Women's Experiences Research Articles

Black women's experiences of racialized shame.

Black women may be particularly vulnerable to negative shame experiences, shaped by racism and sexism. Yet, the breadth of research that examines shame experiences from Black women's perspective is limited. This study sought to describe the sociocultural context in which Black women experience shame in America. Forty Black women (Mage = 41 years) across the United States participated in a narrative study. A thematic analysis focused on understanding shame cues in participant narratives. One major theme of racialized shame experience was revealed. Sociocultural contexts of these experiences were identified including Black women's state of invisibility; experiences in the workplace and academia; treatment related to skin color, hair, and body; and romantic relationship expectations. These findings warrant further attention to the consequence of Black women's shame experiences. Implications for addressing shame and well-being for Black women are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Maya Angelou's I Know Why the Caged Bird Sings: The Journey to Freedom and Empowerment

Maya Angelou's memoir, I Know Why the Caged Bird Sings (1969), demonstrates the transformative power of resistance and the complexities of being a Black woman in a racially oppressive society. This paper delves into Angelou's narrative, examining how she portrays the complexities and intersections of race and gender and their impact on Black women’s lives. The study also explores the various forms of resistance employed by Angelou and other Black women depicted in the memoir through the Black feminist perspectives of Patricia Hill Collins. This perspective provides a lens through which to thoroughly examine the themes of racism, sexism, identity, and resilience central to Angelou's work. Collins’ perspectives offer a critical and intersectional analysis of Black women's unique perspectives, experiences, and struggles. This study argues that Angelou's acts of defiance, ranging from self-expression through literature and poetry to the pursuit of education and the strength found in the community, lead to personal growth, empowerment, and liberation. The findings of this research highlight Angelou’s self-determination, acts of defiance and resistance, self-expression, and collective solidarity in the ongoing struggle against intersectional oppression and the impact on her journey of empowerment, self-healing, and liberation to become a voice that supports others’ freedom.

Emotions and Experiences of Pregnant Women with a History of Pregnancy Loss: A Qualitative Study Based on Watson’s Theory of Human Caring

Emotions and Experiences of Pregnant Women with a History of Pregnancy Loss: A Qualitative Study Based on Watson’s Theory of Human Caring

What does intimate partner violence mean for women with breast cancer? Experiences of Iranian women

BackgroundThe aim of this study was to identify the women’s experiences of intimate partner violence (IPV) after breast cancer.MethodThis is a qualitative descriptive study. Semi-structured interviews were carried out with 11 women with breast cancer, all participants referred to the outpatient Oncology Clinic in IRAN. Data were analyzed using conventional content analysis approach.ResultsThe results revealed the essential category of “pervasive violence” which was manifested through six subcategories: 1) psychological violence, 2) physical violence, 3) sexual violence, 4) economic violence, 5) controlling behaviors, and 6) neglect.ConclusionWomen with breast cancer are more vulnerable to IPV and experience a wide range of IPV forms. Healthcare providers should monitor women with breast cancer in terms of IPV to prevent the consequences of IPV on the cancer treatment process.

Health experience for pregnant stay-behind women in rural India: A study on NFHS-5 survey data

ABSTRACT This is a descriptive study based on National Family Health Survey- Round 5 (2020–21) dataset, comparing two groups of Indian women: “stay-behind pregnant women” and “women who are living with their husbands.” We applied z-test analyzing health status and healthcare access between the two groups. The result shows both health status (DMean Hemoglobin = −2.02, p = .002; DMean Sys BP = −2.48, p = .001; DMean Dias BP = −1.53, p = .003; DAnemic = 0.04, p = .006) and healthcare access (DAccess to public healthcare = −4.6 percent, p = .005; DAccess to private healthcare = 10.4 percent, p = .002, DOthers = −9.3 percent, p = .001) are significantly lower among “stay-behind pregnant women.” The intake of nutritious food among stay-behind pregnant women is relatively low (DPulses = −7.9 percent, p = .003; DVeg = −3.4 percent, p = .002; DFruits = −5.5 percent, 0.005; DEggs = −3.8 percent, p = .004; DMeat = −3.4 percent, p = .002) which contributes to their poor health status. Overall, it is concluded that the health status and healthcare access of “stay-behind pregnant women” are poorer than others. Future studies can explore the role of empowerment of “stay-behind pregnant women” in ensuring their better health and healthcare access.

