Supporting people bereaved by suicide who are neurodivergent: A guide by Support After Suicide

by Storm Skills Training | May 20, 2024

Support After Suicide has created a guide ‘Supporting People Bereaved by Suicide who are Neurodivergent’ for professionals working with adults and young adults who have been bereaved or affected by suicide and are, or might be, neurodivergent. 

It highlights the importance of a personalised, understanding approach that respects the unique experiences and needs of neurodivergent individuals. By having a deeper understanding of neurodivergence, prioritising person-centred and tailored communication, and creating a safe, supportive, and collaborative environment, professionals can make a significant difference to neurodivergent individuals in such challenging times. 

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The guide was written by neurodivergent content writer, Maxine Roper, alongside experts by experience from National Suicide Prevention Alliance (NSPA)’s lived experience network and specialist organisations: ADHD Foundation, Autistica, and Ambitious About Autism.

Who should use this guide?

• Anyone likely to come into contact professionally with someone who is neurodivergent who has been bereaved or affected by a suicide

• Anyone employed to support adults with a neurodivergent diagnosis

We know that for those who are neurodivergent, accessing support after a bereavement by suicide can be difficult.

Many people don’t know they are neurodivergent, and this means they often don’t have access to the right support.

Understanding neurodivergence

Neurodivergence is an umbrella term that encompasses conditions like autism, ADHD, dyslexia, dyspraxia, dyscalculia, and Tourette’s Syndrome.

Being neurodivergent can have a huge impact on people’s everyday lives. Recognising and understanding the differences and challenges they experience is crucial, especially when neurodivergent individuals face the added challenge of bereavement by suicide.

Challenges in accessing support

Neurodivergent individuals may face barriers in accessing appropriate support post-bereavement, often due to unrecognised neurodivergence, its nuances may also often be misunderstood or overlooked. The presence of concurrent health conditions can also make neurodivergence harder to recognise.

This guide addresses these concerns, and offers strategies to provide effective support.

What can you do to offer more personalised support to someone who is, or might be, neurodivergent following a bereavement by suicide?

Neurodivergent people may find their support needs, relationships, and reactions to various situations aren’t recognised by others, or react to events in ways that are less well understood, which can add to the impact of a bereavement.

The guide shares useful information that can help you offer support including:

• How people who are neurodivergent may react to bereavement following a suicide

• Key barriers being faced to accessing support

• Guidance for services, including practical and emotional support

Explore self-harm and suicidal thoughts, past, recent, and current:

• Support people to grieve in their own way

• Acknowledge that common coping mechanisms may not be suitable for everyone. Someone who is neurodivergent might take things that are said to them very literally, or they might react very intensely.

• Let people lead on what would help them - allow them to share their experiences and relevant information but know when to make suggestions.

• At times, giving direct advice may be appropriate to prevent harm to themselves or other people.

• Be mindful that a neurodivergent person might struggle to place themselves in a hypothetical situation, especially one that might make them more anxious.

• Consider relationship dynamics – understand that a neurodivergent person might be or have been in seemingly unhealthy or chaotic relationships. Take time to understand the complex nature of relationships the bereaved might have experienced.

Effective communication:

• Explore the ongoing communication needs of the person and adjust according to the ongoing needs of the neurodivergent individual.

• Expect that neurodivergent people might read from or take notes to help them during counselling or support session

• Be patient and understanding of the challenges they may face in communication. 

Safety planning: 

• If a bereaved neurodivergent person thinks or knows that the person who died was neurodivergent, let them explore this in a way which helps them.

• Look out for any signs of distress that could indicate a risk of self-harm or suicidal thoughts. Explore their own thoughts of self-harm and suicide (past, recent, and current). This can give early warning signs of increasing distress and vulnerability to suicide (or accidental death).

• Support people to maintain relationships with others following the loss

• Work together to find the best possible plan for support that is specific to them (support pathways vary greatly). Develop a support plan that is personalised and comprehensive, utilising local services and networks, in particular ones that specialise in working with people who are neurodivergent.

