Grief Counseling Certification: When Grief Happens

Grief Counseling Certification

Grief strikes everyone every day. It is unfortunately a natural element of life that many would like to wish away. However, if one does not develop the necessary coping skills with loss, one’s life will become a dangerous road of long depressions and unhealthy psychological reactions to loss. The coping skills necessary in dealing with loss are as pivotal to existence as any other coping skills. While there is a process in mourning loss, the coping skills help one to go through the natural phases of grief. Grief counselors are especially trained to help people get through the day to day cycle of grief as a result of loss. AIHCP offers certifications in grief for qualified individuals. If you are fit the mold for a grief counselor, you should consider becoming certified. By merely taking the four required courses you can become certified in grief and also open to other specialties in pet loss, Christian grief and adolescent grief.
If you are interested in a grief counseling certification, then please review.  By taking the core courses, one can become certified in grief counseling.

Training in Grief Counseling: Suicide Intervention Strategies in Grief and Christian Counseling

Suicide Intervention Strategies in Grief and Christian Counseling

In the previous article, we discussed assessment. The final element of assessment is types of intervention required to prevent suicide that Grief and Christian Counselors can use.
There are two types of intervention. The first is Low-Risk Intervention and the second is High-Risk Intervention. High and Low is determined by level of depression, amount of risk factors and number of suicidal thoughts.
 Low level intervention requires first and foremost a no suicide contract. This removes stress from the spiritual child and allows them to be free of a dangerous and impulsive decision. The second requires follow up meetings as you nurse the person out of the situation. This may also involve other LPC assistance. Finally, family and friends are needed to lift the spirits of the person. Faith is also key here.
Higher risk symptoms involve more drastic interventions. The plan is very identifiable, doable and even has a possible time frame. Obviously a no suicide contract should be made but the extent of family and friend intervention is much higher. Sometimes an intervention circle may be needed where family and friends form a vigil around their the person. In other cases, police should be called at times or admittance. However, sometimes emergency responses can only do so much or hospitals can only hold someone so long due to observance rules or insurance issues. In these cases, family is most key. The one thing to remember is as a counselor you should never put yourself in harms way especially if a weapon is involved.
It is the hope after help has arrived that post counseling and medicines can alleviate the suicidal thoughts. Ultimately the greatest healing comes from God and this in some cases takes the most time, especially since only the person can open himself to God’s grace. However, is this not the role of the Christian counselor? To shower the love of God on those who suffer?
Hopefully with proper assessment and correct intervention methodologies, a  grief counselor can prevent the death of a person.

Please also consider training in grief counseling.

Grief and Christian Counseling Suicide Assessment Questions

Grief Counseling Training Program: Suicide Assessment for Christian and Grief Counseling

In grief and Christian counseling it is important to identify high risk factors that can lead to suicide. Below is an assessment guide in diagnosing possible people at risk.

The first assessment is identifying symptoms of depression. According to medical professionals, depression manifests itself in these ways. 1. Intense sadness. 2. lost of interest in normal activities 3. loss of energy and strength 4. loss of self confidence 5. excessive guilt 6. expressions that reflect lack of worth or living 7. loss of concentration 8. extreme restlessness 9. frequent insomnia 10. loss of appetite. One should rank these on a scale of one to ten. If two or more symptoms exist with a level of three, a counselor should refer his patient to a medical professional for possible depression treatment.
The second assessment for suicide prevention is the risk factors. Among the most common are 1. loss of job 2. loss of social status 3. financial loss. 4. Gender–male. 5. family history of suicide 6. drug use 7. mental illness. These issues or combination of these issues can lead to a potential suicide
The third and final assessment is assessing he lethality of a threat or plan. Questions such as “Have you considered harming yourself?” or “How many times have you considered harming yourself?” are good starting points in questioning. The second set of questions involve the depth of the plan. They include “Have you considered how you will kill yourself?” The third set of questions hopes to identify a time table. Through this one can identify the intent, lethality and immediacy of the threat.
With good assessment skills, a counselor can prevent a catastrophic event that will not only end an individual life but hurt an entire family. For more information, please review our Grief Counseling training program.
By Mark Moran, MA

