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Objective: This scoping review aims to map the strategies used during the communication of bad news to families of unexpected and sudden death victims from the perspective of those receiving the news.
Introduction: The strategies used in communicating a person's death to their family, especially in unexpected and sudden situations, can have a profound impact on the grief management process. This communication is often carried out by a health professional (doctor, nurse, or paramedic), but may also be carried out by a police officer, depending on the context in which the situation has occurred (in or out of hospital).
Inclusion Criteria: This scoping review will include studies on families of victims of unexpected and sudden death. All studies focusing on the strategies used to communicate bad news of unexpected and sudden death face to face, implemented by any professional in an intra-hospital or extra-hospital context, from the perspective of those who received the news, will be considered.
Methods: This review will follow the JBI methodology for scoping reviews. An initial search will be conducted, followed by a second search for published and unpublished studies in major health-related electronic databases. Studies published in English, Spanish, French, and Portuguese will be included, with no geographical, cultural, or time limits. Data selection, extraction, and synthesis will be performed independently by 2 reviewers and will include details of populations, study methods, and strategies used. A narrative synthesis will accompany the results and describe how they relate to the objectives of the review.
Review Registration: Open Science Framework https://osf.io/4rhw3.
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http://dx.doi.org/10.11124/JBIES-23-00492 | DOI Listing |
The leading cause of epilepsy-related mortality is sudden unexpected death in epilepsy (SUDEP), resulting from seizure-induced cardiorespiratory arrest by mechanisms that remain unresolved. Mutations in ion channel genes expressed in both brain and heart represent SUDEP risk factors because they can disrupt neural and cardiac rhythms, providing a unified explanation for seizures and lethal arrhythmias. However, the relative contributions of brain-driven mechanisms, heart-intrinsic processes, and seizures to cardiac dysfunction in epilepsy remain unclear.
View Article and Find Full Text PDFOmega (Westport)
September 2025
Division of Perceptual Studies, Department of Psychiatry & Neurobehavioral Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA.
This study explores changes in grief and fear of death in individuals who reported after death communications (ADC) from people who died unexpectedly or whose death was expected. We found that those bereaved by unexpected loss reported significantly higher levels of uncertainty regarding changes in their fear of death compared to those bereaved by an expected loss. However, no significant differences were found in grief between the two groups.
View Article and Find Full Text PDFFront Neurol
August 2025
Neurophysiology Research Center, Shahed University, Tehran, Iran.
Epilepsy is a prevalent neurological disorder that affects more than 50 million individuals worldwide, characterized by seizures, and is often associated with complications such as cognitive impairments, and an increased risk of sudden unexpected death in epilepsy (SUDEP). Despite advancements in pharmacological treatments, one-third of patients develop drug resistance and some experience serious side effects related to drug therapy. This highlights the urgent need for alternative therapeutic approaches.
View Article and Find Full Text PDFPsychodyn Psychiatry
September 2025
Clinical Professor of Psychiatry, Columbia University, and Editor, Psychodynamic Psychiatry.
In this issue of , we publish the clinical article "Older Psychodynamic Psychiatrists: Practice Metrics and Subjective Observations," by Douglas Ingram and Myron Glucksman. The authors queried in depth a convenience sample of 20 psychodynamic psychiatrists 65 years of age or older who were still actively practicing and reporting deep satisfaction. A similar unpublished study by Judith Kantrowitz of psychoanalysts in the same age group found high degrees of investment and engagement in their survey participants.
View Article and Find Full Text PDF