Bereavement Risk Assessment Factors — SCE Palliative Medicine MCQ

Correct answer: A — Multiple factors including relationship to the deceased (e.g. dependent or ambivalent), presence of dependent children, social isolation, pre-existing mental health or substance use problems, concurrent stressful life events, nature of the death (e.g. unexpected or traumatic), and available coping or social support resources

Explanation lettering: C = shown as A · A = shown as B · D = shown as C · B = shown as D

Complicated bereavement risk assessment tools in UK palliative care settings evaluate multiple domains—not single demographic factors. Key risk factors include an excessively dependent or ambivalent relationship to the deceased, unexpected or traumatic nature of death, presence of dependent children, pre-existing mental health or substance use issues, social isolation, concurrent stressors, and limited coping resources or support ([ruh.nhs.uk](https://www.ruh.nhs.uk/For_Clinicians/departments_ruh/Palliative_Care/documents/palliative_care_handbook.pdf?utm_source=openai)). Options A, B, D and E are all implausible and overly narrow, missing the multi-domain approach essential for identifying individuals at risk and ensuring appropriate bereavement support.

Reference: Palliative Care Handbook – Risk factors for complicated grief; A Guide to Symptom Management in Palliative Care – Bereavement risk factors, https://www.ruh.nhs.uk/For_Clinicians/departments_ruh/Palliative_Care/documents/palliative_care_handbook.pdf