Survivor guilt is a particular type of guilt that may develop in people who have survived a life-threatening situation. Individuals who believe it is unfair that they survived when others died and/or believe they did not do enough to save the lives of others may come to experience survivor guilt after trauma or a catastrophic event.
What Is Survivor Guilt?
A common experience among those who have survived life-threatening situations, survivor guilt has been identified in veterans, those who survived the Holocaust, 9/11 survivors, first responders, and transplant recipients. Relatives of those with a hereditary illness may also experience survivor guilt when they do not develop the illness, as might any survivor of a large-scale disaster, such as an airplane crash or earthquake.
Symptoms of survivor guilt typically include nightmares, difficulty sleeping, flashbacks to the traumatic event, loss of motivation, irritability, a sense of numbness, and thoughts about the meaning of life. Individuals who experience survivor guilt may wonder why they lived when other people died, why they got lucky when others did not, whether they could or should have done anything more to prevent the death of others, and whether others suffered during the event.
Although survivor guilt can have a lasting and significant impact on mental and emotional well-being if unaddressed, it may also serve an adaptive function. Those who survive may transform their feelings of guilt into a sense of increased meaning and purpose. They may also use survivor guilt as a way to cope with the feelings of helplessness and powerlessness that can occur in traumatic situations. For some, survivor guilt may also represent a connection to those who died, as feelings of guilt may keep the memories of the deceased alive, at least for a time.
Survivor guilt was listed as a specific diagnosis in the Diagnostic and Statistical Manual until the publication of the fourth edition, when it was reclassified as a symptom of posttraumatic stress.
Survivor Guilt After Large-Scale Tragedies
Survivor guilt can develop following a small-scale event (such as a car accident in which only some people died or when a loved one dies by suicide) or larger-scale tragedies (such as the 9/11 terrorist attacks or mass shootings). Many of those who survived the Holocaust were found to have experienced significant feelings of guilt, especially those whose children were killed by the Nazis, as many believed they had failed to save their children.
People who are the lone survivors of a traumatic event may have a particularly difficult time coping with feelings of guilt, since there no other individual can relate to the experience they survived.
Does Everyone Experience Survivor Guilt?
Not everyone who witnesses or experiences a traumatic event will develop the intense feelings of guilt associated with survivor guilt. Certain factors, such as a history of trauma, the presence of depression or another mood-related condition, low self-esteem, or lack of social support can increase a person’s likelihood of developing survivor guilt.
Children, adolescents, and others with underdeveloped coping skills may be more likely to experience survivor guilt.
Coping with Survivor Guilt
Although feelings of guilt associated with surviving a life-threatening event can be painful and difficult to overcome, it is possible to address and cope with such feelings. It may be helpful to first acknowledge those feelings and recognize that they are both common and a natural part of the process of healing from grief.
A self-care routine is also considered to be an important part of emotional healing. Self-care typically involves regular physical movement, soothing or relaxing activities, a nutritious diet, and plenty of rest. Support is also a crucial component of coping with survivor guilt. Speaking with others who shared the experience; attending a support group; or seeking help from a trusted mentor, adviser, or spiritual counselor can help an individual feel understood. Some may also find it helpful to find a way to memorialize or honor the deceased.
When survivor guilt is so severe that it impacts a person’s ability to function in daily life, the support of a therapist or counselor may be recommended. A therapist can help individuals manage and process painful emotions and challenging distorted patterns of thinking that may contribute to guilt.
- Calhoun, R. D. (2008). Survivor guilt: What long-term survivors don’t talk about. Retrieved from http://virginiatech.healthandperformancesolutions.net/Anniversary%20Articles/Survivor%20Guilt%20What%20Long-term%20Survivors%20Don’t%20Talk%20About.pdf
- Dealing with survivor guilt. (n.d.). Retrieved from http://jasonfoundation.com/prp/files/2012/10/Dealing-with-Survivor-Guilt.pdf
- Deveral, J. (2016, April 14). Why do survivors of disasters feel guilt about surviving? Retrieved from http://survivor-story.com/why-survivors-of-tragedies-feel-guilt
- Hass, A. (n.d.). Survivor guilt in Holocaust survivors and their children. Retrieved from http://www.holocaust-trc.org/a-global-perspective-on-working-with-holocaust-survivors-and-the-second-generation/survivor-guilt-in-holocaust-survivors-and-their-children
- Nader, K. (n.d.). Guilt following traumatic events. Retrieved from http://www.giftfromwithin.org/html/Guilt-Following-Traumatic-Events.html
- What is survivor guilt? (n.d.). Retrieved from http://www.bandbacktogether.com/survivor-guilt-resources
Last Updated: 01-19-2018
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Summer J.February 5th, 2017 at 4:17 PM
When I was 13 I had gotten into a car accident with my friend heather who past away from the incident and I have survivors guilt. heather was in the hospital for a while recover. Why didn’t I die too.