Weight stigma in the preconception, pregnancy, and postpartum periods: A systematic review of women's perspectives.

Weight stigma presents a significant challenge for women throughout the preconception, pregnancy, and postpartum (PPP) periods, manifesting in multiple areas of life, including interpersonal relationships, healthcare settings, and broader social contexts. This systematic review investigates weight stigma in women across their reproductive years, examining its impact, and exploring the socioecological factors that contribute to its persistence. We searched Medline, PsycINFO, Embase, Maternity and Infant Care (MIDIRS), and Global Health for peer-reviewed articles published since 2010. Of the 3486 records identified, 38 were included in a narrative synthesis. Inductive thematic analysis was used to explore women's personal experiences of weight stigma. We then applied a socioecological lens to examine the interrelationships between individual, interpersonal, organizational, and societal factors contributing to weight stigma. Five overarching themes were identified: (1) the impact of weight stigma on PPP women; (2) weight stigma experiences across the socioecological contexts; (3) coping strategies; (4) women's voices as a call to action; and (5) interrelationships of weight stigma contexts. Our findings provide critical insights into the multifaceted nature of weight stigma, highlighting the need for future research, and the development of practical strategies that prioritize women's perspectives, and challenge harmful societal norms for positive change.

Experience with multiple devaluation is associated with elevated emotional eating, perceived weight, and body mass index: An exploration of mediating factors and the role of irrational beliefs in general population and university samples.

Weight stigma, the social devaluation of people based on a perception of high body weight, is associated with a number of adverse health consequences including avoidance of medical care, suicide risk, disordered eating, decreased exercise, and weight gain. Experiences of stigma in a variety of domains in addition to weight may intersect to exacerbate these outcomes. Participants in two samples (one of 327 women and men from the general population and one of 128 female university students) reported experiences of devaluation on three body size and eight non-body size-related characteristics (referred to as multiple devaluation experience or MDE) and completed assessments of emotional eating (EE), feeling fat, weight self-stigma, impulsivity, and irrational beliefs. Participants were also asked to rate their body weight. MDE was correlated with elevated weight self-devaluation and anticipation of weight stigma, negative EE (NEE), feeling fat, and impulsivity in both men and women. None of these measures moderated the relationship between MDE and EE. The positive relationship between MDE and NEE was mediated by anticipated weight stigma only in women in the general population sample at higher levels of irrational beliefs. The positive relationship between MDE and body mass index (BMI) was mediated by NEE in women in the general population. The positive relationship between MDE and perceived body weight was mediated by feeling fat in women in both samples. These results suggest that women's experiences of stigma may increase anticipation of ongoing stigma, prompting NEE and resulting in elevated BMI. The results also suggest that feelings of fatness could lead to an elevation of women's perceived body weight, which in prospective studies is linked to later elevation of actual weight.

Childbirth Experience, Mistreatment, and Migrant Status: A Retrospective Cross-Sectional Study.

Childbirth experience can affect women's long-term health and well-being. However, there is limited knowledge on whether migrant status affects woman's experience during childbirth. We aimed to answer the following research questions: (1) Is there a difference in childbirth experience between migrant and native-born women in Iceland; and (2) Are migrant women more likely to experience mistreatment in childbirth compared to native-born women in Iceland? An online survey was developed including the Childbirth Experience Questionnaire 2 to assess overall childbirth experience, and descriptive analysis and linear regression were conducted to determine differences between migrant and native-born women in Iceland. The mistreatment by care providers in childbirth indicators were used to evaluate mistreatment in childbirth, and frequencies and logistic regression were conducted. Both regression models were adjusted for sociodemographic and obstetric factors. A total of 1365 women participated. Migrant women reported statistically significantly lower scores for birth experience compared to native-born women (F [12, 1352] = 23.97, p < 0.001). There was no statistical difference between groups regarding mistreatment in childbirth. One in four of all women reported at least one form of mistreatment. This study suggests that there are areas in maternity care that can be improved upon, particularly in providing care for migrant women and addressing mistreatment in childbirth for all. Our results suggest further research in this area as well as evaluation of maternity systems, training in cultural competency and effective communication.

Social media activism and women's health: Endometriosis awareness and support.