Christian Grief and the Effects of Traumatic Grief on Society

Courses in Christian Grief Counseling: Effects of Traumatic Grief on Society

In the previous article we discussed what traumatic grief is and how it affects the survivor. We utilized Lifton’s five major themes that correspond with traumatic grief. In this segment, we will analyze the recovery procedures for people of traumatic grief. We will also include Christian principles that can heal the wounds of traumatic loss and grief.

The first step involves understanding the nature of the trauma. The trauma is so severe that it has  
brought one to the jaws of death. The realization that death is inevitable and was so close can negatively affect a survivor. Lifton’s first rule is to manage the symptoms of anxiety that correlate with the trauma. 
It is the goal of counselor to help the patient identify and face the pain associated with the trauma. Only then can the counselor help the patient feel less alone and push them towards a sign of hope. Strategies for symptom management help the patient realize they have control and hope. Some strategies include cognitive and behavioral therapies such as relaxation, or techniques for interpersonal skills. Medication is also an option to ease the emotional anxiety so the person can focus and heal. Support groups of people who share similar stories of trauma are also encouraged.
The second step involves reconstructing meaning. In this element, the person begins to find a place for the traumatic event in their life narrative. They face the trauma and then reconstruct their life story with the trauma of the past. This is the very definition of metaconstruction which integrates one’s past and future self conceptions into a new story.
The final element involves finding new spiritual wholeness. This is the final step of healing. In this step, the survivor must recover a new meaningful sense of purpose, return to society, and move towards a healthy self-acceptance of who one is. Some create survivor missions which give them a sense of destiny and ultimate value. Some find this value in God as its source, while others find non theistic means such a good of community or justice. In many ways this final step is a self acceptance and forgiveness of the past that eliminates the negative energy and produces good energy via praxis.
Obviously, God as the source produces the greatest recovery. However, some may remain bitter towards God for the evil that befell. These are signs that a full recovery is not there yet. The bitterness is negative and only until they are able to remove that darkness from their soul will they be healed. The saints and 
mystics focused their energy on Christ who suffered the most traumatic death. They focus on the trauma the Blessed Virgin faced seeing her son brutally murdered before her eyes. In that grief, they find love, support, and healing. They realize in this fallen world, they are not alone. No matter how traumatic the event, the end is resurrection in Christ. If survivors are able to go through the three steps of recovery, they will then be able to unify with Christ their sufferings and elevate it to a higher and supernatural level that the world cannot comprehend. This is the great mystery of Christian grief: through suffering comes redemption.
While traumatic grief and the pains of survivors are immense and require long periods of recovery, it is possible through good counseling, therapies, and God that one can again find meaning, wholeness, hope and love. This does not entail that the healing process eliminates the scar or the memory, but it does allow the person to accept those scars in a healthy manner and continue to carry their cross with dignity, hope, happiness and Christian charity.
Please review our courses in Christian Grief Counseling.
By Mark Moran, MA

Christian Suffering and Survivor Grief

Christian Suffering and Facing Traumatic Events

The deep emotional scars of survival from a traumatic event of terrorism, plague, natural disaster, or war can be devastating to the human soul. Such evil and mass death can cripple the person from properly healing and continuing one’s life story. While Christian grief looks at such events within the prism of God’s love and how his love can shine through the evils of men and the natural sufferings of the world, one cannot elevate this suffering to new heights until the human psyche is healed. Traumatic and   

complicated grief is the end result in these cases and the person is unable to recover. The natural grief recovery is stifled by the severity of the grief inflicted upon the person. In these cases, grief counseling is only the start. In many cases, professional licensed counselors are called upon to administer grief therapy and supply medication when needed.

