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Rapid implementation of a support intervention for bereavement at the beginning of the COVID-19 pandemic

Published online by Cambridge University Press:  13 August 2021

J. Mallet*
Affiliation:
Psychiatry, LOUIS MOURIER Hospital, Colombes, France
F. Dousset
Affiliation:
Psychiatry, LOUIS MOURIER Hospital, Colombes, France
M. Colle
Affiliation:
Psychiatry, LOUIS MOURIER Hospital, Colombes, France
H. Cardot
Affiliation:
Psychiatry, LOUIS MOURIER Hospital, Colombes, France
E. Kiesmann
Affiliation:
Psychiatry, AP-HP, Louis Mourier Hospital, Colombes, Université de Paris, Faculté de médecine. INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, France, COLOMBES, France
Y. Le Strat
Affiliation:
Psychiatry, LOUIS MOURIER Hospital, Colombes, France
C. Dubertret
Affiliation:
Psychiatry, LOUIS MOURIER Hospital, Colombes, France
*
*Corresponding author.

Abstract

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Introduction

There have been over 900,000 deaths from COVID-19, with more than 3 million people bereaved. These deaths are associated with factors leading to poor bereavement outcomes, and distress in frontline-staff

Objectives

to (i)present the rapid implementation of an intervention for bereavement support; (ii)characterize first calls and follow-up.

Methods

We recruited a multidisciplinary team and prepared a structure called “SIB” (Support and Intervention for Bereavement) in a matter of days. There were three steps for the support (Screening, First-line intervention, Second-line intervention (short follow-up). We collected data screening risk factors for complicated grief (CG).

Results

Between March 24th-May 14th (lockdown, March 16th-May 13th), the hotline received nineteen calls for an intervention. The hospital contacts were various, including mortuary. Fifteen relatives were followed, among them thirteen bereaved for ten deaths (on 52 deaths=19.23%). Dead persons were young (m=59.68 years-old, SD=15.25). All contacts reported several risk factors for a CG (no “goodbye” (100%), no funeral rituals (82.35%)). Six relatives were addressed for short follow-up.

Conclusions

The actual pandemic is at high risk for complicated grief and may until 2021. We hope that all hospitals would implement basic bereavement outreach programs to prepare families for the death and to support them afterwards, as well as provide basic support to frontline staff.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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