Les répercussions sur la santé de la perte d'un proche en temps de pandémie: trajectoires de deuil et répercussions sur la santé biopsychosociospirituelle des circonstances du décès et des restrictions à l'accompagnement des mourants et aux rituels funéraires

Covid-19 has led to unprecedented socio-health measures in several countries which have had effects on the quality of life and health that we are only beginning to see. In particular, the ban and then the drastic restriction of visits for people who are dying or in palliative and end-of-life care and farewell rituals for the deceased (funeral toilets prohibited, the coffin cannot be displayed open, the number reduced of participants in ceremonies, etc.) have changed the grieving process for many people, whatever the causes of death. However, there have never been as many deaths in Canada as in 2020, during which approximately 300,000 Canadians are estimated to have died. If we think that, for every deceased person, 5 to 9 people are bereaved, millions of people are affected in Canada. This raises fears that grief that began during the current pandemic could become a significant public health problem in the coming months and years. Indeed, the circumstances of these deaths and the rituals can constitute significant risk factors for the health of the bereaved. The project submitted here aims to identify, through an online survey and semi-structured interviews, the factors that may have helped or harmed the trajectories of grief and the health of the bereaved in general. The identification of these factors, their evolution over a long time (two years) and the analysis of their relationships with health will make it possible to document the grieving processes, what disrupts and facilitates them, particularly in terms of support. loved ones at the end of life, monitoring of the bereaved after death and health rules for funeral rituals. This evidence will make it possible to improve healthcare practices and public health policies.