Systematic Literature Review of Attempted Suicide and Offspring
Ingeborg Lunde1, Marte Myhre Reigstad2, Kristin Frisch Moe3
1Regional Centre on Violence, Trauma and Suicide Prevention, Region East, 0405 Oslo, Norway. ingeborg.lunde@rvtsost.no.
Insights
Children of parents who attempt suicide face significant risks. This review highlights the urgent need for better follow-up care and research to support these vulnerable children.
Area of Science:
- Child Psychology
- Public Health
- Mental Health Services
Background:
- Parental suicide attempts are linked to adverse outcomes in children, including poor academic performance and behavioral issues.
- Hospitalization after a suicide attempt offers a critical window to identify at-risk children and initiate support.
- Existing research on interventions for children exposed to parental suicide attempts is limited.
Purpose of the Study:
- To systematically review the existing literature on follow-up measures for children affected by parental suicide attempts.
- To identify current practices and gaps in care for children of parents who have attempted suicide.
Main Methods:
- A systematic literature search was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Screening of 1275 article titles and full-text review of 72 papers.
- Inclusion of four relevant articles, three from a single study on a monitoring protocol.
Main Results:
- Only four studies met the inclusion criteria, indicating a significant research gap.
- One study detailed a protocol for monitoring and referring children of parents who attempted suicide.
- Another study examined the association between maternal suicide attempts and child abuse or neglect.
Conclusions:
- There is a striking lack of research concerning the well-being of children whose parents have attempted suicide.
- The findings underscore the necessity for developing and implementing appropriate familial care strategies.
- Further research is crucial to establish effective interventions and support systems for these children.
Abstract:
Background: Exposure to parental suicide attempt is associated with higher risks of adverse outcomes like lower educational performance, drug abuse and delinquent behavior. When a patient is hospitalized after a suicide attempt, this presents a unique opportunity to identify whether the patient has children, and thereby provide adequate follow-up for both the parent/patient and their children. The objective of this paper was to review the existing literature on follow-up measures for children subjected to parental suicide attempt. Methods: In line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, we conducted a systematic literature search. Results: The search resulted in a total of 1275 article titles, of which all abstracts were screened. Out of these, 72 full text papers were read, and a final four articles were included. Three of the included papers described parts of the same study from an emergency department in The Hague, where a protocol was implemented for monitoring and referring children of parents attempting suicide. The fourth article described the association between maternal attempted suicide and risk of abuse or neglect of their children. Conclusions: The lack of research in this particular area is striking. The circumstances surrounding a parent’s suicide attempt call for appropriate familial care.
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