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Self-injury in teenagers who lost a parent to cancer: a nationwide, population-based, long-term follow-up.
Karolinska Institutet, Stockholms Sjukhem.
Karolinska Institutet, Sophiahemmet.ORCID iD: 0000-0002-8185-781X
Island. Göteborgs universitet, Sverige..
Island.
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2013 (English)In: JAMA pediatrics, ISSN 2168-6203, E-ISSN 2168-6211, Vol. 167, no 2, 133-140 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate the risk of self-injury in parentally cancer-bereaved youth compared with their nonbereaved peers.

DESIGN: Population-based study of cancer-bereaved youth and a random sample of matched population controls.

SETTING: Sweden in 2009 and 2010.

PARTICIPANTS: A total of 952 youth (74.8%) confirmed to be eligible for the study returned the questionnaire: 622 (73.1%) of 851 eligible young adults who lost a parent to cancer between the ages of 13 and 16 years, in 2000 to 2003, and 330 (78.4%) of 451 nonbereaved peers.

MAIN EXPOSURE: Cancer bereavement or nonbreavement during the teenage years.

MAIN OUTCOME MEASURES: Unadjusted and adjusted odds ratios (ORs) of self-injury after January 1, 2000.

RESULTS: Among cancer-bereaved youth, 120 (19.5%) reported self-injury compared with 35 (10.6%) of their nonbereaved peers, yielding an OR of 2.0 (95% CI, 1.4-3.0). After controlling for potential confounding factors in childhood (eg, having engaged in self-destructive behavior, having been bullied, having been sexually or physically abused, having no one to share joys and sorrows with, and sex), the adjusted OR was 2.3 (95% CI, 1.4-3.7). The OR for suicide attempts was 1.6 (95% CI, 0.8-3.0).

CONCLUSIONS: One-fifth of cancer-bereaved youth reported self-injury, representing twice the odds for self-injury in their nonbereaved peers, regardless of any of the adjustments we made. Raised awareness on a broad basis in health care and allied disciplines would enable identification and support provision to this vulnerable group.

Place, publisher, year, edition, pages
2013. Vol. 167, no 2, 133-140 p.
National Category
Other Medical Sciences not elsewhere specified
Identifiers
URN: urn:nbn:se:esh:diva-5169DOI: 10.1001/jamapediatrics.2013.430PubMedID: 23403894OAI: oai:DiVA.org:esh-5169DiVA: diva2:915873
Available from: 2016-03-31 Created: 2016-03-31 Last updated: 2016-03-31Bibliographically approved

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