James M. Bolton|Wendy Au|Dan Château|Randy Walld|William D. Leslie|Jessica Enns|Patricia J. Martens|Laurence Y. Katz|Sarvesh Logsetty|Jitender Sareen
Bereavement after sibling death: a population?based longitudinal case?control study
University of Manitoba|Manitoba Health|Manitoba Health|University of Manitoba|Manitoba Health|Manitoba Health|University of Manitoba|University of Manitoba|University of Manitoba|Manitoba Health|University of Manitoba|Manitoba Health|University of Manitoba|University of Manitoba
objective study examine mental disorders treatment use among bereaved siblings general population siblings n7243 deceased children population manitoba canada died 1984 2009 matched 13 control siblings n21729 sibling die study period generalized estimating equations used compare two sibling groups two years index childs death physiciandiagnosed mental disorders treatment utilization adjustment confounding factors including preexisting mental illness analyses stratified age bereaved lt13 vs 13 results revealed two years death child bereaved siblings significantly higher rates mental disorders control siblings even adjusting preexisting mental illness comparing effect childs death younger versus older siblings rise depression rates predeath postdeath significantly higher siblings aged 13 plt00001 increasing 7fold adjusted relative rate arr725 95 ci 3651443 bereaved siblings aged 13 substantial morbidity two years death 25 diagnosed mental disorder vs 17 controls higher rates almost mental disorder outcomes compared controls including twice rate suicide attempts arr201 95 ci 129312 siblings bereaved cohort higher rates alcohol drug use disorders already death sibling conclusion death child associated considerable mental disorder burden among surviving siblings preexisting health problems social disadvantage fully account increase mental disorder rates