- Death notification is a critical clinical task that initiates the bereavement trajectory and significantly affects clinician well-being.
- Quality of notification influences cognitive-emotional processing, attachment reorganisation and mobilisation of social support, affecting bereavement outcomes.
- Protocols provide stepwise guidance, yet outcome data, cultural adaptation and notifier support are limited; DN should be mechanism-informed and trauma-aware within palliative care.
BMJ Support Palliat Care. 2026 Aug 19:spcare-2026-006335. doi: 10.1136/spcare-2026-006335. Online ahead of print.
ABSTRACT
Death notification (DN) is a critical clinical task that initiates and influences the bereavement trajectory and carries profound implications for clinician well-being. Evidence links DN quality to cognitive-emotional processing of loss, attachment reorganisation and mobilisation of social support. A diverse ecosystem of DN protocols offers stepwise guidance, but outcome data, cultural adaptation and notifier support remain limited. Drawing on DN protocol methodology, DN and prolonged grief disorder mechanisms and contemporary grief theory, this State of the Science article argues that DN should be understood and operationalised as a mechanism-informed, trauma-aware intervention central to palliative and supportive care.
PMID:42618341 | DOI:10.1136/spcare-2026-006335
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