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Suicidal behavior among delinquent former child welfare clients
Department of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm, Sweden.
Department of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm, Sweden.
Upper Gastrointestinal Research, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Department of Social Work, Stockholm University, Stockholm, Sweden.
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2013 (English)In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 22, no 6, p. 349-355Article in journal (Refereed) Published
Abstract [en]

Child welfare clients represent a high-risk group for delinquency and adult criminality, but also for future suicidal behavior. We examine associations between delinquency and suicidal behavior in a national child welfare population. This register-based cohort study is based on data for all Swedish former child welfare clients born between 1972 and 1981 that experienced interventions before their adolescent years. We followed 27,228 individuals from age 20 years until 31 December 2006. Juvenile delinquency was defined as being convicted of at least one crime between age 15 and 19. The risk of suicidal behavior was calculated as incidence rate ratios (IRRs). Fifteen percent of the women and 40 % of the men had at least one conviction between the age 15 and 19. The adjusted risk of suicidal behavior among women with five or more convictions was 3.5 (95 % CI 2.0-6.2); corresponding IRR for men was 3.9 (95 % CI 3.1-4.9). Child welfare experience - specifically of out-of-home care - in combination with delinquency is a potent risk factor for suicidal behavior among young adults. However, we cannot exclude that some of this association is an epiphenomenon of uncontrolled confounders, such as impulsivity or severity of psychiatric disease. Despite this caveat, results should be disseminated to practitioners in the health and correction services.

Place, publisher, year, edition, pages
2013. Vol. 22, no 6, p. 349-355
Keywords [en]
Child welfare intervention; Foster care; Juvenile delinquency; Social background; Suicidal behavior; Suicide
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:oru:diva-41073DOI: 10.1007/s00787-012-0372-8ISI: 000319763200004PubMedID: 23296473Scopus ID: 2-s2.0-84878800193OAI: oai:DiVA.org:oru-41073DiVA, id: diva2:779534
Available from: 2015-01-13 Created: 2015-01-13 Last updated: 2018-05-22Bibliographically approved

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