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BEREAVEMENT AMONG ADULT SIBLINGS: AN EXAMINATION OF HEALTH SERVICE UTILIZATION AND MENTAL HEALTH OUTCOMES.

We aimed to examine the association of young and middle-aged sibling bereavement with use of health services and risk of developing mental health disorders over 24 months before and after… Click to show full abstract

We aimed to examine the association of young and middle-aged sibling bereavement with use of health services and risk of developing mental health disorders over 24 months before and after sibling's death. All persons aged 18-56 years who died of illness/natural causes between 2009 and 2016 were identified in the Danish Register of Causes of Death. The study sample included 31,842 bereaved siblings and 31,842 age- and sex-matched controls. Overall, the largest effect was observed for increased use of psychological services: for women, the peak was observed four-six months after death (odds ratio [OR]=3.31, 95% confidence interval [CI] 2.85-3.85) and for men in the first three months after death (OR=2.63, 95%CI 2.06-3.36). The peak of being diagnosed in a hospitals setting with any mental disorder for women was observed in the period 13-15 months after sibling death (OR=1.52, 95%CI 1.11-2.07) and for men in the first three months after death (OR=1.75, 95%CI 1.32-2.32). Young and mid-aged adults who experienced the death of a sibling are more likely to use health services and are at risk of poorer mental health outcomes. During the bereavement process, young and mid-aged siblings are especially in need of mental health support, such as professional psychological counseling.

Keywords: death; health outcomes; outcomes bereavement; health; months death; mental health

Journal Title: American journal of epidemiology
Year Published: 2021

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