A pioneer grief specialist in survivors of traumatic grief is Robert Lifton. Lifton defines a survivor as someone who has faced death and has remained alive. As a survivor who faces death, or mass death, Lifton listed five characteristics. These five characteristics are critical to understanding the nature and mindset of a survivor.

The Five Themes

The first psychological theme is the death print. The death print is the images or memories of the death event. They can cause death anxiety and can be recalled with clarity many years later. Many survivors are haunted by the desire to replay the image of death over and over until they can find a more acceptable outcome.
The second theme is death guilt. Many survivors are tormented by survival guilt. This guilt manifests from the fact that others died and they did not. This is especially the case with parents who may lose a child. In other cases, death guilt can also manifest due to lack of proper performance in stressful situations. Some people will feel extreme guilt because they did not do this or that and due to inability failed to save someone.
The third theme is psychic numbing which can accompany chronic depression. Due to this phenomenon, someone’s crucial components of self are disassociated with the ego. This numbing in some cases is a self defense mechanism. Recovery from this involves intensive therapy to feel again.
The fourth theme according to Lifton is “suspicion of counterfeit nurturance”. This deals with the feelings that survivors have with interpersonal relationships. For the most part it manifests when survivors are reluctant to receive support because they refuse to admit to the damage the trauma has caused his or her soul.
The final theme is formulation. This is the struggle the survivor has to find meaning out of life after a traumatic ordeal . How does the traumatic event fit into the life story of the person? How does the person bridge the past to the future?
These five common themes of survivors are all elements a grief counselor will have to deal with as they rebuild the psyche of a person who has experienced a traumatic event of any type. In the end, the essential task of a survivor is to find meaning of the trauma and connect the loss to their life story. One must find a way to assert continuity of life while remaining true to the past traumatic event. After identifying these themes in a person who has experienced traumatic grief, a counselor needs to work on each aspect and gradually rebuild the person and open the door to creating and reconstructing 
meaning in the person’s life. We will in future blogs review this process, but it is important to note, a Christian counselor of grief should also integrate the sufferings of Christ and point to Christ as a paradigm. Christ’s suffering ultimately is the most traumatic event in human history. One must unify his or her suffering under his cross to finally rise from the ashes as Christ did. Through hope in Christ, all wounds can be healed, even the most traumatic.
Please review the Christian Grief Counseling Program

By Mark Moran,MA

Grief Counseling Certification Program: Grief Supportand Attachment

Grief Support

Past psychological misconceptions on grief portrayed grief as an irregular element of human experience that needed to be avoided at all costs.In some cases, it was even classified as a pathology that needed cleansed from the system.  Freud insisted that energy devoted to what was lost, must be reinvested into new things or new relationships. This materialistic concept of the “now” and “here”, swept away the spiritual needs of the soul and attachment to the lost object or person.While complicated grief can become a pathology, it is dangerous within grief counseling, especially within Theistic theology, to quickly dismiss the grief process from regular mourning.   Grief, even from a non religious standpoint, is now beginning to be seen as an important element of human existence and an emotion that should not be surgically removed from the consciousness at first diagnosis. While from a theological standpoint, one can say grief is unnatural to man from an eschatological view, one cannot dismiss grief an integral part of the fallen state of historical man.  While the secular view would dismiss the fallen state, it would agree that historical man’s feelings of grief are integral to his overall existence and should not be spurned but properly utilized within the healing process.Most importantly, contemporary grief analysis would concur that attachment to the lost should never be swept into the abyss of the subconscious, but should be reshaped and reformulated to fit the new meaning of the person’s life.