EsmeraldaMarch 2nd, 2017 at 6:35 AM
you did not die because god gave you a chance
BillNovember 6th, 2019 at 6:10 AM
ToddJune 9th, 2017 at 3:02 PM
Sorry Summer. That is horrible
DodgerAugust 27th, 2017 at 10:34 AM
You survived because you still have things to do on this earth. You still have a purpose to fulfill. Make that purpose a good one.
RobertSeptember 1st, 2017 at 11:20 AM
You survived cause you were lucky
Marcus M.September 17th, 2018 at 9:17 AM
its okay summer me and my friend love you
MESeptember 17th, 2018 at 9:25 AM
Dear Summer, God had created people so they can have a happily successful life. Sometimes people don’t sometimes people do. But people also don’t live the life that god wanted to. When I was little I lost my best friend in a car accident when he was coming to my house. And I cried until I couldn’t cry anymore, even though I did not feel survivor guilt I always said to myself why did you have to take him. I always thought and then someone once told me that the reason some people die is because God wanted them to live with him. And they knew something was wrong with them. From that day forward I’d pray at night saying I hope you are having a good time.
me tooooSeptember 19th, 2018 at 8:29 AM
i love you
,hdflsgkMarch 2nd, 2017 at 1:18 PM
9/11 couldn’t have been inside job because the planes came from the outside
chrisAugust 31st, 2017 at 11:37 AM
but they did it from the “inside” of the plane
bcygbyqovrh cSeptember 11th, 2018 at 1:50 PM
its 9/11 today
CatarinaSeptember 3rd, 2017 at 2:07 PM
I was in the Manchester venue on 22/5/17 watched 20 people die and other unspeakable things and I feel guilty to be alive I’m really struggling with it
JasmineSeptember 8th, 2017 at 12:18 PM
I had two friends die in a fire when I was 12. I have always felt guilty because I know if I was there like we had planned, I would have been the responsibile one to blow out the candles because that’s what I usually did. I couldn’t go like we planned because my best friend’s grandparents were in town unexpectedly and they were prejudice and were uncomfortable with me staying there that night. Then, a couple of years before that we lived in an older house and for some reason our gas was out I think we needed a new water heater and it was my responsibility to do the dishes. We had electric skillet ready to be washed from breakfast. My mother was going to the grocery store and I ran out the door we came back to a house ingulfted in flames. My father and 6 month old brother was in the house. They got out the house just fine but I have always felt it was my fault for being careless. The fire department said there was an electric fire within the wall for days and we were lucky. Then as time goes on life happens. My parent abruptly get divorced after never fighting or arguing to my knowledge, they both forgot the responsibility of having children so at 13 years old I take on responsibility of two kids plus myself and at times my depressed mother who was in a relationship marriage for 19 years now starting over now with three kids. My sister suffered mental illness and was seen as her being a problem child until it was uncontrollable. I always had buffer people to keep me from bad things that were really happening behind the scenes and I have always been at the right place at the right time. Like I could be hanging with friends all day and as soon as I was out of vision from the scene something traumatic and sometimes fatal happened. I’ve never questioned God will for me I just saw it as me being covered by a God who loves me unconditionally. Now I’m 35 and I’m in a marriage to a man that I now can see I hurt that I can’t do anything about and I have eternalized everyone’s hurt and I am paralyzed to even care any more. My sister and her husband have now has lost custody of her children from her drug abuse and negligence and I stepped in thinking I couldn’t be there for her as a child but maybe I could help as an adult and I am clearly being taken advantage of in pretty much every aspect of my like except my own 3 children who like God love me unconditionally. Even DCS is taking advantage of me and I’m now stuck with 7 children with little to no financial assistance, I work 56 hours a week to meet the bare necessities of the children I care for and my life is still not horrible but because I’m not failing like everyone, especially my husband, expected me to do and with minimal help I get the worst mother of the year award. People are not saying that flat out but are insinuating by the remarks about how my kids miss having me to themselves. How does a person get out of the cycle of being guilted into these type of situations?
