Avoidable mortality among parents whose children were placed in care in Sweden: a population-based study

Elizabeth Wall‐Wieler · Bo Vinnerljung · Can Liu · Leslie Leon Roos · Anders Hjern

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Child Welfare and Adoption Grief, Bereavement, and Mental Health Homicide, Infanticide, and Child Abuse

Abstract

BACKGROUND: Separation from one's child can have significant consequences for parental health and well-being. We aimed to investigate whether parents whose children were placed in care had higher rates of avoidable mortality. METHODS: Data were obtained from the Swedish national registers. Mortality rates among parents whose children were placed in care between 1990 and 2012 (17 503 mothers, 18 298 fathers) were compared with a 1:5 matched cohort of parents whose children were not placed. We computed rate differences and HRs of all-cause and avoidable mortality. RESULTS: Among mothers, deaths due to preventable causes were 3.09 times greater (95% CI 2.24 to 4.26) and deaths due to amenable causes were 3.04 times greater (95% CI 2.03 to 4.57) for those whose children were placed in care. Among fathers, death due to preventable causes were 1.64 times greater (95% CI 1.32 to 2.02) and deaths due to amenable causes were 1.84 times greater (95% CI 1.33 to 2.55) for those whose children were placed in care. Avoidable mortality rates were higher among mothers whose children were young when placed in care and among parents whose children were all placed in care. CONCLUSIONS: Parents who had a child placed in out-of-home care are at higher risk of avoidable mortality. Interventions targeting mothers who had a child aged less than 13 placed in care, and parents whose children were all placed in care could have the greatest impact in reducing avoidable mortality in this population.

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2002Self and Social Identity 2016Suicide prevention strategies revisited: 10-year systematic review 1976Bereavement: Studies of grief in adult life 2015Coping with Threatened Identities 2008Reforming Child Protection 2011Predictors of child protective service contact between birth and age five: An examination of California's 2002 birth cohort 2010Managing Loss and a Threatened Identity: Experiences of Parents of Children Growing Up in Foster Care, the Perspectives of their Social Workers and Implications for Practice 1955Casework Techniques in Child Care Services

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