     In analyzing the new ways grief is properly seen within the light of psychology, two things are apparent. First, grief is a natural element in the life of historical man and cannot be dismissed but worked through, and second, the losses of grief are always part of the particular person’s psyche and cannot be eliminated, but must be accommodated in a healthy fashion into the person’s life story. Accommodation in this way becomes an important element in contemporary grief theory. In the past it sits in the background and replacement became the key. Freud insisted one must remove all psychic energy from the deceased or lost and emphasize one’s new energy into new enterprises. Grief was seen as a sickness or unnatural state. This misconception prevents true healing. It creates a “robot” response to death or loss which is unnatural and

realistically impossible. Only a true sociopath could remove himself from the loss of a loved one, granted selfish interest was not affected. With such separation from human emotion, infusing energy elsewhere and replacing the lost with something new, drew a sharp dichotomy of the person “past” and the person “present”. It broke the story line and failed to connect the two persons of past and present for the healthy person of the future. Accommodation in this respect takes the energy and reinvests it into the lost person in a healthy fashion. It does not hope to change the past, but insert it into the story line of the existing person. It hopes to find value and new meaning within the loss. This involves creating a new chapter or a change of the plot, but it does not underestimate the importance of the previous chapters of the person’s story. The story remains uncut from its past and continues to build new chapters. If one adds a theological perspective, it also understands, that future chapters will again, reintroduce this character back into their life story. In fact, within a theological perspective, the lost character never leaves the story, but is involved at a different spiritual level, ready to be introduced physically in an eschatological era. This is the power of accommodation of loss and the importance of meaning making in one’s historical narrative. The lesson: the present and future need the past to exist and one should not try to escape it or surgically remove it, but allow it to become part of what one is today.

Attachment and Grief Support

     Attachment is the other key. Attachment theory is the basis of all human interaction. From the cradle to the grave, people experience attachments at some level. The highest bonds are usually between parents and their children, but throughout life, attachment varies in extreme and intensity. The primary principle revolves around this intensity. The strength of the bond depends on dependency and intimacy. The reaction to loss is hence based upon the strength of these things. Hence when dealing with the grieving, a counselor should be aware of the bond that has been broken. Is one dealing with an attachment involving a simple three month break up or a divorce of a ten year marriage? Is one dealing with the death of a distant aunt or the death of a mother or father? These subjective elements will play large roles in grief support due to the attachment applied to that person. In the same regards, a woman who was somewhat interdependent may recover quicker than a woman who was completely dependent upon her husband.
     From a theological standpoint, theists can take these attachments to another level with God. While in the temporal reality, one must accept, even the greatest joys of this world will one day be taken away, one can with assurance of faith believe God’s love can never fade. Many studies have shown that those who experience loss find meaning and reconstruction quicker by their faith in God. God represents the most stable and perfect attachment; an attachment that can never disappoint or cease to exist. However, one of the most reassuring aspects of attachment with God is that all the good attachments that have been lost, will again be shared in the eschatological state. Even a materialist, who denies the existence of God, cannot deny the  emotional benefits of hope from a purely psychological state. For this reason, attachment that goes beyond the mere human attachments presents a very powerful tool for coping during grief.
     From these perspectives, attachments should not be seen as possible pathologies, but are important social links to human existence. Everyone forms bonds and attachments to people. These attachments should not be seen as horrible ghosts when they are severed but should be revered and respected and reformatted into one’s future narrative. It is true as the poet once said, “It is better to have loved and lost, than never loved at all”.  To review the Grief counseling certification program, click here.
By: Mark D. Moran, MA, GC-C

Should Grief Counselors Encourage Bonds Beyond the Grave?

The clash of metaphysics and empirical science the last two centuries has created two divergent
thoughts. One thought accepts an afterlife and the other denounces anything spiritual. Modern psychology as a science venerates the mind as a masterpiece of evolution while theology reveres it as a metaphysical organ that bridges the soul and the body. As Christian counselors and grief counselors, one will encounter two schools of thought concerning the deceased. One school emphasizing that visions are delusions or pathological conditions and the other school accepting the reality that bonds continue beyond the grave and our loved ones do and can communicate with us.

