Parents bereaved by offspring suicide: A population-based longitudinal case-control study

James M. Bolton, Wendy Au, William D. Leslie, Patricia J. Martens, Murray W. Enns, Leslie L. Roos, Laurence Y. Katz, Holly C. Wilcox, Annette Erlangsen, Dan Chateau, Randy Walld, Rae Spiwak, Monique Seguin, Katherine Shear, Jitender Sareen

Research output: Contribution to journalArticlepeer-review

81 Scopus citations


Context: Suicide bereavement remains understudied and poorly understood. Objectives: To examine outcomes of parents bereaved by the suicide death of their offspring and to compare these with both nonbereaved parent controls and parents who had offspring die in a motor vehicle crash (MVC). Design: Population-based case-control study. Suicide-bereaved parents were compared with nonbereaved matched control parents in the general population (n=1415) and with MVC-bereaved parents (n=1132) on the rates of physician-diagnosed mental and physical disorders, social factors, and treatment use in the 2 years after death of the offspring. Adjusted relative rates (ARRs) were generated by generalized estimating equation models and adjusted for confounding factors. Setting: Manitoba, Canada. Participants: All identifiable parents who had an offspring die by suicide between 1996 and 2007 (n=1415). Main Outcome Measures: Mental and physical disorders, social factors, and treatment use. Results: Suicide bereavement was associated with an increased rate of depression (ARR, 2.14; 95% CI, 1.88-2.43), anxiety disorders (ARR, 1.41; 95% CI, 1.24-1.60), and marital breakup (ARR, 1.18; 95% CI, 1.13-1.23) in the 2 years after the suicide of an offspring, as compared with the 2 years prior to the death. Suicide-bereaved and MVC-bereaved parents had very few differences on predeath to postdeath outcomes. Depression rate increases were greater for MVC-bereaved parents (19.9%) compared with suicide-bereaved parents (15.9%; P=.005), whereas suicide-bereaved parents had higher rate increases of hospitalization for mental illness (P=.049). Suicide-bereaved parents were more likely than their MVC-bereaved counterparts to have depression (ARR, 1.30; 95% CI, 1.06-1.61), physical disorders (ARR, 1.32; 95% CI, 1.19-1.45), and low income (ARR, 1.34; 95% CI, 1.18-1.51) before their offspring's death. Conclusions: Suicide bereavement is associated with adverse mental health and social outcomes. These consequences appear similar to those associated with MVC bereavement. Parents who lose offspring to suicide appear to be a vulnerable group even prior to their offspring's death.

Original languageEnglish (US)
Pages (from-to)158-167
Number of pages10
JournalJAMA psychiatry
Issue number2
StatePublished - Feb 2013

ASJC Scopus subject areas

  • Psychiatry and Mental health


Dive into the research topics of 'Parents bereaved by offspring suicide: A population-based longitudinal case-control study'. Together they form a unique fingerprint.

Cite this