• Be the person to open the door to support neurodivergent people who are bereaved, or affected, by a suicide. This means not turning a person away because they may have support elsewhere. Consider, if the support they have is meeting their needs. Everyone has a role to play and working collaboratively with other services is essential to person-centred support. Learn about local services and support networks that work with neurodivergent people. You could even sit with the person and search on your phone together if you’re not sure. But be careful not to take over and start problem-solving too quickly, instead work side-by-side with the person, checking with them what would be helpful for them. 

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Thank you

Storm Skills Training would like to thank everyone involved for creating such a useful resource for professionals committed to delivering empathetic and effective support to neurodivergent individuals who are navigating the challenges of bereavement through suicide.

Linda's Story:

Meet Linda Gask: Co-founder

I studied medicine in Edinburgh, before moving to Manchester where I trained in psychiatry. I had both professional and personal interest in mental health, having experienced depression and anxiety myself. I was acutely aware of the need for effective communication to better understand and work with my patients.

Storm Skills Training started as a research project Manchester University funded by the Department of Health in the 1990s. Myself and Richard Morriss developed a training package that demonstrated how using viewing recorded roleplays could actually change people’s behaviour. We first tested our approach in Preston, then across a wider area in South Lancashire.

At that point, we named it Storm Skills Training and we were joined by Gill Green to roll out the delivery of training. Gill further developed Storm as a CIC and it’s wonderful to see how it has grown to where it is today under Bianca and her team.

My passion for many years has been on making mental health support more accessible in primary care. Until the Spring of 2023, I was Presidential lead for primary care at the Royal College of Psychiatrists and I continue to offer advice on the issue.

I moved to Orkney full time in 2020 at the start of the pandemic. I am Chair of a local mental health organisation called the Bilde Trust. As a rural community, we face our own challenges with mental health – it’s great to be involved in making a difference where I live.

Orkney is a wonderful place, unlike anywhere else in Scotland or the UK. I particularly enjoy writing here. After my first book, The Other Side of Silence, was published, I wrote my second (Finding True North) about how moving here positively impacted my own mental health.

My third book will be published at the end of 2024, exploring mental health and feminism. Maybe then I will take it easy, but that’s very hard for me to do!

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A not-for-profit social enterprise delivering high-quality skills training in self-harm and suicide prevention.

Keith's Story

Meet Keith Waters: Non-executive Director

Keith has over 25 years of clinical experience in Liaison psychiatry, self-harm and suicide prevention and was awarded an Honorary Research Fellowship by Derbyshire Healthcare Foundation Trust (DHCFT) in 2013.

For many years he was the lead for the Derby site of the Multicentre Study of self-harm in England, a study which he still maintains a very active role in. Until recently he was the Clinical director for self-harm and suicide prevention for the Trust and retains a post within the research team.

Keith is also a Storm Skills Training consultant with many years experience in facilitating, delivering, and supporting Storm Skills Training and has for a number of years held a seat on the National Suicide Prevention Alliance steering group.

He has been the Suicide Prevention manager for the East Midlands and Clinical Advisor for Suicide Prevention with the East Midlands Academic Health Science Network, developed a business and clinical case for Liaison Psychiatry Services in Derbyshire, and was the clinical advisor for its implementation.

Keith is an experienced trainer, facilitator, and presenter in Self Harm and Suicide prevention and management, locally and nationally in addition to the work with DHCFT and Storm Skills Training, has helped develop and delivered an initially lottery-funded suicide awareness training program across the East Midlands and organised chaired and delivered at numerous nation conferences and events. Keith has also been a joint author on numerous published research works, and chapters in clinical textbooks on self-harm and suicide prevention and has contributed to policy and practice guidance developments locally and nationally.

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Alf's Story

Meet Alf Hill: Non-executive Director

I first encountered Storm Skills Training CIC during my time as a volunteer Business Mentor at Unltd – a charity that supports social enterprises. Co-founder Gill Green was one my mentees in 2010 when Storm Skills Training was still within the University of Manchester and at the beginning of its journey to becoming an independent Community Interest Company.