Grief Counselors and How They Should Deal with Continued Bonds of Clients

One agreement is certain between both schools of thought and that is that the Freudian view that attachments and bonds with the deceased is pathological is simply not true. Attachments are important and are never broken. One must readjust his or her life narrative without the loved one, but the importance of the bond continues. Whether one is from the metaphysical school of thought or the secular, one cannot dismiss this. Even the secular school would contend that the brain is helping the body cope with the loss and the cherishing of the bond as a memorial is healthy. From a metaphysical view though this bond is more than a mere memorial but an actual bond that is only temporarily broken and restored in the next life.
One may ask if these continued bonds with the grave ever pathological? The answer would be yes. Not all cases are truly metaphysical in nature. Some visions are indeed delusions and can even be pathological in nature due to complicated grief reactions. This is where discernment is very important and where faith must allow science to diagnose if any pathology is present. Regardless, metaphysical encounters usually bring peace and joy but sometimes can also bring sadness.
Some cases of continuing one’s bond remain in the realm of the five senses. Again some of these attempts to continue a bond are healthy and some are unhealthy. From a healthy perspective, many people keep various objects of a loved one or create a memorial. Some also begin various family traditions that honor the deceased. Yet despite these healthy continued bonds, others can form unhealthy bonds that become more like chains that imprison the living. These people become obsessively fascinated with objects of a loved one. Some individuals will cease to remove or touch anything of the loved one after his or her death. The person is unable to incorporate the event of death into his or her new life narrative. In these cases, one can on many occasions see a room of the deceased left completely the same as it was the day before the person died. The room becomes a “museum” for the deceased but in reality becomes a “mausoleum” for the living. In some extreme cases, the bereaved person may even wear the clothing of the deceased to help keep the connection at any cost. These severe cases represent an unhealthy example of a continued bond.

From this, I would contend that there is a benefit in continuing one’s bonds with the deceased. However inability to adjust to the new relationship with the deceased can cause pathological grief reactions that are not healthy. One must be able to move on to the next chapter of life. This does not mean the previous chapter of the story was not critical to the book, but it does mean, new chapters must be read to complete the entire book of life.
If you are interested in Grief Counseling Courses, click here.

Grief Counseling – What is it and how can it help

Grief counseling is in high demand today. The loss of someone close to you is a painful experience and can create many emotions such as anger, shock, sadness and guilt. Within this period, you may feel as if these emotions may never let up and come to an end. Loss is a tough thing to handle but it is something that most of us will have to face several times within our lives. These feeling are often categorized as grief and you may find it challenging to move past this phase alone. For such instances, it is recommended that you seek grief counseling.

 What is grief counseling?

Grief counseling is a type of theory that focuses on a person or people suffering from the feelings of grief and helps them get through their feelings. Often, grief counseling takes place with a group of people as opposed to individually as working through this process with loved ones will often help this process. The most common reasons that require grief counseling come after a death of a loved one; however it is not uncommon for people to seek this form of therapy after a divorce, the loss of a job, or the diagnosis of a serious disease, such as cancer and more. In any of these situations, grief counseling works to help that person or people cope with their emotions.

 Grief counseling in groups

As mentioned, grief counseling often takes place in a group setting. This is because the involvement of your peers, who can better understand what a person is going through, will minimize the feelings of isolation that is prevalent among grief stricken people. An added benefit is also that your friends and family will be able to stay with you outside of the sessions, something that a counselor is not able to do.

 What are the goals of grief counseling?

The main intent of this therapy varies depending upon the person and situation. The end goal is to best help that person recover emotionally from the particular situation. This form of counseling does not attempt to change what that person feels they want or need, however they do attempt to console and support that person as they are dealing with their intense emotions. More often than not, the simple act of talking about the situation will go a long way in helping a grief stricken person recover. For this reason, a therapist’s main intent is to accompany that person and encourage them to talk about what is going through their head. Getting that person to talk about it and having someone listen and converse with them about is the main role of a grief therapist.

