Family interaction and suicidal behaviour: a brief review

This paper reviews those research studies which have investigated suicidal behaviour in the context of the family. It is proposed that in families a subculture of distress management develops not from random deviations but from familial and cultural expectations of how distress can be managed. A number of factors are presented indicating suicide potential:

• a pattern of marked hostility,

• a pattern of role disturbance and role failure,

• a process of escalation when developmental crises occur in the management of family life-cycle transitions,

• a symbiotic attachment between partners which tolerates no autonomy,

• an intolerance of crisis,

• a relationship between the management of crises, family conflict and family organization,

• suicidal behaviour as a pattern of communication.

A family tradition of crisis management by symptoms and the presence of intra-familial conflict are seen as critical variables.