Suicide‐Bereaved Children and Adolescents: A Controlled Longitudinal Examination
Abstract
Objective The current study examined emotional and behavioral sequelae in children who have experienced parental suicide by completing a secondary analysis of data from the Grief Research Study, a longitudinal study of childhood bereavement. Method Twenty-six suicide-bereaved (SB) children, aged 5 to 17 years, were compared with 332 children bereaved from parental death not caused by suicide (NSB) in interviews 1, 6, 13, and 25 months after the death. Children's emotional reactions to the death, psychiatric symptomatology, and psychosocial functioning after the parent's death were determined. Results Grief emotions were common in both groups. SB children were more likely to experience anxiety, anger, and shame than NSB children. SB children were more likely to have preexisting behavioral problems and more behavioral and anxiety symptoms throughout the first 2 years compared with NSB children. Indices of depression, suicidality, and psychosocial functioning differed minimally between groups. Conclusions SB children experience some "common" elements of bereavement. In addition, they demonstrate some lifetime risk factors as well as subsequent pathology that suggests a negative behavioral trajectory. As these cohorts have not yet passed through the age of risk, long-term follow-up is critical.
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Grief was expressed in thoughts and feelings and affected behavior and relationships.
“Grief was expressed in thoughts and feelings and affected behavior and relationships”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Cerel, Fristad, Weller, & Weller, 1999
Increased social adjustment problems (e.g., difficulties with school, spare time, peers, and siblings) and more internalizing behavior have been found in suicide-bereaved children and adolescents.
“Increased social adjustment problems (e.g., difficulties with school, spare time, peers, and siblings; Sethi & Bhargava, 2003) and more internalizing behavior (Cerel et al., 1999) have been found in suicidebereaved children and adolescents”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Cerel et al., 1999
No differences in overall psychosocial and school functioning as rated by teachers were found in suicide-bereaved children and adolescents.
“though no differences in overall psychosocial and school functioning as rated by teachers (Cerel et al., 1999).”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Cerel et al., 1999
Suicide bereaved children felt more anxiety, anger and shame during the first year (p < .05).
“Suicide bereaved children felt more anxiety, anger | and shame”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Cerel et al. (1999)
Suicide bereaved children felt less relief and acceptance during the first year (p < .05).
“and less relief and acceptance during | the first year (p < .05)”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Cerel et al. (1999)
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- Authors
- CEREL, J., FRISTAD, M. A., WELLER, E. B., & WELLER, R. A.
- Affiliations
- Children's Hospital of Philadelphia (US)
- Corresponding author
- FRISTAD, MARY A.
- WELLER, RONALD A.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1999-06
- Volume
- 38
- Issue
- 6
- Pages
- 672-679
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2037348583
- Cited by
- 142
- References
- 36
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 6 · 2021: 6 · 2020: 3 · 2019: 5 · 2018: 3 · 2017: 7 · 2016: 8 · 2015: 8 · 2014: 5 · 2013: 5 · 2012: 6
- FWCI
- 3.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NIMH (I ROI MH44135 and I ROI MH45534)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
- Keywords
- suicide bereavement, parental suicide, grief in children, anxiety, anger, shame, behavioral problems, psychiatric symptoms, depression, suicidality, psychosocial functioning, risk factors
- MeSH terms
- Adolescent, Psychology, Adolescent, Bereavement, Child, Psychology, Child, Child, Preschool, Family Health, Female, Humans, Longitudinal Studies, Male, Suicide, Chi-Square Distribution, Case-Control Studies, Child of Impaired Parents
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