 I am suffering from grief, how will counseling help me?

When a person looses someone close to them, or they go through an emotionally intense situation, they will often receive a lot of attention from their friends and family. After a few weeks, however, those people will be ready to move on with their lives even though that person may not yet be ready to. This is where grief counselors play an important role. Today, most of the theory behind grief counseling is based on the work of Elizabeth Kubler Ross, a famous Swiss psychiatrist who was able to identify the different stages of grief that a person will go though. Her findings showed that grief is not a straight line process and is not easily understood by the people who are not also going through the same feelings. This makes it difficult for a grieving person to find the full support they will need from friends and family members alone. Grief therapists are trained to work with and identify the stages of grief that a person may be going through and is better able to walk them through the entire process over the course of several weeks or months.
If you are suffering through feelings or grief, or know someone that is, it is important to seek some form of grief counseling as it is the best way to get through your emotions in the most healthy way possible. It is important to surround ones self around loved ones and continuous communication between the two parties will go a long way in helping that person recover from such emotions. You may also consider learning more about grief and strategies to deal with it. There are online grief counseling courses you can take to expand your knowledge in this area of specialty care.

Certification In Grief Counseling and Models of Grief

Grief Counseling and the Models of Grief

As a grief counselor , a pastoral thanatologist , or a spiritual counselor one should be aware of the natural psychology of human grief.  The fundamental aspect of grief is loss.  This is the reality of the human condition.  Within this condition, the happiest moments, most beloved persons, most treasured objects, and desired outcomes are all temporary in this plane of existence.  Anything gained can be taken within a moment; the rich man and his countless millions can be stolen in the night by the thief, the loving husband can lose his devout wife to the careless swerve of a drunk driver, or a great athlete can have his career ended with a sudden snap of his leg.   Happiness in this fallen world is always balanced by the cruel joke of loss.  Grief is the response to this loss and the reaction to loss of attachment.  While subjective responses vary, the human condition universally and objectively reacts in a general manner or fashion.  The following lists some of the general reactions that are common but not always particular to most people.

Grief Counseling Kubler Ross’ Five Steps

Kubler Ross is one of the preeminent scholars and pioneers of the psychology of grief.  Her five step model has served as one of the most trusted guides to following the trajectory of grief.  The first step according to Kubler Ross is denial.  The second step is anger.  The third step is bargaining.  The fourth step is depression or mourning.  The final step is acceptance.  Within the normal grief cycle these primary steps should be accomplished within the first couple months-although the more intense the attachment, the greater the mourning process.  In some cases, complicated grief can result when the depression state lingers well beyond the average grace period.    Within Kubler Ross’ process of normal grief, one can see a natural progression to mourning and final acceptance.  Within that acceptance comes the remedy for healing where the event or loss is recognized and the soul can finally begin to form new meaning regarding its life’s narrative.  In addition to this, following acceptance, the person can then better relocate and integrate the memory of the lost person into his or her life story.

