TY - JOUR
T1 - Intergenerational involvement in out-of-home care and death by suicide in Sweden
T2 - A population-based cohort study
AU - Wall-Wieler, Elizabeth
AU - Bolton, James
AU - Liu, Can
AU - Wilcox, Holly
AU - Roos, Leslie L.
AU - Hjern, Anders
N1 - Funding Information:
This study was supported by a Social Science and Humanities Research Council (767-2016-2045) Joseph-Armand Bombardier Canada Graduate Scholarship – Doctoral and a Michael Smith Foreign Study Supplement.
Funding Information:
This study was supported by a Social Science and Humanities Research Council ( 767-2016-2045 ) Joseph-Armand Bombardier Canada Graduate Scholarship – Doctoral and a Michael Smith Foreign Study Supplement.
Publisher Copyright:
© 2018
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Background: Individuals involved in out-of-home care are at higher risk of death by suicide. We aimed to determine whether parents with two generations of involvement in out-of-home care (themselves as children, and their own children) are at increased risk of death by suicide than parents with no involvement or parents with one generation of involvement in out-of-home care. Method: This population-based cohort study included all individuals born in Sweden between 1973 and 1980 who had at least one child between 1990 and 2012 (n = 487,948). Women (n = 259,275) and men (n = 228,673) were examined separately. Results: When compared with mothers with no involvement in out-of-home care, mothers with two generations of involvement were at more than five times greater risk of death by suicide (aHR = 5.52; 95% CI 2.91–10.46); mothers with one generation of involvement were also at significantly higher risk of death by suicide (mothers were in care as children: aHR = 2.35; 95% CI 1.27–4.35; child was placed in care: aHR = 3.23; 95% CI 1.79–5.83). Involvement in out-of-home care (in either generation) did not affect risk of death by suicide for fathers. Limitations: Reason for placement in out-of-home care is not known; these reasons could also be associated with risk of death by suicide Conclusion: Mothers with involvement in out-of-home care, either as children or when their child was placed in care, are at significantly higher risk of death by suicide. Mental health services should be provided to individuals involved in out-of-home care.
AB - Background: Individuals involved in out-of-home care are at higher risk of death by suicide. We aimed to determine whether parents with two generations of involvement in out-of-home care (themselves as children, and their own children) are at increased risk of death by suicide than parents with no involvement or parents with one generation of involvement in out-of-home care. Method: This population-based cohort study included all individuals born in Sweden between 1973 and 1980 who had at least one child between 1990 and 2012 (n = 487,948). Women (n = 259,275) and men (n = 228,673) were examined separately. Results: When compared with mothers with no involvement in out-of-home care, mothers with two generations of involvement were at more than five times greater risk of death by suicide (aHR = 5.52; 95% CI 2.91–10.46); mothers with one generation of involvement were also at significantly higher risk of death by suicide (mothers were in care as children: aHR = 2.35; 95% CI 1.27–4.35; child was placed in care: aHR = 3.23; 95% CI 1.79–5.83). Involvement in out-of-home care (in either generation) did not affect risk of death by suicide for fathers. Limitations: Reason for placement in out-of-home care is not known; these reasons could also be associated with risk of death by suicide Conclusion: Mothers with involvement in out-of-home care, either as children or when their child was placed in care, are at significantly higher risk of death by suicide. Mental health services should be provided to individuals involved in out-of-home care.
KW - Childhood experience
KW - Cohort study
KW - Data linkage
KW - Suicide
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U2 - 10.1016/j.jad.2018.06.022
DO - 10.1016/j.jad.2018.06.022
M3 - Article
C2 - 29936388
AN - SCOPUS:85048809910
SN - 0165-0327
VL - 238
SP - 506
EP - 512
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
ER -