@article{ref1,
title="Self-injury in teenagers who lost a parent to cancer: a nationwide, population-based, long-term follow-up",
journal="JAMA pediatrics",
year="2013",
author="Bylund Grenklo, Tove and Kreicbergs, Ulrika and Hauksdóttir, Arna and Valdimarsdottir, Unnur A. and Nyberg, Tommy and Steineck, Gunnar and Fürst, Carl Johan",
volume="167",
number="2",
pages="133-140",
abstract="OBJECTIVE To investigate the risk of self-injury in parentally cancer-bereaved youth compared with their nonbereaved peers. DESIGN Population-based study of cancer-bereaved youth and a random sample of matched population controls. SETTING Sweden in 2009 and 2010. PARTICIPANTS A total of 952 youth (74.8%) confirmed to be eligible for the study returned the questionnaire: 622 (73.1%) of 851 eligible young adults who lost a parent to cancer between the ages of 13 and 16 years, in 2000 to 2003, and 330 (78.4%) of 451 nonbereaved peers. MAIN EXPOSURE Cancer bereavement or nonbreavement during the teenage years. MAIN OUTCOME MEASURES Unadjusted and adjusted odds ratios (ORs) of self-injury after January 1, 2000. RESULTS Among cancer-bereaved youth, 120 (19.5%) reported self-injury compared with 35 (10.6%) of their nonbereaved peers, yielding an OR of 2.0 (95% CI, 1.4-3.0). After controlling for potential confounding factors in childhood (eg, having engaged in self-destructive behavior, having been bullied, having been sexually or physically abused, having no one to share joys and sorrows with, and sex), the adjusted OR was 2.3 (95% CI, 1.4-3.7). The OR for suicide attempts was 1.6 (95% CI, 0.8-3.0). CONCLUSIONS One-fifth of cancer-bereaved youth reported self-injury, representing twice the odds for self-injury in their nonbereaved peers, regardless of any of the adjustments we made. Raised awareness on a broad basis in health care and allied disciplines would enable identification and support provision to this vulnerable group.<p /> <p>Language: en</p>",
language="en",
issn="2168-6211",
doi="10.1001/jamapediatrics.2013.430",
url="http://dx.doi.org/10.1001/jamapediatrics.2013.430"
}