Grief Counseling and Worden’s Four Tasks

Another process is Worden’s Four Tasks.  Again one can see a similar paradigm that traces human emotion.  The primary difference is only the purpose of the process.  This was created primarily for grieving widows that Worden counseled and treated for depression.  Yet, his four tasks still can be applied to any human loss.  Worden’s first task is to accept the reality. A widow who would have reached the first task here would have naturally gone through the process described by Kubler Ross to reach this point.  The second task is to work through the grief.  Just because acceptance has entered into one’s heart regarding a loss, one cannot deny the continuing grief that permeates one’s essence.  The grief is unpredictable.  Like the harsh winds and torrents of a storm, sometimes it falls harder, while on other occasions, there seems to be a momentary ease, only again to resume the heavy downpour.   This is the nature of the grief process, it has troughs of up and down that cannot be dismissed, ignored or wished away.  As Worden believed, they must be faced even in the darkest hour and worked through.  This process is necessary for the soul to mourn, and if not a complicated grief, a process that eventually, while never gone, becomes bearable.   Although the sharp pain of grief subsides, one cannot deny the numb reminders of loss.  One cannot deny this.  Even after a decade, would one not weep at the tombstone of a loved one?  Yet the pain felt is controlled, it is understood, and it is not pathological.  There may even be a moment of happiness and realization that the loved one is in a better place.  The third step proposed by Worden is adjustment.  Adjustment is the temporary period of transition where the person re-writes their life story and readjusts the future chapters of their life.  These new chapters do not dismiss the past chapters of loss, but encompass them and interweave them into their present and future.  Adjustment is a difficult period where sad reminders of loss may appear from time to time, but life is adjustment.  If something fails to adjust, it becomes extinct.  Hence adjustment is an important phase in re-writing one’s life and creating a new future.  Worden’s final phase included relocation of the person lost.  This is simply emotional acceptance that the person is physically gone but their memory never leaves.  They are forever in the heart of the lover and forever cherished and placed in a different mode of existence.  From a theistic tradition, the person is never gone, but still present but in a different way.  This ideal completely divorces itself from the Freudian view of complete separation.  The loss is always part of you, it is not a pathology, but is a critical part of who one is.  True one does move on, but in a healthy fashion with a new life story with new chapters that are contingent upon the past chapters.

Grief Counseling and Bowly’s Process

Other grief guides encompass the same idea. Bowlby’s process of mourning includes preoccupation, disorganization and reorganization.   Lindermann’s involves acceptance, adjustment and forming new relationships.  Finally Rando’s six “R”s captures the same ideal with the following words of “Recognize, React, Recollect, Relinquish, Readjust, and Reinvest”.  In all of these one can see the same general theme that grief is a reaction to loss and that the human heart goes through a general phase of mourning, acceptance, adjustment, and reorganization.
In conclusion, grief counselors should become aware of these phases.  They can combine or utilize whatever system they feel is best for their patient.  These systems are very good guides on general human behavior but are not concrete infallible guides for every individual.  With that in mind,  grief counselors should realize that these systems are merely guides and that each human being is unique and deserves unique care.
If you want a certification in grief counseling, then please review the program.  Those  who want a certification in grief counseling can enhance an already flourishing professional career.
By Mark Moran, MA

Grief Counselors and How They Deal with Suicide Issues

The effects of suicide on surviving members is great.  Beyond acute care, looming psychological issues can hover above the friends and family of the victim.
As Christian counselors and grief counselors, one is looking for abnormal signs of grief that goes against the normal grief reactions. These abnormal trajectories of grief can lead to later 

complications that include depression, loss of faith, survivor guilt or another potential suicide.
Family members need to acknowledge they were powerless to stop the suicide.  They need to look to God for healing and not blame themselves.  Guilt can easily seap into the conscious mind of the family member and this can lead to a variety of issues.  Some guilt can also be directed to ambivalent feelings that may have existed between the victim and the family member before the suicide.  These issues need to openly discussed and let out or they can fester inside.  Another issue is loss of meaning. After suicide, the devastation and lack of rationale and can lead a family member down a dark path.  The family member may question faith or wonder how this can possibly fit into his life narrative.  As a counselor, you want to guide the person to these answers.  This may lead to spiritual questions or meanings of life itself.  In the end, the suicide while a scar in one’s life story must be integrated into it.  Another emotion to be aware of is fear.  Some dependent family members may become quite fearful and worried about the future or who will care for them. These situations need to be resolved as well with the church and other family members.
Post suicide checkup for the family should include observation for all these issues.  Family group sessions should also be included where the family can talk among themselves and a counselor can observe interaction and danger signs for some family members who are not recovering.
The primary goal is to give the family a sense of wholeness, both physically and spiritually.  Despite the crosses and sadness that befall us in life, through God, faith and sometimes a helping hand, one can move on in this valley of tears with optimism and hope towards the final end which is with God.