Suicidal behaviour in national and international adult adoptees
- 1 January 2006
- journal article
- research article
- Published by Springer Science and Business Media LLC in Social psychiatry. Sozialpsychiatrie. Psychiatrie sociale
- Vol. 41 (2), 95-102
- https://doi.org/10.1007/s00127-005-0974-2
Abstract
Background Previous studies have shown an elevated risk for suicidal behaviour in adolescent and young adult international adoptees. Comparisons between national and international adoptees in this respect have been inconclusive. Methods A total of 6,065 international adoptees were compared to 7,340 national adoptees and 1,274,312 non-adopted study subjects, all born between 1963 and 1973 and followed up until 2002 using the National Swedish Registers. Cox regression of person years was used in multivariate analyses to compare risks for suicide death and suicide attempt. Results International adoptees had clearly increased risks for suicide attempt (risk ratio 4.5 [95% confidence interval 3.7–5.5]) and suicide death (3.6 [2.6–5.2]) after adjustments for sex, age and socio-economic factors. National adoptees had lower risks than international adoptees, but had increased risks compared to non-adoptees (suicide attempt, 2.8 [2.2–3.5]; suicide death, 2.5 [1.8–3.3]). Biological parents' morbidity explained approximately one third of the increased risk for national adoptees. Female international adoptees' risk for suicide attempt was elevated to an even greater extent than in male international adoptees, when compared to the general population. Conclusions Clinicians should be aware that an increased risk for suicide and suicide attempts in international adoptees is a topic that is equally relevant to child and adult psychiatry.This publication has 37 references indexed in Scilit:
- Race as a moderator in a model of sexual harassment: An empirical test.Journal of Occupational Health Psychology, 2003
- Suicide, psychiatric illness, and social maladjustment in intercountry adoptees in Sweden: a cohort studyThe Lancet, 2002
- Adopted Children in the Labour Market — Discrimination or Unobserved Characteristics?International Migration, 2002
- Risk Factors for Suicide and Attempted Suicide among Young PeopleAustralian & New Zealand Journal of Psychiatry, 2000
- Mental Health in International Adoptees as Teenagers and Young Adults. An Epidemiological StudyJournal of Child Psychology and Psychiatry, 1999
- International and Domestic Adoption: Child, Parents, and Family AdjustmentInternational Journal of Behavioral Development, 1997
- Self‐Reported and Parent Reported Problems in Adolescent International AdopteesJournal of Child Psychology and Psychiatry, 1995
- Adoption as a risk factor for mental disordersActa Psychiatrica Scandinavica, 1995
- Intercountry Adoption: A Review of the EvidenceJournal of Child Psychology and Psychiatry, 1991
- ADJUSTMENT TO ADOPTION - A PSYCHOSOCIAL PERSPECTIVEClinical Psychology Review, 1986