit from ensuring informational support with other supports is available.

A growing literature links social reactions to disclosures of intimate violence to posttraumatic outcomes. The Social Reactions Questionnaire (SRQ), a widely used measure developed to assess social reactions, asks about reactions received from people generally. The ability to examine the impact of social reactions from specific groups of people-such as criminal justice personnel versus community-based providers-has become increasingly more important from both research and practice perspectives. For example, as sexual assault responses nationally have relied on community-coordinated models that involve both criminal justice and community-based systems, tools are lacking to systematically assess the impact of social reactions from criminal justice personnel and community-based providers on survivors. Using the SRQ, the current study asked women to report separately on reactions received from criminal justice personnel, community-based providers, and informal supports. We recruited a diverse community sample of women (N = 228, ages 18-63, 19% lesbian/bisexual, 44% ethnic minority) who experienced a sexual assault in the previous year and disclosed to the criminal justice system and/or a community-based provider. Multilevel analyses revealed considerable variability in the social reactions reported by women across criminal justice personnel, community-based providers, and informal supports. Analyses supported a seven-factor structure for the SRQ when the measure is yoked to particular experiences of disclosure, in this case to criminal justice personnel, community-based providers, or informal supports. The utility of this modified administration and scoring of the SRQ and the importance of considering reactions across different groups are described.

The vulnerability and instability of low-income mothers situated in a context with a weak public safety net make informal social support one of few options many low-income mothers have to meet basic needs. This systematic review examines (a) social support as an empirical construct, (b) the restricted availability of one important aspect of social support-informal perceived support, hereafter informal support-among low-income mothers, (c) the role of informal support in maternal, economic, parenting, and child outcomes, (d) the aspects of informal support that influence its effects, and (e) directions for future research. Traditional systematic review methods resulted in an appraisal of 65 articles published between January 1996 and May 2017. Findings indicated that informal support is least available among mothers most in need. Informal support provides some protection from psychological distress, economic hardship, poor parenting practices, and poor child outcomes. To promote informal support and its benefits among low-income families, future research can advance knowledge by defining the quintessential characteristics of informal support, identifying instruments to capture these characteristics, and providing the circumstances in which support can be most beneficial to maternal and child well-being. Consistent measurement and increased understanding of informal support and its nuances can inform intervention design and delivery to strengthen vulnerable mothers' informal support perceptions thereby improving individual and family outcomes.

ObjectivesThis study evaluated emotional, informational and instrumental support needs in patients with breast cancer who had undergone surgery, then identified the variables associated with those needs.DesignThis was a cross-sectional survey...

BackgroundIn recent years, people with mental health problems are increasingly using online social networks to receive social support. For example, in online depression communities, patients can share their experiences, exchange valuable information, and receive emotional support to help them cope with their disease. Therefore, it is critical to understand how patients with depression develop online social support networks to exchange informational and emotional support.ObjectiveOur aim in this study was to investigate which user attributes have significant effects on the formation of informational and emotional support networks in online depression communities and to further examine whether there is an association between the two social networks.MethodsWe used social network theory and constructed exponential random graph models to help understand the informational and emotional support networks in online depression communities. A total of 74,986 original posts were retrieved from 1077 members in an online depression community in China from April 2003 to September 2017 and the available data were extracted. An informational support network of 1077 participant nodes and 6557 arcs and an emotional support network of 1077 participant nodes and 6430 arcs were constructed to examine the endogenous (purely structural) effects and exogenous (actor-relation) effects on each support network separately, as well as the cross-network effects between the two networks.ResultsWe found significant effects of two important structural features, reciprocity and transitivity, on the formation of both the informational support network (r=3.6247, P<.001, and r=1.6232, P<.001, respectively) and the emotional support network (r=4.4111, P<.001, and r=0.0177, P<.001, respectively). The results also showed significant effects of some individual factors on the formation of the two networks. No significant effects of homophily were found for gender (r=0.0783, P=.20, and r=0.1122, P=.25, respectively) in the informational or emotional support networks. There was no tendency for users who had great influence (r=0.3253, P=.05) or wrote more posts (r=0.3896, P=.07) or newcomers (r=–0.0452, P=.66) to form informational support ties more easily. However, users who spent more time online (r=0.6680, P<.001) or provided more replies to other posts (r=0.5026, P<.001) were more likely to form informational support ties. Users who had a big influence (r=0.8325, P<.001), spent more time online (r=0.5839, P<.001), wrote more posts (r=2.4025, P<.001), or provided more replies to other posts (r=0.2259, P<.001) were more likely to form emotional support ties, and newcomers (r=–0.4224, P<.001) were less likely than old-timers to receive emotional support. In addition, we found that there was a significant entrainment effect (r=0.7834, P<.001) and a nonsignificant exchange effect (r=–0.2757, P=.32) between the two networks.ConclusionsThis study makes several important theoretical contributions to the research on online depression communities and has important practical implications for the managers of online depression communities and the users involved in these communities.