At our first meeting I asked Gill, “How do you think I can help you?” Gill’s response was “Well… you could explain accounting to me.” We worked together for 18 months to develop Storm Skills Training as a social business. When Storm Skills Training CIC was finally incorporated in 2011, I was invited by Gill and Linda to be a non-executive Director and became Chair of the Board ten years later in 2021.

I’ve had a diverse career; initially as a civil servant, then in senior management and executive and non-executive roles in insurance and reinsurance in the UK and USA, in the corporate sector, and in Lloyd’s of London.

I returned to the public sector initially in adult education then at the Equal Opportunities Commission, later the Equality and Human Rights Commission.

A qualified accountant, I’ve been trustee of several charities, local and national, currently the Yapp Charitable Trust and the Centre for Investigative Journalism.

At Storm Skills Training, post-pandemic I feel that we are stronger than ever. I’m excited about the future with our new team with an ambitious plan.

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Gill's Story

Meet Gill Green: Co-founder

My career has taken me from nursing to academic research and finally to the development of Storm Skills Training CIC as a skills training company.

When I was nursing, so many of my patients often expressed that they felt so hopeless that they thought about ending their life. And like so many of my colleagues, I felt ill-equipped to know the right way to respond. It was a dilemma that I wanted to address through skills training – to give fellow healthcare professionals the confidence and practice they needed to have those difficult conversations.

In 1997, it was a chance job advertisement in a national paper for a Trainer and Researcher that introduced me to Storm Skills Training. At the time, I saw the 12-month project, working with Linda Gask at the University of Manchester, as an opportunity to learn new skills to take back to clinical practice. After the project, I stepped away for a few years, remaining in research but working with prisons on a different project. Research was definitely where I wanted to be.

I came back to the University of Manchester in 2003, when Linda and I started to develop the training package we now know as Storm Skills Training. It was important to us to translate the theory into usable, effective practice. I knew that as a healthcare practitioner, it wouldn’t be enough to sit in a room and be ‘taught’ suicide prevention. It is only through practice that we can actually ‘do’ suicide prevention.

I’m looking forward to supporting Bianca in realising her vision for where we go to next – and to exploring even more new directions for my own career. 

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Bianca's Story

Meet Bianca Romanyk: CEO

With over two decades of experience in the mental health field, I am proud to lead Storm Skills Training as CEO - an organisation dedicated to transforming how we respond to self-harm and suicide through compassionate, evidence-informed training.

My journey began as a probationary psychologist in community mental health in rural Australia, where I worked across diverse areas including crisis assessment and long-term support for individuals with severe mental illness. These formative years instilled in me a deep belief in the power of human connection and the importance of empathy in mental health care. I developed a particular interest in supporting young adults with complex trauma and was fortunate to train in Dialectical Behaviour Therapy (DBT), further shaping my commitment to person-centred care.

In 2013, I encountered Storm Skills Training for the first time as a trainee facilitator. The experience was transformative. I saw firsthand how the training empowered professionals to have life-saving conversations with those in distress. This moment marked a turning point in my career, aligning my passion for mental health with a mission to create systemic change.

In 2015, I relocated to the UK and joined Storm Skills Training, beginning my journey with the organisation on World Suicide Prevention Day. Since then, I’ve been dedicated to expanding our reach and impact, working alongside an incredible team and community of consultants who share a vision for a more compassionate world.

Outside of work, I find joy in nature, creativity, and caring for my two dogs, Derek and Doris. I’ve recently embraced a new chapter as a foster carer, continuing my lifelong commitment to supporting young people.

At Storm Skills Training, I am driven by the belief that we can—and must—do better for those in distress. My vision is a world where every person feels empowered to help, where support is tailored to individual stories, and where compassion is at the heart of every response.

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Find support:

If you need help and support please reach out for it, here are some options:

Samaritans (UK)

Email: jo@samaritans.org

Phone: 116 123 (24 hours a day, 365 days a year)

Visit: samaritans.org

International Association for Suicide Prevention (International)

Visit: findahelpline.com/i/iasp