Parental death by external causes and risk of hospital-treated deliberate self-harm in bereaved offspring.

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Title: Parental death by external causes and risk of hospital-treated deliberate self-harm in bereaved offspring.
Authors: Burrell, Lisa Victoria, Mehlum, Lars, Qin, Ping
Source: European Child & Adolescent Psychiatry. Apr2021, Vol. 30 Issue 4, p539-548. 10p. 2 Charts, 2 Graphs.
Subjects: Causes of death, Suicide, Poisoning, Confidence intervals, Case-control method, Drowning, Socioeconomic factors, Accidental falls, Descriptive statistics, Parent-child relationships, Family relations, Logistic regression analysis, Odds ratio, Parental death, Self-mutilation, Bereavement, Parents
Geographic Terms: Norway
Abstract: Previous studies have reported an increased risk of hospital-treated deliberate self-harm (DSH) in offspring who have lost a parent, but inconclusive findings regarding differences between loss from suicide and accidents. The present study aimed to investigate the association between parental death by external causes before age 18 and hospital-treated DSH, and potential differences between different accidents and suicide. This nested-case–control study was based on data from longitudinal Norwegian registers. Subjects comprised 12,526 people born between 1970 and 2003 who received acute somatic treatment because of DSH at hospitals and associated services between 2008 and 2013 (cases), and 222,362 controls matched for gender and date of birth with no recorded DSH treatment. Information concerning deceased parent's death and offspring's DSH treatment and socioeconomic data was merged. Data were analysed with conditional logistic regression. Results indicated that offspring who had lost a parent to suicide (OR 2.32, 95% CI 1.92–2.80) and death by accidents such as falls, poisoning, and drowning (OR 1.79, 95% CI 1.38–2.33) had a significantly increased risk of hospital-treated DSH compared to offspring who had not experienced such loss. Parental bereavement from transport accidents and other external causes were not associated with significantly increased risks. No differences were evident for different genders of deceased, ages at bereavement, or genders of bereaved. The improved identification of bereaved offspring at particular risk of hospital-treated DSH should be utilized to implement effective prevention and treatment programs in specialist healthcare aimed at the individuals at highest risk. [ABSTRACT FROM AUTHOR]
Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Parental death by external causes and risk of hospital-treated deliberate self-harm in bereaved offspring.
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  Data: <searchLink fieldCode="AR" term="%22Burrell%2C+Lisa+Victoria%22">Burrell, Lisa Victoria</searchLink><br /><searchLink fieldCode="AR" term="%22Mehlum%2C+Lars%22">Mehlum, Lars</searchLink><br /><searchLink fieldCode="AR" term="%22Qin%2C+Ping%22">Qin, Ping</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22European+Child+%26+Adolescent+Psychiatry%22">European Child & Adolescent Psychiatry</searchLink>. Apr2021, Vol. 30 Issue 4, p539-548. 10p. 2 Charts, 2 Graphs.
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  Data: Previous studies have reported an increased risk of hospital-treated deliberate self-harm (DSH) in offspring who have lost a parent, but inconclusive findings regarding differences between loss from suicide and accidents. The present study aimed to investigate the association between parental death by external causes before age 18 and hospital-treated DSH, and potential differences between different accidents and suicide. This nested-case–control study was based on data from longitudinal Norwegian registers. Subjects comprised 12,526 people born between 1970 and 2003 who received acute somatic treatment because of DSH at hospitals and associated services between 2008 and 2013 (cases), and 222,362 controls matched for gender and date of birth with no recorded DSH treatment. Information concerning deceased parent's death and offspring's DSH treatment and socioeconomic data was merged. Data were analysed with conditional logistic regression. Results indicated that offspring who had lost a parent to suicide (OR 2.32, 95% CI 1.92–2.80) and death by accidents such as falls, poisoning, and drowning (OR 1.79, 95% CI 1.38–2.33) had a significantly increased risk of hospital-treated DSH compared to offspring who had not experienced such loss. Parental bereavement from transport accidents and other external causes were not associated with significantly increased risks. No differences were evident for different genders of deceased, ages at bereavement, or genders of bereaved. The improved identification of bereaved offspring at particular risk of hospital-treated DSH should be utilized to implement effective prevention and treatment programs in specialist healthcare aimed at the individuals at highest risk. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s00787-020-01534-3
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 539
    Subjects:
      – SubjectFull: Causes of death
        Type: general
      – SubjectFull: Suicide
        Type: general
      – SubjectFull: Poisoning
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Case-control method
        Type: general
      – SubjectFull: Drowning
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Accidental falls
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Parent-child relationships
        Type: general
      – SubjectFull: Family relations
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Parental death
        Type: general
      – SubjectFull: Self-mutilation
        Type: general
      – SubjectFull: Bereavement
        Type: general
      – SubjectFull: Parents
        Type: general
      – SubjectFull: Norway
        Type: general
    Titles:
      – TitleFull: Parental death by external causes and risk of hospital-treated deliberate self-harm in bereaved offspring.
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            NameFull: Burrell, Lisa Victoria
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            NameFull: Mehlum, Lars
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            NameFull: Qin, Ping
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            – D: 01
              M: 04
              Text: Apr2021
              Type: published
              Y: 2021
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              Value: 30
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