The study of resilience among individuals with disabilities and their families represents a paradigmatic shift from a deficits orientation towards a more holistic and contextualized approach focused on strength and adaptation. The current study investigated whether informal supports could help improve families' capacity for resilience. We recruited 153 caregivers of children aged between 2 and 18 years who all had a diagnosis of autism. Participants were asked to complete surveys assessing resilience in their families as well as their satisfaction with informal supports (e.g. friends and family). Families more likely to report higher satisfaction with their informal support networks demonstrate greater resilience. The results suggest that informal social supports are a valuable resource for families in strengthening their capacity for resilience. The findings may help inform the development of interventions and services that work collaboratively and innovatively with families and their social networks to provide assistance and support in meaningful and effective ways.

University students with disabilities face an increased risk of experiencing negative implications in educational, psychological, and social spheres during the COVID-19 pandemic. This study aimed at assessing various dimensions of social support and its sources during the COVID-19 pandemic that availed university students with disabilities. This cross-sectional descriptive study collected data from 53 university students with disabilities. We administered the Social Support Scale (SSC) to assess five dimensions: informational, emotional, esteem, social integration and tangible support, and access to social support from four sources: family, friends, teachers, and colleagues. Multiple regression analysis showed that university students with disabilities mainly relied upon their friends for informational support (β = 0.64; p < 0.001), emotional support (β = 0.52; p < 0.001), and social integration support (β = 0.57; p < 0.001). Family members (β = 0.406; p < 0.01) and colleagues (β = 0.36; p < 0.01) provided esteem support to students with disabilities. Support from teachers demonstrated an association with informational support (β = 0.24; p < 0.05). The findings from the current study suggest that students with disabilities primarily sought informational, emotional, and social integration support from their peers. Although teachers were the primary source of informational support, emotional and esteem support were not found to be significantly associated with them. These findings necessitate exploring the underlying factors and how to enhance them during unusual circumstances such as online distance education and social distancing.

Informal supports have been identified as frequently accessed sources of support for Latino families, and challenges Latinos face in obtaining adequate support through formal sources are also recognized. However, informal supports may be less available to parents of children with disabilities. The current study looks at the relationships between parent stress, informal social supports, and family professional partnership (FPP) for Latino parents of children with disabilities. In this study 168 parents who identified as Latino and a parent of a child with a disability completed surveys in early 2022 about their parenting stress, sources of support, and FPP. The study highlights nuances in the relationships between these constructs, among Latino parents of children with disabilities, and found when a parent reports low informal supports, there is a significant relationship between parent stress and FPP, specifically when measuring the total support offered and support provided to a child by an educator. Increased awareness of informal and formal supports available to and accessed by Latino families will help educators gain a more complete picture of the needs of a child and their family, and can inform the efforts around building relationships with the families they serve.

Caregiving stress increases risk for poor health. The overproduction of inflammatory markers is a core process contributing to this effect. In this study the authors investigated whether formal and informal social support act as protective factors against stress‐induced immune dysregulation. Fifty‐six parents of children with an autism spectrum disorder completed questionnaires on formal support services, informal social support, self‐rated health, and daily somatic symptoms, and they provided a blood sample for analysis of C‐reactive protein (CRP), a biomarker of inflammation. The results indicated that greater informal social support was associated with lower CRP and that a higher number of formal support services received by the family was related to better self‐rated health, fewer daily somatic symptoms, and lower CRP. Moreover, the impact of support services on the parents' CRP levels increased with child age. These findings highlight the role of formal and informal support in protecting the health of individuals facing caregiving stress across the life course.

This study investigated the impact of formal social support systems on refugees' access to socio-economic rights in Rhinocamp and Imvepi refugee settlements in Uganda. The study was guided by three primary objectives: (i) to assess the level of formal support available to refugees in the two settlements; (ii) to evaluate the level of access refugees have to socio-economic rights; and (iii) to examine the relationship between formal social support systems and access to these rights. A triangulation convergence mixed methods design was employed, combining both quantitative and qualitative approaches. A sample of 400 refugees was drawn from a total refugee population of 220,331 using Slovin’s formula. Data collection methods included structured surveys, key informant interviews, focus group discussions, and direct observations. The findings revealed a robust formal support system with a mean score of 4.0 and a high level of access to socio-economic rights, with a mean score of 3.7. Furthermore, the study found a statistically significant positive relationship between the presence of formal support systems and refugees’ access to socio-economic rights. This study adds to the new empirical evidence from two major refugee settlements undergoing a transition from humanitarian relief to long-term development. The study uniquely underscored the shifting focus in academic discourse from informal to formal support mechanisms and linking them directly to socio-economic rights. The results have practical implications for policymakers, development actors, and humanitarian agencies, highlighting the need for context-specific, well-structured formal support systems to promote balanced access to socioeconomic rights for refugees.