While endometriosis is estimated to affect 1 in 10 women globally, awareness of the disease as well as research and funding to fight the disease remains lacking as compared with other chronic diseases. This study examines how social media users utilized Instagram to raise awareness of and mobilize activism around endometriosis by analyzing prominent topics, word associations, and feminism themes in endometriosis-tagged posts on Instagram. We used a mixed-method approach of combining computational analyses (topic modeling and word association) and human coding (qualitative thematic analysis) of Instagram posts on endometriosis. Our results show that while Instagram users discussed a variety of issues related to the disease on the social media platform, these issues tend to focus on four topic areas: (i) living with endometriosis, (ii) pregnancy and endometriosis, (iii) awareness and empowerment, and (iv) women's health and wellbeing. In addition, social media users widely incorporated three feminism themes: (i) bringing attention to invisible disability, (ii) solidarity and support among women, and (iii) advocacy and activism around women's health. People with endometriosis use Instagram to create an online public sphere for raising awareness of the disease, offering networking and support to other endometriosis patients, and creating a movement for enhancing women's health and wellness. In doing so, they are also addressing sexism and misconceptions about endometriosis that have traditionally contributed to normalizing women's experience of pain associated with endometriosis and consequently delaying endometriosis diagnoses.

Women's Menopausal Experiences in the UK: A Systemic Literature Review of Qualitative Studies.

Menopause, defined as the cessation of periods for over 12 months, can have a profound impact on women in numerous ways. Understanding women's experiences of menopause can lead to improved care and support during this transformative period. The objective of this systematic review is to identify and summarise published qualitative studies that consider the lived experiences of women with menopause in the UK and to serve as a basis for future research in the field of menopause. EMBASE, MEDLINE and PsycINFO databases were searched initially in March, and then updated in April 2024. Peer-reviewed papers with full text available in English, focused on women experiencing menopause in the UK, studies published from January 2000 to April 2024, qualitative or mixed methods study design with qualitative analysis. Two authors independently performed title and abstract screening for eligibility. Conflicting opinions were resolved with a third author. Reviewers familiarised themselves with the data and coded the text line by line. Thematic analysis was utilised to place the codes into broader themes. All studies were assessed using an appropriate quality assessment tool. Thirty-two studies were included in the review with 3462 participants involved. 173 primary codes were extracted and organised into subthemes and 3 overarching themes. These key themes were the biopsychosocial dimensions of menopause, understanding of menopause and strategies to manage menopause. Menopausal experiences documented in the literature are shaped by a range of individual and societal factors. While initiatives to support menopausal women are in place, this review also identifies key knowledge gaps and marginalised groups that would benefit from targeted research and interventions. It emphasises that menopause is not merely a collection of symptoms, but, for many, a pivotal life transition. A deeper understanding of these experiences allows us to more effectively support women through this significant phase of life. This review concluded that the menopausal experience extends beyond physical symptoms, also affecting mental health, personal and professional life, and self-identity. Additionally, menopause is shaped by individual life experiences and various personal factors. The studies analysed in this review contain original data from women in the UK undergoing menopause. The qualitative data delves into their experiences with symptoms, accessing various sources of support from NHS and non-NHS sources as well as alternative therapies.

The mediating role of resilience and sleep quality between self-efficacy and prenatal anxiety: A mediational analysis.

During pregnancy, prenatal anxiety is one of the most common mental disorders that women experience. This study aims to assess the prevalence of prenatal anxiety among Chinese pregnant women and explore the parallel mediating role of resilience and sleep quality in the relationship between self-efficacy and prenatal anxiety. Between February and June 2023, a total of 1071 pregnant women were recruited from three hospitals in Nantong, Jiangsu Province, China, using a convenience sampling method. The participants completed general survey questionnaires and were assessed using the Depression Anxiety Stress Scale-21, the Pittsburgh Sleep Quality Index, the 10-item Connor-Davidson Resilience Scale, and the Chinese version of the General Self-Efficacy Scale. In addition, a hierarchical multiple regression analysis was employed to investigate the relevant and mediating factors of prenatal anxiety. This study utilized a structural equation model to examine the mediating role of resilience and sleep quality in the relationship between self-efficacy and prenatal anxiety. Multivariate regression analysis showed that self-efficacy, resilience, and sleep quality were associated with prenatal anxiety (P < 0.05). The results of the mediation analysis indicated that resilience and sleep quality acted as fully mediators between self-efficacy and prenatal anxiety. The mediating effect of resilience was -1.8970 (95% CI -2.5259 to -1.3145), accounting for 72.07% of the total effect, and the mediating effect of sleep quality was -0.5482 (95% CI -0.7450 to -0.3726), accounting for 20.83% of the total effect. While self-efficacy accounted for 7.10% of the total effect (P = 0.5625), resilience, and sleep quality fully mediated prenatal anxiety. In Chinese pregnant women, the study revealed that sleep quality and resilience played a fully mediating role in the impact of self-efficacy on symptoms of prenatal anxiety. This suggests that enhancing resilience, improving sleep quality, and promoting self-efficacy may help alleviate symptoms of prenatal anxiety.

