{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T07:11:55Z","timestamp":1789715515741,"version":"4.0.1"},"reference-count":49,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001804","name":"Canada Research Chairs program","doi-asserted-by":"publisher","award":["CRC-2020-00029"],"award-info":[{"award-number":["CRC-2020-00029"]}],"id":[{"id":"10.13039\/501100001804","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Fondation J-L Levesque"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat&amp;#65533;Care"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Compassionate communities are a key public health palliative care strategy for addressing the social determinants of death. However, their evaluations often prioritize health indicators, overlooking the intended social and cultural transformations that are central to this social model. This study addresses this research gap by analyzing the transformative outcomes emerging from two distinct community initiatives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Building on our prior analysis of community engagement processes, this comparative ethnographic analysis examines the transformative outcomes of two distinct compassionate communities in Montr\u00e9al, Canada (2021\u20132023). Data from 84\u2009h of participant observation and 26 semi-structured interviews with 22 participants were analyzed to identify the social and cultural changes resulting from the community-led and institutionally-led models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Findings demonstrate that local contexts act as active forces shaping which social determinants of death are prioritized, specifically overdose stigma in Centre-Sud and fraud-induced social death in the West Island, thereby dictating unique engagement trajectories toward transformation. A universal outcome was the creation of safe spaces to break the death taboo, which addressed the mismatch between private loss and the lack of collective social scripts. This facilitated the emergence of \u201cdeath sociability\u201d: a reciprocal mechanism for experiential learning grounded in shared recognition of human finitude, which actively builds cultural capital in its embodied (new skills and language), objectified (rituals and shared narratives), and institutionalized (formal recognition of community practices) forms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Death sociability is a core mechanism through which compassionate communities achieve transformative change, addressing both biological and social mortalities. As an empirically grounded concept, it offers a novel theoretical lens for future research to track social and cultural impacts beyond health metrics. Therefore, supporting the creation of safe spaces where death sociability can thrive is crucial for building the cultural capital needed to advance equity in social determinants of death.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524261434628","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T12:50:27Z","timestamp":1774961427000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Taboo, safe spaces, and death sociability: A comparative ethnography of two compassionate communities"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9040-5797","authenticated-orcid":false,"given":"\u00c9milie","family":"Lessard","sequence":"first","affiliation":[{"name":"Institute of Psychology, Faculty of Social and Political Sciences, Universit\u00e9 de Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1652-0150","authenticated-orcid":false,"given":"Isabelle","family":"Marcoux","sequence":"additional","affiliation":[{"name":"Faculty of Health Science, University of Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge","family":"Daneault","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Universit\u00e9 de Montr\u00e9al, QC, Canada"},{"name":"Centre de recherche de l\u2019Institut universitaire de g\u00e9riatrie de Montr\u00e9al (CRIUGM), QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lise","family":"Jean","sequence":"additional","affiliation":[{"name":"Communaut\u00e9 Compatissante Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Lapointe","sequence":"additional","affiliation":[{"name":"Montreal Institute for Palliative Care, Teresa Dellar Palliative Care Residence, Kirkland, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dale","family":"Weil","sequence":"additional","affiliation":[{"name":"Montreal Institute for Palliative Care, Teresa Dellar Palliative Care Residence, Kirkland, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghislaine","family":"Rouly","sequence":"additional","affiliation":[{"name":"Canada Research Chair in Partnership with Patients and Communities, Centre de recherche du centre hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al (CRCHUM), QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7079-9637","authenticated-orcid":false,"given":"Libby","family":"Sallnow","sequence":"additional","affiliation":[{"name":"Marie Curie Palliative Care Research Department, University College London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5399-4075","authenticated-orcid":false,"given":"Allan","family":"Kellehear","sequence":"additional","affiliation":[{"name":"Department of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Boivin","sequence":"additional","affiliation":[{"name":"Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Universit\u00e9 de Montr\u00e9al, QC, Canada"},{"name":"Canada Research Chair in Partnership with Patients and Communities, Centre de recherche du centre hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al (CRCHUM), QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hct200"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02314-X"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780198862994.001.0001"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17176271"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.21037\/apm-22-867"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-022-01021-3"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221077850"},{"key":"e_1_3_3_9_2","first-page":"1","article-title":"How does community engagement evolve in different compassionate community contexts? 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