The purpose of this study is to assess the incidence and risk factors of prolonged grief in family members of patients died in French palliative care units and to explore experience of bereaved families to build a scientifically valid management prevention program.

There is hardly knowledge on how bereavement is treated in palliative care patient's relatives. The field of bereavement needs studies that validate the theoretical underpinning of the research area. This study will depict the grieving process of individuals having lost a relative in palliative care in France. Having baseline data of incidence of prolonged grief, risk factors of relative's prolonged grief and identification of risk factors associated with the management of end-of-life issues in palliative care will contribute to target interventions that should help decrease bereaved families burden.

The investigator designed a quantitative study to assess the psychological effect of families after the death of the patient in palliative care unit and a qualitative study to examine the grieving prolonged process.

Inclusion Criteria:

• Families of adult patients hospitalized more than 72 hours in a palliative care unit for end-of-life care.
• Eligibility of end-of-life cares are defined after the first evaluation by the palliative care physician.

Exclusion Criteria:

• Patients with less than 72 hours of life-expectancy
• Patients or families who refused the study
• Patients or families included in a study using the same questionnaires
• Patients without families visiting them in the first 24 hours after admission
• Patients not hospitalized for end-of-life issues
• Families not fluent in French
• Deaf or mute families

The participating palliative care units belong to the French Society of Palliative Care (SFAP) and are selected using the list of the different French units on their website. An invitation of participation is sent to the clinical responsible of each unit.

The participating units belong to university, community and private hospitals.