Open AccessIdentifying Bereavement‐Related Markers of Mental and Behavioral Health Problems Among Clinic‐Referred Adolescents
Author(s) -
Kaplow Julie B.,
WamserNanney Rachel,
Layne Christopher M.,
Burnside Amanda,
King Cheryl,
Liang LiJung,
Steinberg Alan,
Briggs Ernestine,
Suarez Liza,
Pynoos Robert
Publication year - 2020
Publication title -
psychiatric research and clinical practice
Language(s) - English
Resource type - Journals
ISSN - 2575-5609
DOI - 10.1176/appi.prcp.20190021
Subject(s) - mental health , psychology , clinical psychology , psychiatry , medicine
Objective This study examined bereavement‐related risk markers (number of deaths, cause of death, and relationship to deceased) of mental and behavioral health problems (suicidal thoughts or behaviors, self‐injury, depression, posttraumatic stress, and substance use) in a national sample of clinic‐referred bereaved adolescents. Method Participants included 1281 bereaved youth aged 12–21 years (M=15, SD=1.8; 62.1% female), from the National Child Traumatic Stress Network Core Data Set. Results Generalized linear mixed‐effects regression models controlling for demographics and other traumas revealed that youth bereaved by multiple deaths had higher posttraumatic stress scores than youth bereaved by a single death (Estimated difference ±SE=3.36 ± 1.11 , p=0.003). Youth bereaved by suicide were more likely to report experiencing suicidal thoughts or behaviors (AOR=1.68, p=0.049) and alcohol use (AOR=2.33, p<0.001) than youth bereaved by natural causes. Youth bereaved by homicide were at greater risk for substance use than youth bereaved by natural death (AOR=1.76, p=0.02). Compared to parentally bereaved youth, youth who lost a peer were more likely to use alcohol (AOR=2.32, p=0.02) or other substances (AOR=2.41, p=0.01); in contrast, parentally bereaved youth were more likely to experience depression compared to those who experienced the death of an adult relative or unrelated adult (range of AOR: 0.40 to 0.64, p‐values<0.05). Conclusion These bereavement‐related contextual factors can serve as early markers of mental and behavioral health problems among bereaved youth.