A systematic review on the protective factors that reduce suicidality following childhood exposure to external cause parental death, including suicide

Background: Exposure to parental death in childhood has been associated with increased suicide risk among offspring, although few studies have examined protective factors that reduce suicide risk in this cohort. This systematic literature review aimed to synthesise primary studies on the protective...

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Main Authors: Phuong Hua, Chongmei Huang, Lyndal Bugeja, Sarah Wayland, Myfanwy Maple
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Journal of Affective Disorders Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666915320300329
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author Phuong Hua
Chongmei Huang
Lyndal Bugeja
Sarah Wayland
Myfanwy Maple
author_facet Phuong Hua
Chongmei Huang
Lyndal Bugeja
Sarah Wayland
Myfanwy Maple
author_sort Phuong Hua
collection DOAJ
description Background: Exposure to parental death in childhood has been associated with increased suicide risk among offspring, although few studies have examined protective factors that reduce suicide risk in this cohort. This systematic literature review aimed to synthesise primary studies on the protective factors that reduce suicidality following childhood exposure to external cause parental death, including suicide. These factors are also regarded as having ‘buffering’ effects that may promote posttraumatic growth and resilience. Methods: A systematic literature review was conducted in accordance with guidelines from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Ovid MEDLINE, Cochrane Library, Ovid PsycINFO, Web of Science, CINAHL via EbscoHost and Ovid EMBASE were searched. Two researchers independently screened the articles, performed data extraction and assessed quality of evidence. Results: Of the 1976 studies identified, 23 were included for review. Most studies provided evidence of individual, interpersonal and environmental-level factors which lower an individual's risk of subsequent suicidality following parental death, including suicide. Five studies made specific reference to resilience and gave evidence that bereaved offspring were well-adjusted and showed normative development. Two studies examined posttraumatic growth suggesting some offspring can develop more prosocial traits through the bereavement process. Limitations: There were limited studies mentioning posttraumatic growth which did not allow researchers to study its development and how it differs or complements the development of resilience. Most studies also had limited sample sizes. Conclusions: Bereaved children have the capacity to adapt to parental death as they transition to adulthood although further research is needed to differentiate individuals who demonstrate resilience from those who exhibit posttraumatic growth.
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spelling doaj.art-7a8f4e17b4b346cbbcc3572ec759b5bf2022-12-21T20:21:51ZengElsevierJournal of Affective Disorders Reports2666-91532020-12-012100032A systematic review on the protective factors that reduce suicidality following childhood exposure to external cause parental death, including suicidePhuong Hua0Chongmei Huang1Lyndal Bugeja2Sarah Wayland3Myfanwy Maple4Department of Forensic Medicine, Monash University, 65 Kavanagh Street, Southbank, VIC 3006, Australia; Corresponding author.Monash Nursing and Midwifery, Monash University, VIC 3800, AustraliaDepartment of Forensic Medicine, Monash University, 65 Kavanagh Street, Southbank, VIC 3006, Australia; Monash Nursing and Midwifery, Monash University, VIC 3800, AustraliaSydney School of Health Sciences, Faculty of Medicine and Health, SYD 2006, AustraliaSchool of Health, University of New England, NSW 2351, AustraliaBackground: Exposure to parental death in childhood has been associated with increased suicide risk among offspring, although few studies have examined protective factors that reduce suicide risk in this cohort. This systematic literature review aimed to synthesise primary studies on the protective factors that reduce suicidality following childhood exposure to external cause parental death, including suicide. These factors are also regarded as having ‘buffering’ effects that may promote posttraumatic growth and resilience. Methods: A systematic literature review was conducted in accordance with guidelines from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Ovid MEDLINE, Cochrane Library, Ovid PsycINFO, Web of Science, CINAHL via EbscoHost and Ovid EMBASE were searched. Two researchers independently screened the articles, performed data extraction and assessed quality of evidence. Results: Of the 1976 studies identified, 23 were included for review. Most studies provided evidence of individual, interpersonal and environmental-level factors which lower an individual's risk of subsequent suicidality following parental death, including suicide. Five studies made specific reference to resilience and gave evidence that bereaved offspring were well-adjusted and showed normative development. Two studies examined posttraumatic growth suggesting some offspring can develop more prosocial traits through the bereavement process. Limitations: There were limited studies mentioning posttraumatic growth which did not allow researchers to study its development and how it differs or complements the development of resilience. Most studies also had limited sample sizes. Conclusions: Bereaved children have the capacity to adapt to parental death as they transition to adulthood although further research is needed to differentiate individuals who demonstrate resilience from those who exhibit posttraumatic growth.http://www.sciencedirect.com/science/article/pii/S2666915320300329Protective factorsExternal cause parental deathSuicideSuicidal behaviourExposureChildhood
spellingShingle Phuong Hua
Chongmei Huang
Lyndal Bugeja
Sarah Wayland
Myfanwy Maple
A systematic review on the protective factors that reduce suicidality following childhood exposure to external cause parental death, including suicide
Journal of Affective Disorders Reports
Protective factors
External cause parental death
Suicide
Suicidal behaviour
Exposure
Childhood
title A systematic review on the protective factors that reduce suicidality following childhood exposure to external cause parental death, including suicide
title_full A systematic review on the protective factors that reduce suicidality following childhood exposure to external cause parental death, including suicide
title_fullStr A systematic review on the protective factors that reduce suicidality following childhood exposure to external cause parental death, including suicide
title_full_unstemmed A systematic review on the protective factors that reduce suicidality following childhood exposure to external cause parental death, including suicide
title_short A systematic review on the protective factors that reduce suicidality following childhood exposure to external cause parental death, including suicide
title_sort systematic review on the protective factors that reduce suicidality following childhood exposure to external cause parental death including suicide
topic Protective factors
External cause parental death
Suicide
Suicidal behaviour
Exposure
Childhood
url http://www.sciencedirect.com/science/article/pii/S2666915320300329
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