Employment status and bereavement after parental suicide: a population representative cohort study. Issue 9 (27th September 2022)

• Record Type: Journal Article
• Authors: Bélanger, Sissel Marguerite; Stene-Larsen, Kim; Magnus, Per; Reneflot, Anne; Christiansen, Solveig Glestad; Hauge, Lars Johan
• Is Part Of: BMJ open. Volume 12:Issue 9(2022)
• Publication Date: 2022-09-27
• Subjects: Adult psychiatry -- OCCUPATIONAL & INDUSTRIAL MEDICINE -- Suicide & self-harm -- PUBLIC HEALTH; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2022-064379
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : Objectives: To examine employment status among adults bereaved by parental suicide at the time of bereavement and 2 and 5 years after the loss and to explore the importance of the gender of the adult child and the deceased parent. Design: Population-based register study. Setting: Norwegian population-based registries linked using unique personal identifiers. Participants: Norwegian residents aged 25–49 years in the period 2000–2014. Participants were divided into three groups: bereaved by parental suicide, bereaved by parental death of other causes and non-bereaved population controls. Main outcome measures: ORs for the risk of non-employment at the time of bereavement and 2 and 5 years after the loss. Results: Those bereaved by parental suicide had a higher risk of non-employment already at the time of bereavement (OR 1.14, 95% CI 1.05 to 1.23). Stratified analyses showed that women accounted for this difference (OR 1.20, 95% CI 1.09 to 1.33), while no difference was found for men (OR 1.00, 95% CI 0.88 to 1.13). Looking at the gender of the parent, there was only a significant association of non-employment when losing a mother (OR 1.24, 95% CI 1.08 to 1.42), while not for losing a father (OR 1.09, 95% CI 0.99 to 1.20). Among those working at the time of bereavement, offspring bereaved by suicide were more likely to be non-employed at both 2 (OR 1.13, 95% CI 0.99 to 1.30) and 5 (OR 1.20, 95% CI 1.02 to 1.40) years after the loss compared with the general population. Conclusions: Women bereaved by parental suicide and those losing a mother to suicide were found to have a weaker attachment to the labour market already before losing their parent. Those who were employed when bereaved by suicide were somewhat more likely to be non-employed 5 years after the event.