Experiences and Concerns of Pregnant Refugee Women from Nigeria Seeking for Asylum in Germany - A qualitative analysis

ProblemInsights into and data of the experiences of pregnant women seeking asylum in Germany are largely lacking. BackgroundDue to multiple stress factors, pregnant refugees are considered a vulnerable group. Gender-specific causes of flight, traumatic experiences during flight, and numerous stressors in the respective host country have a decisive impact on the health of women and affect pregnancy and childbirth. AimThis study aims to assess the perspectives and needs of pregnant refugee women from Nigeria, that are residing in an initial reception center in Germany. MethodsExperiences and concerns of N = 20 pregnant refugee women from Nigeria relating to pregnancy and impending childbirth were assessed in semi-structured interviews, conducted by three psychologists in English. FindingsFindings emphasize the need for continuous medical and psychotherapeutic care due to the multiple stressors and the partial lack of social support, especially for single women. The participants described their concerns particularly related to their personal and their family's health, as well as their impending birth, their optimistic attitude about the parenting experience, and confidence in medical care in Germany. Their wishes were predominantly related to items necessary for the care of their children, information about the pregnancy and birth process as well as for their integration. Utilization of resources and positive activities were indicative of adapting coping styles and resilience factors of pregnant refugee women. ConclusionThis study highlights the importance of the context-sensitive medical and psychotherapeutic care to adequately support the women during pregnancy and around childbirth. Furthermore, the study demonstrates the necessity of counteracting the negative effects of experiences on their health and that of their children.

Patient Perspectives of Fertility Following Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy: An Opportunity for Improved Perioperative Counseling.

Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) is increasingly performed in young patients with peritoneal surface malignancies. Important quality of life (QoL) questions arise; however, there is limited research on fertility experiences in young women with carcinomatosis or following CRS/HIPEC. Retrospective review of a prospective database evaluating women less than 45ys who underwent CRS/HIPEC at the University of Pittsburgh Medical Center from January 1998 to 2020. Eligible patients were contacted for a telephone-based interview. Themes regarding fertility counseling, childbearing, and patient-identified issues were investigated. A total of 28 of 29 women who met inclusion criteria participated. The majority had appendiceal primary (16/28). Most received Mitomycin C intraperitoneal chemotherapy (26/28) with an average Peritoneal Cancer Index of 8 (0-39). Almost half of the women (43%) desired fertility discussion. Although this conversation happened more often in younger patients, 75% were over the age of 35 ys at time of initial HIPEC. Less than half were offered fertility counseling. When fertility conversations occurred, many felt that they were insufficient. In addition to fertility, women cited lack of support on postprocedure hormonal and associated QoL changes. As we treat younger females with CRS/HIPEC, we must provide support for age-appropriate QoL issues including fertility and surgical menopause.

Regulating Abortion Later in Pregnancy: Fetal-Centric Laws and the Erasure of Women's Subjectivity

Context: In the United States, fetal development markers, including “viability” and the point when a fetus can “feel pain,” have permeated the social imaginary of abortion, affecting public support for abortion and the legality and availability of care, but the extent to which these markers describe and orient the experience of abortion at later gestations is unclear. Methods: Using interviews with 30 cisgender women in the United States who obtained an abortion after 24 weeks of pregnancy, the authors investigated whether and how notions of fetal viability and/or pain operated in the women's lived experiences of pregnancy and abortion. Findings: According to respondents’ accounts, fetal development–based laws restricting abortion based on purported points of fetal development operated as gestational limits, privileged the viability and pain status of the fetus over that of the prospective neonate, and failed to account for the viability and pain of the pregnant person. Conclusions: The discursive practice of centering fetal development in regulating abortion access makes denial of abortion care because of the fetus's status conceptually available—even at the point of fertilization—and naturalizes the erasure of the subjectivity of women and others who can become pregnant.

