6185 The psychological impact of parental suicide on surviving children: a systematic review
Bibliographic record
Abstract
Objectives Children bereaved by parental suicide (PDBS) are under-researched. No systematic review has previously investigated the wider psychological sequelae PDBS has on surviving children and adolescents. Aims: To examine (a) the prevalence of psychological disorders among children following PDBS; and (b) to examine potential associations with age at exposure to PDBS and the sex of the parent and child. Methods A systematic search of scientific and grey literature was performed using databases PubMed, Embase, PsychINFO and Google search engine; final search 25.07.23. Inclusion criteria: full text must be available, written in English language, human studies, published 2003–2023, epidemiological study designs including observational studies (i.e., cross-sectional, longitudinal, administrative, case-control and cohort studies) and studies must examine the relationship between exposure to PDBS during years 0–18 of offspring’s life and their psychological outcomes. Studies which did not meet these criteria were excluded. Exposure to PDBS must have occurred during childhood and adolescence (0–18 years), and differential outcomes for death by suicide specifically must be made. The ROBIS and Newcastle-Ottawa scales were used to assess the risk of bias in included studies. The review was conducted with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and registered on PROSPERO 22.08.2023 CRD42023455460. Results A total of 1162 articles were returned. All abstracts were screened, leaving 63 full-text papers. Further screening left 15 articles for review. Studies between 2003 and 2023 examined how parental suicide affects offspring across Europe, the USA, and Taiwan, using various designs and outcomes such as suicide, self-harm, and mental disorders with data from population registers and clinical records. Results were split into findings based on children of different sex and age of exposure to PDBS. Exposure to PDBS during childhood or adolescence was consistently associated with an increased risk of suicide and other psychological disorders. Namely depression, bipolar disorder, PTSD, and substance use disorders. Additionally, there is an increased likelihood of developmental, behavioural, and emotional disorders and higher risks of violent crimes and deliberate self-harm. The prevalence of mental disorders differed depending on the offspring’s sex and age of exposure to PDBS; highlighting the need for sex and age-appropriate interventions to mitigate psychological sequelae. Conclusion This study emphasises the increased risk of psychological disorders in offspring following parental suicide specifically, underscoring the need for age and sex-specific interventions and support from policymakers, healthcare providers, and educators to provide personalised care for this population.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.009 | 0.039 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.009 | 0.009 |
| Bibliometrics | 0.007 | 0.009 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.003 | 0.002 |
| Open science | 0.002 | 0.002 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.009 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".