Effects of End-of-Life Discussions on the Mental Health of Bereaved Family Members and Quality of Patient Death and Care Takashi Yamaguchi, MD, PhD,

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Effects of End-of-Life Discussions on the Mental Health of Bereaved Family Members and Quality of Patient Death and Care Takashi Yamaguchi, MD, PhD, Isseki Maeda, MD, PhD, Yutaka Hatano, MD, PhD, Masanori Mori, MD, Yasuo Shima, MD, Satoru Tsuneto, MD, PhD, Yoshiyuki Kizawa, MD, PhD, Tatsuya Morita, MD, Takuhiro Yamaguchi, PhD, Maho Aoyama, RN, MN, Mitsunori Miyashita, RN, PhD Journal of Pain and Symptom Management Volume 54, Issue 1, Pages 17-26.e1 (July 2017) DOI: 10.1016/j.jpainsymman.2017.03.008 Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 1 Recruitment flow of participants. Journal of Pain and Symptom Management 2017 54, 17-26.e1DOI: (10.1016/j.jpainsymman.2017.03.008) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 2 Prevalence of depression and complicated grief in bereaved families with and without EOLd. Error bars indicate 95% CI. CI = confidence interval; EOLd = end-of-life discussion. Journal of Pain and Symptom Management 2017 54, 17-26.e1DOI: (10.1016/j.jpainsymman.2017.03.008) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

Fig. 3 Association between the timing and initiating EOLd and bereaved families' depression and complicated grief. Error bars indicate 95% CI. CI = confidence interval; EOLd = end-of-life discussion. Journal of Pain and Symptom Management 2017 54, 17-26.e1DOI: (10.1016/j.jpainsymman.2017.03.008) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions