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15-Jul-2026
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Arch Hellen Med, 43(6), November-December 2026, 736-741 BRIEF REVIEW The role of death notification in the grief trajectory N. Statharakos1,2 |
Death notification is a pivotal moment that initiates the bereavement process and can profoundly influence survivors' psychological trajectory. When delivered abruptly, ambiguously, or without support, it may intensify acute distress and increase the risk of prolonged grief disorder (PGD), especially after sudden or violent losses. Poorly managed notifications are linked to traumatic reactions, emotional numbing, disrupted meaning-making, and persistent functional impairment. Key mechanisms include acute trauma responses, interference with attachment reorganization, and cognitive distortions that hinder acceptance and prolong suffering. Risk is further amplified by individual vulnerabilities such as pre-existing mental health conditions, insecure attachment, and lack of social support. Conversely, notifications characterized by clarity, empathy, and provision of follow-up resources can buffer the traumatic impact and facilitate adaptive grieving. Despite the evidence, many professionals lack formal training, leading to inconsistent practices. Death notification should be recognized not as a procedural task but as a psychologically consequential intervention. Structured training, standardized protocols, and integration of psychosocial support are essential to reduce the risk of PGD and promote healthier bereavement outcomes.
Key words: Bereavement, Death notification, Emotional processing, Grief trajectory, Prolonged grief disorder, Traumatic loss.