Amplifying Women's Voices in Menopause Research: The Importance of Inclusive Perspectives.

Menopause, a significant life transition for half the global population, intersects biological, cultural and social dimensions. Despite its universal occurrence, menopause research has historically been dominated by biomedical perspectives, often neglecting women's voices and diverse experiences. This article highlights the importance of including women's perspectives in menopause research to ensure relevance, accuracy and equity. It explores cultural variations in menopause experiences, the impact of socioeconomic status and the often-overlooked emotional and psychological dimensions. This article advocates for participatory approaches, emphasising that women's involvement enhances research design, implementation and policy development. Evidence-based interventions that are tailored to the individual can better address the diverse needs of menopausal women. The discussion extends to addressing health disparities, calling for inclusive research and policies to ensure equitable access to care. Ultimately, empowering women through co-designed research and inclusive policies can transform the menopause journey into an enriching life phase, promoting resilience and inclusivity across communities. This paradigm shift in menopause research and policy highlights the need for diversity, collaboration and evidence-based approaches to improve health outcomes and quality of life for all women. PATIENT OR PUBLIC CONTRIBUTION: This article has been informed by a menopause service user group who discuss their experiences of menopause. The group was formed because of initial qualitative research and now meet on a regular basis to co-design and co-produce activities that inform ongoing research for the menopause taskforce.

Longitudinal impact of past-year reproductive coercion on contraceptive use dynamics in Sub-Saharan Africa: evidence from eight population-based cohorts.

Reproductive coercion (RC) is a type of abuse where a partner intentionally attempts to interfere with fertility through deception or violence, often by manipulating one's contraceptive use or reproductive decision-making. Cross-sectional studies on the magnitude of RC across sub-Saharan Africa have noted associations with contraceptive use. No studies have longitudinally examined RC experiences as related to future contraceptive dynamics, including discontinuation or forgoing use altogether. Two rounds of longitudinal population-based cohorts across eight sites in sub-Saharan Africa, from November 2020 to January 2023, were used to prospectively examine past-year RC's impact on future contraceptive dynamics (discontinuation and switching vs. continuation for contraceptive users at baseline; adoption vs. continued non-use for contraceptive non-users at baseline) using bivariate and multivariable multinomial and logistic regression. Minimal differences in women's past-year RC experiences were observed over a two-year period. In many settings, RC prevalence decreased. Only in Uganda did past-year RC increase between rounds (15.8% to 17.8%). RC's impact on contraceptive dynamics over one year differed by setting. In Burkina Faso, women with past-year RC had a three-fold increased risk of discontinuing contraception, as compared to continuing (RRR=2.63; 95% CI=1.28-5.42; p<0.01). In Uganda, past-year RC was marginally associated with reduced odds of contraceptive adoption, compared to continued non-use (p<0.1). In this first longitudinal study of RC, trajectories varied across settings, as did RC's impact on contraception, affirming the importance of context. Future work should clarify RC trajectories and drivers thereof. Providers must be aware of RC leading to potential discontinuation. Contraceptive provision must be flexible and reflect women's life circumstances, including partner dynamics. This work was supported, in whole, by the Bill & Melinda Gates Foundation [INV-046501 and INV-009639]. Under the grant conditions of the Foundation, a Creative Commons Attribution 4.0 Generic License has already been assigned to the Author Accepted Manuscript version that might arise from this submission.

Interest in digital health tools for miscarriage support: A qualitative assessment of Canadian women facing early pregnancy loss.

