Opin vísindi

Death talk: gender differences in talking about one’s own impending death

Death talk: gender differences in talking about one’s own impending death

Title: Death talk: gender differences in talking about one’s own impending death
Author: Skulason, Bragi
Hauksdóttir, Arna   orcid.org/0000-0002-4253-1059
Ahcic, Kozma
Helgason, Asgeir R.   orcid.org/0000-0002-0569-3067
Date: 2014-03-11
Language: English
Scope: 8
University/Institute: Reykjavík University (RU)
Háskólinn í Reykjavík (HR)
Háskóli Íslands (HÍ)
University of Iceland (UI)
School: Viðskiptadeild (HR)
School of Business (RU)
School of Health Sciences (UI)
Heilbrigðisvísindasvið (HÍ)
Department: Sálfræðideild (HÍ)
Faculty of Psychology (UI)
Series: BMC Palliative Care;13
ISSN: 1472-684X(eISSN)
DOI: 10.1186/1472-684X-13-8
Subject: Death; Terminal care; Communication; Evocation; Gender; Dauði; Psychology; Kynjafræði; Samskipti; Sálfræði
URI: https://hdl.handle.net/20.500.11815/936

Show full item record


Skulason, B., Hauksdottir, A., Ahcic, K., & Helgason, A. R. (2014). Death talk: gender differences in talking about one’s own impending death. Bmc Palliative Care, 13, 8. https://doi.org/10.1186/1472-684X-13-8


Background: According to common practice based on a generally agreed interpretation of Icelandic law on the rights of patients, health care professionals cannot discuss prognosis and treatment with a patient’s family without that patient’s consent. This limitation poses ethical problems, because research has shown that, in the absence of insight and communication regarding a patient’s impending death, patient’s significant others may subsequently experience long-term psychological distress. It is also reportedly important for most dying patients to know that health care personnel are comfortable with talking about death and dying. There is only very limited information concerning gender differences regarding death talk in terminal care patients. Methods: This is a retrospective analysis of detailed prospective “field notes” from chaplain interviews of all patients aged 30–75 years receiving palliative care and/or with DNR (do not resuscitate) written on their charts who requested an interview with a hospital chaplain during a period of 3 years. After all study patients had died, these notes were analyzed to assess the prevalence of patient-initiated discussions regarding their own impending death and whether non-provocative evocation-type interventions had facilitated such communication. Results: During the 3-year study period, 195 interviews (114 men, 81 women) were conducted. According to the field notes, 80% of women and 30% of men initiated death talk within the planned 30-minute interviews. After evoking interventions, 59% (67/114) of men and 91% (74/81) of women engaged in death talk. Even with these interventions, at the end of the first interview gender differences were still statistically significant (p = 0.001). By the end of the second interview gender difference was less, but still statistically significant (p = 0.001). Conclusions: Gender differences in terminal care communication may be radically reduced by using simple evocation methods that are relatively unpretentious, but require considerable clinical training. Men in terminal care are more reluctant than women to enter into discussion regarding their own impending death in clinical settings. Intervention based on non-provocative evocation methods may increase death talk in both genders, the relative increase being higher for men. Keywords: Death, Terminal care, Communication, Evocation, Gender


© 2014 Skulason et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Files in this item

This item appears in the following Collection(s)