{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T16:26:29Z","timestamp":1777047989322,"version":"3.51.4"},"reference-count":30,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T00:00:00Z","timestamp":1692230400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Introduction<\/jats:title>\n<jats:p>Each year an estimated 48 million people are bereaved by suicide internationally. Following traumatic events, experiencing intrusive mental imagery relating to the trauma is not uncommon. This phenomenological study aimed to explore the nature, experience and impact of intrusive mental imagery after suicide bereavement.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Semi-structured interview transcripts with 18 adults bereaved by the suicide of a close contact were analysed using thematic analysis to explore patterns and themes within the data, with particular consideration of the content of images, how people experience and relate to the imagery, and the impact that the imagery has on the bereaved.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Thematic analysis identified common characteristics in the experience of intrusive mental imagery following suicide loss, summarised under two main themes capturing: 1) the descriptive characteristics and 2) the emotional experience of intrusive mental imagery following suicide loss. The majority of participants found the experience of intrusive imagery distressing, but most also described positive aspects, including help in making sense of the death and retaining memories of the deceased.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Findings inform our understanding of the distressing experience of intrusive imagery after suicide loss, also revealing perceived value in processing the death.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0284897","type":"journal-article","created":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T17:32:22Z","timestamp":1692293542000},"page":"e0284897","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":9,"title":["Exploring the phenomenon of intrusive mental imagery after suicide bereavement: A qualitative interview study in a British 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Simplicio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2197-0826","authenticated-orcid":true,"given":"Sunjeev","family":"Kamboj","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9742-1359","authenticated-orcid":true,"given":"Alexandra","family":"Pitman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,8,17]]},"reference":[{"key":"pone.0284897.ref001","volume-title":"World Health Statistics 2021: Monitoring Health for the SDGs","author":"World Health Organization (WHO).","year":"2021"},{"issue":"1","key":"pone.0284897.ref002","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/S2215-0366(14)70224-X","article-title":"Effects of suicide bereavement on mental health and suicide risk","volume":"3","author":"A 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Linde","year":"2017","journal-title":"PLoS ONE."},{"issue":"6","key":"pone.0284897.ref006","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1192\/bjp.bp.107.040824","article-title":"Interventions for people bereaved through suicide: systematic review.","volume":"193","author":"C McDaid","year":"2008","journal-title":"Br J Psychiatry."},{"issue":"1","key":"pone.0284897.ref007","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1007\/BF03404872","article-title":"Post-suicide Intervention Programs: A Systematic Review","volume":"102","author":"M Szumilas","year":"2011","journal-title":"Can J Public Health"},{"issue":"1","key":"pone.0284897.ref008","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1037\/a0018113","article-title":"Intrusive images in psychological disorders: characteristics, neural mechanisms, and treatment implications.","volume":"117","author":"CR Brewin","year":"2010","journal-title":"Psychol 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Dyregrov","year":"2002","journal-title":"Death Studies."},{"issue":"1","key":"pone.0284897.ref012","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1017\/S1092852918001487","article-title":"Mental imagery in psychiatry: conceptual & clinical implications.","volume":"24","author":"JL Ji","year":"2019","journal-title":"CNS Spectrums."},{"issue":"4","key":"pone.0284897.ref013","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1002\/cpp.568","article-title":"Intrusive images in grief: an exploratory study.","volume":"15","author":"PA Boelen","year":"2008","journal-title":"Clinical Psychology and Psychotherapy"},{"issue":"4","key":"pone.0284897.ref014","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/S0005-7967(99)00123-0","article-title":"A cognitive model of posttraumatic stress disorder.","volume":"38","author":"A Ehlers","year":"2000","journal-title":"Behav Res Ther."},{"issue":"6","key":"pone.0284897.ref015","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1080\/07481187.2011.553327","article-title":"Posttraumatic Symptoms in Japanese Bereaved Family Members with Special Regard to Suicide and Homicide Cases","volume":"35","author":"K Ogata","year":"2011","journal-title":"Death Studies"},{"issue":"5","key":"pone.0284897.ref016","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1001\/jamapsychiatry.2017.0226","article-title":"Association Between Spousal Suicide and Mental, Physical, and Social Health Outcomes: A Longitudinal and Nationwide Register-Based Study","volume":"74","author":"A Erlangsen","year":"2017","journal-title":"JAMA Psychiatry"},{"issue":"4","key":"pone.0284897.ref017","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.jbtep.2007.10.007","article-title":"Imagery rescripting in cognitive behaviour therapy: images, treatment techniques and outcomes.","volume":"38","author":"EA Holmes","year":"2007","journal-title":"Journal of Behavior Therapy and Experimental Psychiatry."},{"key":"pone.0284897.ref018","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.cpr.2018.08.005","article-title":"Intrusive memories of trauma: A target for research bridging cognitive science and its clinical application.","volume":"69","author":"L Iyadurai","year":"2019","journal-title":"Clin Psychol Rev"},{"issue":"10","key":"pone.0284897.ref019","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1016\/j.socscimed.2010.01.029","article-title":"Suicide prevention by limiting access to methods: a review of theory and practice.","volume":"70","author":"JB Florentine","year":"2010","journal-title":"Soc Sci Med."},{"issue":"2","key":"pone.0284897.ref020","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology.","volume":"3","author":"V Braun","year":"2008","journal-title":"Qualitative 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Grey","year":"2008","journal-title":"Memory"},{"issue":"1","key":"pone.0284897.ref024","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.jbtep.2004.11.002","article-title":"Intrusive images and \u201chotspots\u201d of trauma memories in posttraumatic stress disorder: an exploratory investigation of emotions and cognitive themes.","volume":"36","author":"EA Holmes","year":"2005","journal-title":"J Behav Ther Exp Psychiatry."},{"issue":"3","key":"pone.0284897.ref025","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1037\/tra0000977","article-title":"\"Turning personal tragedy into triumph\": A systematic review and meta-analysis of studies on posttraumatic growth among suicide-loss survivors.","volume":"13","author":"Y Levi-Belz","year":"2021","journal-title":"Psychol Trauma."},{"issue":"3","key":"pone.0284897.ref026","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1027\/0227-5910\/a000550","article-title":"Attachment styles and posttraumatic growth among 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