@article{ref1,
title="Co-occurrence of psychosocial sequelae in bereaved offspring",
journal="Journal of affective disorders",
year="2021",
author="Burrell, Lisa Victoria and Mehlum, Lars and Qin, Ping",
volume="283",
number="",
pages="325-328",
abstract="BACKGROUND: Previous studies have found that people who have lost a parent to external causes of death during childhood and adolescence have increased risks of psychosocial sequelae. However, we lack information on the potential co-occurrence of these problems. This study aims to investigate the co-occurrence of psychiatric disorders, deliberate self-harm (DSH) hospitalization, and high school non-completion in people who have lost a parent to external causes of death during childhood and adolescence compared to people who have not experienced such loss. <br><br>METHODS: The study cohort comprised 655 477 individuals born 1970-2012 with a link to both parents. Data on psychiatric disorders, DSH hospitalization, high school completion and parental death were retrieved from four longitudinal Norwegian registers. Chi-square tests of independence investigated potential differences in co-occurrence between bereaved and non-bereaved people. <br><br>RESULTS: Altogether, 4756 people had experienced the death of a parent due to external causes of death before their 18th birthday. These bereaved offspring had a significantly higher likelihood of having one, two and three adverse outcomes compared to people who had not experienced such loss. Specifically, bereaved offspring had a significantly higher co-occurrence of psychiatric disorders and high school non-completion, but not significantly higher co-occurrences of DSH hospitalization and high school non-completion or DSH hospitalization and psychiatric disorders. LIMITATIONS: Information concerning DSH hospitalization and psychiatric disorders was only available from 2008 onwards CONCLUSIONS: : The significantly higher co-occurrence in bereaved offspring suggests that the relatively small group of people suffering from extensive sequelae should be particularly targeted for postvention measures.  Keywords: Bereavement <p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2021.01.044",
url="http://dx.doi.org/10.1016/j.jad.2021.01.044"
}