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Cited by 164Grief, Bereavement, and Mental HealthSuicide and Self-Harm StudiesHomicide, Infanticide, and Child Abuse

Parents Bereaved by Offspring Suicide: A Population-Based Longitudinal Case-Control Study

Bolton, James M., Au, Wendy, Leslie, William D., Martens, Patricia J., Enns, Murray W., Roos, Leslie L., Katz, Laurence Y., Wilcox, Holly C. +7 more·2013·JAMA Psychiatry
DOI 10.1001/jamapsychiatry.2013.275
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Abstract

CONTEXT Suicide bereavement remains understudied and poorly understood. OBJECTIVES To examine outcomes of parents bereaved by the suicide death of their offspring and to compare these with both nonbereaved parent controls and parents who had offspring die in a motor vehicle crash (MVC). DESIGN Population-based case-control study. Suicide-bereaved parents were compared with nonbereaved matched control parents in the general population (n = 1415) and with MVC-bereaved parents (n = 1132) on the rates of physician-diagnosed mental and physical disorders, social factors, and treatment use in the 2 years after death of the offspring. Adjusted relative rates (ARRs) were generated by generalized estimating equation models and adjusted for confounding factors. SETTING Manitoba, Canada. PARTICIPANTS All identifiable parents who had an offspring die by suicide between 1996 and 2007 (n = 1415). MAIN OUTCOME MEASURES Mental and physical disorders, social factors, and treatment use. RESULTS Suicide bereavement was associated with an increased rate of depression (ARR, 2.14; 95% CI, 1.88-2.43), anxiety disorders (ARR, 1.41; 95% CI, 1.24-1.60), and marital breakup (ARR, 1.18; 95% CI, 1.13-1.23) in the 2 years after the suicide of an offspring, as compared with the 2 years prior to the death. Suicide-bereaved and MVC-bereaved parents had very few differences on predeath to postdeath outcomes. Depression rate increases were greater for MVC-bereaved parents (19.9%) compared with suicide-bereaved parents (15.9%; P = .005), whereas suicide-bereaved parents had higher rate increases of hospitalization for mental illness (P = .049). Suicide-bereaved parents were more likely than their MVC-bereaved counterparts to have depression (ARR, 1.30; 95% CI, 1.06-1.61), physical disorders (ARR, 1.32; 95% CI, 1.19-1.45), and low income (ARR, 1.34; 95% CI, 1.18-1.51) before their offspring's death. CONCLUSIONS Suicide bereavement is associated with adverse mental health and social outcomes. These consequences appear similar to those associated with MVC bereavement. Parents who lose offspring to suicide appear to be a vulnerable group even prior to their offspring's death.

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Authors
Bolton, J. M., Au, W., Leslie, W. D., Martens, P. J., Enns, M. W., Roos, L. L., Katz, L. Y., Wilcox, H. C., Erlangsen, A., Chateau, D., Walld, R., Spiwak, R., Seguin, M., Shear, K., & Sareen, J.
Affiliations
  • University of Manitoba (CA)
  • Johns Hopkins University (US)
  • Columbia University (US)
ORCID
Venue
JAMA Psychiatry
Publisher
American Medical Association (AMA)
Published
2013-02-01
Volume
70
Issue
2
Pages
158
ISSN
2168-622X (ISSN-L)
DOI
10.1001/jamapsychiatry.2013.275
OpenAlex
W2167220986
Cited by
164
References
65
Citations by year
2026: 8 · 2025: 13 · 2024: 10 · 2023: 8 · 2022: 19 · 2021: 17 · 2020: 10 · 2019: 14 · 2018: 13 · 2017: 18 · 2016: 9 · 2015: 9 · 2014: 7 · 2013: 8 · 2012: 1
FWCI
9.08
Type
journal article
Language
en
Open access
closed
Locations
  • JAMA Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • ANU Open Research (Australian National University) (submittedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Funders
Canadian Institutes of Health Research (113589, 102682, 152348)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
suicide bereavement, parental grief, depression, anxiety disorders, low income, Canada, United States, South America, Europe, Asia, Middle East
MeSH terms
Accidents, Traffic, Adult, Antidepressive Agents, Bereavement, Child, Child Behavior, Data Interpretation, Statistical, Depression, Family, Female, Hospitalization, Humans, Male, Manitoba, Parent-Child Relations, Parents, Risk Factors, Socioeconomic Factors, Suicide, Case-Control Studies, Motor Vehicles, Health Status Disparities

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