• Wendy G Lichtenthal, Matthew Nilsson, David W Kissane, William Breitbart, Elizabeth Kacel, Eric C Jones, and Holly G Prigerson.
• Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York City, NY, USA. lichtenw@mskcc.org
• Psychiatr Serv. 2011 Oct 1;62(10):1225-9.

ObjectiveThis study examined grief and mental health service use among 86 bereaved caregivers of advanced cancer patients.MethodsCaregivers were assessed before (median=3.1 months) and after (median=6.6 months) patients' deaths for prolonged grief disorder, axis I psychiatric disorders, mental health service use, suicidality, and health-related quality of life.ResultsSixteen percent of the bereaved sample met criteria for prolonged grief disorder, which was significantly associated with suicidality and poorer health-related quality of life, but not with mental health service use. The majority of bereaved caregivers with prolonged grief disorder did not access mental health services. In multivariable analyses, having discussed psychological concerns with a health care professional when the patient was ill was the only significant predictor of mental health service use during bereavement.ConclusionsBecause bereaved caregivers with prolonged grief disorder underutilize mental health services, connecting them with services while the patient is still alive may be beneficial.

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