The global spread of death café: a cultural intervention relevant to policy?

New demographic and epidemiological trends mean people are dying at older ages and over long periods of time, from multiple, chronic illnesses. There is a perception that these growing and changing needs will require novel community responses. One starting point is having ‘conversations’ about dying and death, and in this the phenomenon of ‘Death Café’ merits attention. In the first study of its kind, we report on interviews with forty-nine Death Café organisers in thirty-four countries, exploring how this ‘cultural intervention’, first developed in the UK, has transferred elsewhere. Using thematic analysis, we identify competing tensions between: local translation of Death Café and a desire for international alignment alongside instrumental use of the Death Café form and its incidental effects. The passion and commitment of Death Café organisers is compelling but may not lead to the behavioural change required to support a new public face of dying