Early pregnancy loss (EPL) occurs in 10%-15% of all pregnancies but remains an underrecognized and undertreated condition. In Canada, resources to support individuals and their partners facing EPL remain scarce despite a high burden of psychosocial sequelae. Digital health tools hold the potential to fill important gaps in reproductive healthcare. We sought to better understand the perspectives of individuals who experienced pregnancy loss and explore how digital health tools could offer support. We conducted a qualitative study with grounded theory methodology to address our objectives. The study was conducted between September 2021 and April 2022 in Ottawa, Canada. Participants between 18 and 45 years of age who resided in Canada and experienced EPL up to 12 + 6 week gestation within the last 2 years were included. Enrolled participants who provided informed consent completed a single in-depth interview. Data were analyzed iteratively by two trained research team members with thematic techniques supported by NVivo software. Interviews were conducted with 14 participants who had experienced EPL. All participants identified as female and resided in Canada, with 28.6% (n = 4) between 26 and 30 years of age, and the remaining 71.4% (n = 10) between 31 and 40. Qualitative analysis identified three primary themes centered around participants' experiences of miscarriage, access to information and support for EPL in Canada, and desires and preferences for a digital miscarriage tool. Miscarriage is an emotionally difficult experience for women and their loved ones, who often do not receive timely and compassionate care within the healthcare system. Participants were highly motivated to co-develop a digital intervention for EPL that is designed to fill gaps in care. The digital companion would assist individuals through their miscarriage journey by providing evidence-based and locally relevant medical information as well as avenues to access both professional and informal forms of psychosocial support.

Sexual harassment in rural workplaces in India and the human rights discourse: a case study of select Hindi films

ABSTRACT This article explores the issue of sexual harassment (SH) in rural workplaces in India through a case study of two Hindi films, Mirch Masala [Directed by Ketan Mehta. Bollywood, Mumbai: National Film Development Corporation, 1987] and Bawandar [Directed by Jagmohan Mundhra. Bollywood, Mumbai: Smriti Pictures, 2000]. While the global #MeToo movement in 2017 brought attention to workplace harassment, it largely overlooked women in India’s informal sector, particularly in agriculture. This article highlights how rural women, especially from marginalised communities, face SH in rural workplaces where caste and patriarchy further exacerbate their vulnerability. Drawing on Kamir's [Framed: Women in Law and Film. Duke University Press, xii, 2006] theory of ‘dignitarian feminism’, and Nayar's [Human Rights and Literature: Writing Rights. Springer, 2016] concept of ‘Human Rights Literature’, this study employs textual and discourse analysis of the films to examine how caste and honour-based social structures perpetuate SH. We argue that these films provide critical insights into the socio-cultural dynamics of SH in rural settings, illustrating the intersection of caste, gender, and patriarchy. By focusing on Dalit women's experiences, this paper calls for greater legal protection and cultural awareness to address SH in rural workplaces, beyond urban and formal sectors.

Pregnant Turkish Muslim Women's Perspectives and Experiences on Religion and Spirituality during Pregnancy.

The aim of this study is to determine the views and experiences of pregnant Muslim women about religion and spirituality during pregnancy. A descriptive, phenomenological design was used, and the study was conducted with 16 pregnant Muslim women living in Türkiye. The thematic analysis method was used. The main themes created in the study were pregnant women's motivation to have children, changes during pregnancy, faith and spirituality during pregnancy, support for the moment of birth, and motherhood. Pregnant women also need moral support in addition to routine practices and follow-ups during this difficult and distressing process. Religious practices provide psychological comfort for pregnant women in coping with the symptoms they experience and having a healthy birth and a healthy baby. Spiritual care should be given importance in raising health professionals and spirituality-based topics should be included in the education process.

"Is This the Family Path?": Understanding the Lived Experience of Motherhood for Women Who Have Lost Their Own Mother to Suicide.

For daughters who have lost their mother to suicide, resurgences of grief may occur, triggered by anniversaries, family occasions, and by entering motherhood. When these women become mothers, they must adjust to the joys and stressors of motherhood, without the emotional and practical support that a maternal grandmother would often provide. This study provides an in-depth qualitative exploration of the experiences of women who have experienced their own mother suicide. Semi-structured interviews were conducted with a purposive sample of five mothers who have experienced their mother suicide. Data were collected and analysed using Interpretative Phenomenological Analysis (IPA). Analysis revealed five group experiential themes: lacking a guiding maternal figure, navigating identity and expectations, carrying the legacy of maternal suicide, motherhood as healing, and the trajectory:is this the family path?. This study identifies key challenges and specific needs of mothers who have experienced their mother suicide.