Suicidal behavior among delinquent former child welfare clients

AuthorCount:5;
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.

Bjorkenstam, E.Karolinska Institutet (author)
Ljung, R.Karolinska Institutet (author)
Vinnerljung, BoStockholms universitet,Institutionen för socialt arbete - Socialhögskolan,Department of Social Work, Stockholm University, Stockholm, Sweden(Swepub:su)bvinn (author)
Tuvblad, Catherine,1968-Department of Psychology, University of Southern California, Los Angeles, USA,CAPS(Swepub:oru)ctd (author)
Karolinska InstitutetInstitutionen för socialt arbete - Socialhögskolan (creator_code:org_t)

In:European Child and Adolescent Psychiatry: Springer Science and Business Media LLC22:6, s. 349-3551018-88271435-165X

By the author/editor: Björkenstam, C.; Bjorkenstam, E.; Ljung, R.; Vinnerljung, Bo; Tuvblad, Catheri ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Pediatrics

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Psychiatry

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

By the university: Stockholm University; Örebro University; Karolinska Institutet

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