Maternal or Paternal Suicide and Offspring's Psychiatric and Suicide-Attempt Hospitalization Risk
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OBJECTIVE: We examined whether the risk for psychiatric morbidity requiring inpatient care was higher for offspring who experienced parental suicide, compared with offspring of fatal accident decedents, and whether the association varied according to the deceased parent's gender. METHODS: Children and adolescents (0–17 years of age) who experienced maternal (N = 5600) or paternal (N = 17 847) suicide in 1973–2003 in Sweden were identified by using national, longitudinal, population-based registries. Cox regression modeling was used to compare psychiatric hospitalization risks among offspring of suicide decedents and propensity score–matched offspring of accident decedents. RESULTS: Offspring of maternal suicide decedents had increased risk of suicide-attempt hospitalization, after controlling for psychiatric hospitalization for decedents and surviving parents, compared with offspring of maternal accidental decedents. Offspring of paternal suicide decedents had similar risk of suicide-attempt hospitalization, compared with offspring of accident decedents, but had increased risk of hospitalization attributable to depressive and anxiety disorders. The magnitude of risks for offspring suicide-attempt hospitalization was greater for those who experienced maternal versus paternal suicide, compared with their respective control offspring (interaction P = .05; offspring of maternal decedents, adjusted hazard ratio: 1.80 [95% confidence interval: 1.19–2.74]; offspring of paternal decedents, adjusted hazard ratio: 1.14 [95% confidence interval: 0.96–1.35]). CONCLUSIONS: Maternal suicide is associated with increased risk of suicide-attempt hospitalization for offspring, beyond the risk associated with maternal accidental death. However, paternal suicide is not associated with suicide-attempt hospitalization. Future studies should examine factors that might differ between offspring who experience maternal versus paternal suicide, including genetic or early environmental determinants.
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Regarding parental suicide there appears to be a gender-decedent effect on adolescent suicide and attempted suicide.
“Regarding parental suicide there appears to be a gender-decedent effect on adolescent suicide (Cheng et al., 2014) and attempted suicide (Kuramoto et al., 2010)”
From Pre- and postloss features of adolescent suicide bereavement: A systematic review (2016) · cites this paper as Kuramoto et al., 2010
Family history of suicide is a risk factor for suicide, with some evidence that maternal suicidal behavior has greater influence than paternal suicidal behavior.
“A family history of suicide is a risk factor for suicide,19 with some evidence suggesting that a mother's suicidal behavior has a greater influence than a father's suicidal behavior.36”
From Suicide (2020) · cites this paper as [36]
Registry-based studies describe health service use but not informal support.
“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 [20]
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References 46 · Cited by 81
- Authors
- Kuramoto, S. J., Stuart, E. A., Runeson, B., Lichtenstein, P., Långström, N., & Wilcox, H. C.
- Affiliations
- Departments of Mental Health and
- Saint Göran Hospital (SE)
- Karolinska Institutet (SE)
- Johns Hopkins University (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2010-11-01
- Volume
- 126
- Issue
- 5
- Pages
- e1026-e1032
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- PMC
- PMC3666044
- OpenAlex
- W2162678611
- Cited by
- 81
- References
- 46
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 8 · 2023: 2 · 2022: 4 · 2021: 8 · 2020: 8 · 2019: 3 · 2018: 3 · 2017: 7 · 2016: 8 · 2015: 3 · 2014: 10 · 2013: 3 · 2012: 5
- FWCI
- 3.50
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Alliance for Research on Schizophrenia and Depression
- Vetenskapsrådet
- National Institute of Mental Health (K25MH083846)
- National Institute on Drug Abuse (F31DA026318, 1F31 DA0263182)
- 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, maternal suicide, psychiatric hospitalization, accidental death, depressive disorders, anxiety disorders, children and adolescents
- MeSH terms
- Accidents, Adolescent, Adult, Mental Disorders, Cause of Death, Child, Child, Preschool, Female, Hospitalization, Humans, Longitudinal Studies, Male, Maternal Deprivation, Paternal Deprivation, Registries, Retrospective Studies, Risk, Sex Factors, Statistics as Topic, Suicide, Suicide, Attempted, Sweden, Cohort Studies, Proportional Hazards Models, Child of Impaired Parents, Young Adult
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