Suicidality in family caregivers of people with long-term illnesses and disabilities: A scoping review

Summary: An emerging body of international research suggests family caregivers may be a high-risk group for suicide, but the evidence has not been synthesised. Forty-eight peer-reviewed journal articles were included in this review, spanning low-, middle-, and high-income countries and a variety of...

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Main Authors: Siobhan T. O'Dwyer, Astrid Janssens, Anna Sansom, Lucy Biddle, Becky Mars, Thomas Slater, Paul Moran, Paul Stallard, Julia Melluish, Lisa Reakes, Anna Walker, Charmaine Andrewartha, Richard P. Hastings
Format: Article
Language:English
Published: Elsevier 2021-10-01
Series:Comprehensive Psychiatry
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0010440X21000390
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author Siobhan T. O'Dwyer
Astrid Janssens
Anna Sansom
Lucy Biddle
Becky Mars
Thomas Slater
Paul Moran
Paul Stallard
Julia Melluish
Lisa Reakes
Anna Walker
Charmaine Andrewartha
Richard P. Hastings
author_facet Siobhan T. O'Dwyer
Astrid Janssens
Anna Sansom
Lucy Biddle
Becky Mars
Thomas Slater
Paul Moran
Paul Stallard
Julia Melluish
Lisa Reakes
Anna Walker
Charmaine Andrewartha
Richard P. Hastings
author_sort Siobhan T. O'Dwyer
collection DOAJ
description Summary: An emerging body of international research suggests family caregivers may be a high-risk group for suicide, but the evidence has not been synthesised. Forty-eight peer-reviewed journal articles were included in this review, spanning low-, middle-, and high-income countries and a variety of illnesses and disabilities. The proportion of caregivers experiencing suicidal ideation ranged from 2.7% to 71%, with evidence of suicide attempts, deaths by suicide, and deaths by homicide-suicide also reported. Risk and protective factors varied across studies and there was little consideration of differences by caregiving relationship, type of illness/disability, or country. There is sufficient evidence to warrant concern for caregivers around the world and prompt action in policy and practice, but more rigorous research is required to draw clear, nuanced conclusions about risk and inform evidence-based prevention and intervention.
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spelling doaj.art-5278815269ad4ac7b63e5b848ab9f3b72022-12-21T21:35:16ZengElsevierComprehensive Psychiatry0010-440X2021-10-01110152261Suicidality in family caregivers of people with long-term illnesses and disabilities: A scoping reviewSiobhan T. O'Dwyer0Astrid Janssens1Anna Sansom2Lucy Biddle3Becky Mars4Thomas Slater5Paul Moran6Paul Stallard7Julia Melluish8Lisa Reakes9Anna Walker10Charmaine Andrewartha11Richard P. Hastings12University of Exeter Medical School, College of Medicine and Heath, University of Exeter, Heavitree Rd, Exeter EX1 2LU, United Kingdom; National Institute for Health Research Applied Research Collaboration South West Peninsula (NIHR PenARC), United Kingdom; Corresponding author at: University of Exeter Medical School, College of Medicine and Heath, University of Exeter, United Kingdom.User Perspectives and Community-based Interventions, Department of Public Health, University of Southern Denmark, J.B. Winslows Vej 9B, 1st Floor, 5000 Odense C, Denmark; Centre for Innovative Medical Technology, Odense University Hospital, DenmarkUniversity of Exeter Medical School, College of Medicine and Heath, University of Exeter, Heavitree Rd, Exeter EX1 2LU, United KingdomThe National Institute for Health Research Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol and Weston NHS Research Foundation, United Kingdom; Bristol Medical School, University of Bristol, Oakfield House, Bristol BS8 2BN, United KingdomNational Institute for Health Research (NIHR), Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust, United Kingdom; Bristol Medical School, University of Bristol, Oakfield House, Bristol BS8 2BN, United KingdomSchool of Social Sciences, Cardiff University, 2.14B Glamorgan Building, King Edward VII Avenue, Cardiff CF10 3WT, United KingdomPopulation Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol BS8 2PS, United Kingdom; The National Institute for Health Research Applied Research Collaboration West (NIHR ARC West), University Hospitals Bristol and Weston NHS Research Foundation, United KingdomDepartment of Health, University of Bath, Bath BA2 7AY, United KingdomFamily caregiver, United KingdomFamily caregiver, United KingdomFamily caregiver, United KingdomFamily caregiver, United KingdomCentre for Educational Development, Appraisal and Research (CEDAR), University of Warwick, Coventry CV4 7AL, United Kingdom; Centre for Developmental Psychiatry and Psychology, Monash University, AustraliaSummary: An emerging body of international research suggests family caregivers may be a high-risk group for suicide, but the evidence has not been synthesised. Forty-eight peer-reviewed journal articles were included in this review, spanning low-, middle-, and high-income countries and a variety of illnesses and disabilities. The proportion of caregivers experiencing suicidal ideation ranged from 2.7% to 71%, with evidence of suicide attempts, deaths by suicide, and deaths by homicide-suicide also reported. Risk and protective factors varied across studies and there was little consideration of differences by caregiving relationship, type of illness/disability, or country. There is sufficient evidence to warrant concern for caregivers around the world and prompt action in policy and practice, but more rigorous research is required to draw clear, nuanced conclusions about risk and inform evidence-based prevention and intervention.http://www.sciencedirect.com/science/article/pii/S0010440X21000390CarersCaregiversSuicideHomicideDisabilityChronic illness
spellingShingle Siobhan T. O'Dwyer
Astrid Janssens
Anna Sansom
Lucy Biddle
Becky Mars
Thomas Slater
Paul Moran
Paul Stallard
Julia Melluish
Lisa Reakes
Anna Walker
Charmaine Andrewartha
Richard P. Hastings
Suicidality in family caregivers of people with long-term illnesses and disabilities: A scoping review
Comprehensive Psychiatry
Carers
Caregivers
Suicide
Homicide
Disability
Chronic illness
title Suicidality in family caregivers of people with long-term illnesses and disabilities: A scoping review
title_full Suicidality in family caregivers of people with long-term illnesses and disabilities: A scoping review
title_fullStr Suicidality in family caregivers of people with long-term illnesses and disabilities: A scoping review
title_full_unstemmed Suicidality in family caregivers of people with long-term illnesses and disabilities: A scoping review
title_short Suicidality in family caregivers of people with long-term illnesses and disabilities: A scoping review
title_sort suicidality in family caregivers of people with long term illnesses and disabilities a scoping review
topic Carers
Caregivers
Suicide
Homicide
Disability
Chronic illness
url http://www.sciencedirect.com/science/article/pii/S0010440X21000390
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