Evidence map›Paper›PMID 35838797›Full record

ArticleSocial psychiatry and psychiatric epidemiology2022

Parenthood and lower risk of suicide in women and men: the total Swedish population followed across adulthood.

Alma Sörberg Wallin, Hugo Sjöqvist, Marina Dehara, Michael B Wells, Jennifer Dykxhoorn, Kyriaki Kosidou, Christina Dalman

Open access · hybridAbstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Alma Sörberg WallinDepartment of Global Public Health, Karolinska Institutet, Solnavägen 1C, 113 65, Stockholm, Sweden. alma.sorberg.wallin@ki.se.ORCID http://orcid.org/0000-0002-8804-095X
Hugo SjöqvistDepartment of Global Public Health, Karolinska Institutet, Solnavägen 1C, 113 65, Stockholm, Sweden.
Marina DeharaClinical Epidemiology Division, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
Michael B WellsDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Jennifer DykxhoornDivision of Psychiatry and Department of Primary Care and Population Health, UCL, London, UK.
Kyriaki KosidouDepartment of Global Public Health, Karolinska Institutet, Solnavägen 1C, 113 65, Stockholm, Sweden.
Christina DalmanDepartment of Global Public Health, Karolinska Institutet, Solnavägen 1C, 113 65, Stockholm, Sweden.
Karolinska Institutet · SEUniversity College London · GB

Funding

forskningsrådet om hälsa, arbetsliv och välfärd 2017-00173vetenskapsrådet 523-2010-1052
6 · The paper itself

Abstract

backgroundPrevious studies suggest a protective effect of parenthood on suicide, but little is known about how the association may change across the lifespan, or in relation to sex, marital status or occurrence of psychiatric disorders.

methodsWe followed a cohort of over 5 million Swedish women and men, from 1991 to 2011, up to max. age 75, for death by suicide using national registers. Information on childbirths/adoptions, potential confounders and modifying factors were obtained from national registers. We assessed the associations between parenthood and suicide across adulthood using within time-stratified Cox regression models, with parenthood as a time-dependent exposure.

resultsParents had a lower risk of suicide than non-parents across the lifespan, after adjusting for sociodemographic factors. The association was most pronounced in young adults, especially young women, but attenuated with increasing age and converged between sexes in older age groups. The lower risk of suicide over the life course was similar whether parents were married, unmarried or divorced, apart from married men; among them, parents only had a lower risk above age 55. The lower risk in parents was also evident in people with a history of psychiatric hospitalizations, but disappeared from age 55 in this population.

conclusionThe lower risk of suicide was present in both parents, was most pronounced in young adulthood and weakened with increasing age. Our results are consistent with a plausible mechanism where feelings of responsibility and connectedness are protective against suicide in parents.

Indexed as

SuicideAdultAgedDivorceFemaleHumansMaleMarital StatusMiddle AgedRisk FactorsSwedenYoung AdultCohortEpidemiologyLife courseParentsSuicide

Identifiers

PMID35838797
PMCPMC9636107
OpenAlexW4285589156

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.