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Psychiatric Morbidity, Violent Crime, and Suicide Among Children and Adolescents Exposed to Parental Death
Open accessAbstract
Objective This retrospective cohort study examined the risk for suicide, psychiatric hospitalization, and violent criminal convictions among offspring of parents who died from suicide, accidents, and other causes.Method Population-based data from multiple Swedish national registers were linked from 1969 to 2004. Participants were 44,397 offspring of suicide decedents, 41,467 offspring of accident decedents, 417,365 offspring of parents who died by other causes, and 3,807,867 offspring of alive parents. We estimated risk by mode of parental death (suicide, accident, other) and offspring age at parental death (childhood, adolescence, young adulthood).Results Offspring of suicide decedents were at greater risk for suicide than offspring of alive parents (incidence rate ratio [IRR] = 1.9; 95% confidence interval [CI] = 1.4 to 2.5), whereas offspring of accident decedents and other parental death were not at increased risk (p < .001). The risk for offspring suicide differed by the developmental period during which parental suicide occurred. Child and adolescent offspring of suicide decedents were at threefold greater risk for suicide (IRR = 3.0; 95% CI = 1.7 to 5.3; IRR = 3.1, 95% CI = 2.1 to 4.6, respectively). Young adults were not at increased risk for suicide (IRR = 1.3; 95% CI = 0.9 to 1.9). Offspring of suicide decedents had an especially high risk of hospitalization for suicide attempt, depressive, psychotic, and personality disorders. Child survivors of parental suicide were at particularly high risk for hospitalization for drug disorders and psychosis. All offspring who experienced parental death, regardless of mode or age, were at increased risk for violent criminal convictions.Conclusions Mode of parental death and offspring age at parental death are associated with offspring long-term risk for suicide and hospitalization for specific psychiatric disorders.
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“Odds ratios analyses indicate a two-fold (Qin et al., 2002;Wilcox et al., 2010) to three-fold (Niederkrotenthaler et al., 2012) risk of offspring suicide, independent of family history of psychopathology.”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Wilcox et al., 2010
In the citing paper
“a long-term increased risk of at-risk behaviors after parental death, irrespective of type of death has been reported”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Wilcox et al. (2010)
In the citing paper
“Several studies have found an age effect with impact of suicide being stronger when experienced at younger age (e.g., before ages 10 or 12), with regard to offspring suicide (Agerbo et al., 2002;Niederkrotenthaler et al., 2012;Wilcox et al., 2010) and attempted suicide, and early onset as well as long-term risk of attempted suicide hospitalization (Kuramoto, Runeson, Stuart, Lichtenstein, & Wilcox”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Wilcox et al., 2010
In the citing paper
“Registry-based studies describe health service use18–21 but not informal support, a resource known to be valued after suicide bereavement.10”
From Support received after bereavement by suicide and other sudden deaths: A cross-sectional UK study of 3432 young bereaved adults (2017) · cites this paper as [21]
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Metadata
- Authors
- Wilcox, H. C., Kuramoto, S. J., Lichtenstein, P., Långström, N., Brent, D. A., & Runeson, B.
- Affiliations
- Johns Hopkins University (US)
- Karolinska Institutet (SE)
- University of Pittsburgh (US)
- Corresponding author
- Wilcox, Holly C.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2010-05
- Volume
- 49
- Issue
- 5
- Pages
- 514-523
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2046578485
- Cited by
- 192
- References
- 33
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 15 · 2023: 10 · 2022: 16 · 2021: 21 · 2020: 16 · 2019: 13 · 2018: 11 · 2017: 13 · 2016: 16 · 2015: 13 · 2014: 11 · 2013: 8 · 2012: 11
- FWCI
- 10.51
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Alliance for Research on Schizophrenia and Depression
- Karolinska Institutet
- Vetenskapsrådet
- National Institute on Drug Abuse (F31DA026318)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- parental suicide, parental death, psychiatric hospitalization, violent crime, criminal conviction, depressive disorders, psychosis, personality disorders, children and adolescents
- MeSH terms
- Adolescent, Adult, Age Factors, Attitude to Death, Mental Disorders, Cause of Death, Child, Crime, Death, Humans, Parent-Child Relations, Parents, Suicide, Time Factors, Young Adult
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