Management of Grief, Depression, and Suicidal Thoughts in Serious Illness

Med Clin North Am. 2020 May;104(3):503-524. doi: 10.1016/j.mcna.2020.01.003.

Abstract

The varied physical, social, and psychological stressors that accompany advanced disease can be burdensome and cause intense emotional suffering, hindering the ability of patients and families to cope in day-to-day life and negatively affecting quality of life. This article addresses key concepts for the assessment and management of commonly encountered types of psychological distress in serious illness including grief, prolonged grief, major depressive disorder, death contemplation, and suicidal ideation.

Keywords: Antidepressants; Death contemplation; Depression; Grief; Prolonged grief; Psychotherapy; Serious illness; Suicidal ideation.

Publication types

  • Review

MeSH terms

  • Aged
  • Antidepressive Agents / adverse effects
  • Antidepressive Agents / therapeutic use*
  • Attitude to Death
  • Bereavement
  • Critical Illness / psychology
  • Critical Illness / therapy*
  • Depression / drug therapy*
  • Depression / epidemiology
  • Depression / psychology
  • Depression / therapy
  • Female
  • Grief
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Psychotherapy / methods*
  • Suicidal Ideation
  • Suicide, Attempted / psychology

Substances

  • Antidepressive Agents