CrystalSeptember 27th, 2017 at 4:44 PM
Hello. My name is Crystal. The reason I’m posting this comment is because I’ve been dealing with this survivor guilt all my life. You see, my dear Mom, who is sadly now deceased, almost lost me to a miscarriage when I was 8 weeks old. She had 2 miscarriages. I survived; they didn’t. I just wonder: why did I survive, and they didn’t? I’ve tried to get rid of this guilt all my life. My Mom tried to tell me, more than once, that I had no reason to feel guilty. She always missed the 2 babies that passed, but was so happy I survived. In one way, I too am glad i survived. But I can’t escape this guilt.
EliseAugust 31st, 2020 at 7:02 AM
I’ve suffered from complex ptsd for the last 14yrs. Due to experiencing every form of abuse imaginable growing up, as well as multiple traumatic events. As far as survivors guilt, I was diagnosed after being help up at gunpoint, robbed and pistol whipped by a serial killer who murdered 4 innocent victims the same week. I would convince myself that I wasn’t worthy of surviving and one of the murdered victims would have brought more good to earth and I had nothing of value to offer. My mind was in a constant state of questioning “why”. And even though at that time I didn’t develop a personal relationship with Jesus But I did believe in him. I had never read from the Bible but felt obligated to open my mother’s bible while at her house. And I opened it totally random, to land on the page with proverbs3:5 which is a highly popularized verse, but the part most people cling to isn’t the one I do.
“Trust in the lord with all your heart
AND LEAN NOT ON YOUR OWN UNDERSTANDING “
I could finally answer the constant why’s. I gave it up to God and found peace in knowing that I was worthy and that I might not ever be able to explain why in the lifetime, but every question will be answered whenever I go home to the Lord. My own understanding can’t ever explain the questions that almost drove me to suicide, and I was allowing the lies of the enemy to explain it instead of the promise Of God through his word.
Jesus has now put the desire of helping others who are trapped in darkness, by exposing them to the light of Christ
VinceMarch 28th, 2021 at 9:32 PM
In 2014 I was diagnosed with stage 4 cancer. I was given the option of two different types of chemo, and it was highly likely that I would lose my hair. I had a difficult time with that because I felt guilty that I didn’t want to lose my hair, but many people, even kids, don’t have a choice. I didn’t feel like I had a right to complain through the whole process which took about a year to get back to normal. Over the last year I watched my father’s health deterioate and he had to stay in a nursing home. He had many health problems and was tortured by not being able to see his family. I brought him food on occasion and called him, but I wanted to bring him home. My mother was afraid of covid-19 so she didn’t want nurses in and out of her house, and she got mad when I mentioned bringing him to my house. He died in December in a hospital with none of us around, because we weren’t allowed in, but I feel like I didn’t do everything that I could have. I just thought that typing this could make me feel better.
CarolJuly 14th, 2021 at 6:57 PM
Five years ago my son mitchell and his best friend were in a car accident well my son lived his best friend died my son was charged for gross vehicle manslaughter he served a year in county jail didn’t no what ptsd was until now five years later just last year in October he overdosed now I understand why he said it should of been him cause I wish it would of been me instead of him
Alice MMay 3rd, 2023 at 3:03 PM
Survivor guilt is also triggered by situations other than surviving an immediately life- threatening incident. Mine came about because I walked out of a spinal unit (months) after very nearly becoming paraplegic with severe spinal injuries. Others were paralysed, and some others had just one fracture that happened to sever their spinal cord, yet I had multiple and walked out. Thankfully my nurse mother (I was a teenager at the time) clued in to the fact that I was feeling odd and helped identify it, after which the guilt eased and I was able to allow myself to accept it (I was later clinically diagnosed with SG). None of that stopped PTSD from developing but that’s a different story. My point is just to highlight that survivor guilt can happen in a variety of situations where someone has fared better than others after a traumatic injury/situation.
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