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Crisis. 2015;36(3):161-72. doi: 10.1027/0227-5910/a000312. Epub 2015 Jun 30.

Lack of Trust in the Health-Care System After Losing a Child to Suicide.

Author information

1
1 Stockholm Centre for Psychiatric Research and Education, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.

Abstract

BACKGROUND:

Lack of trust in the health-care system after losing a child to suicide may prevent bereaved parents from seeking professional treatment when needed, thus diminishing their chances of recovery.

AIMS:

This is the first large study to aim at evaluating the incidence of lack of trust in the health-care system and associated variables in suicide-bereaved parents.

METHOD:

This nationwide population-based survey included 569 parents who lost a child to suicide 2-5 years earlier and a matched comparison group of 326 nonbereaved parents. Using a study-specific questionnaire, we asked bereaved and nonbereaved parents if they trusted the health-care system and measured psychological and background variables.

RESULTS:

Prevalence of lack of trust in the health-care system differed between the bereaved (46.5%) and the nonbereaved parents (18.3%), giving a relative risk of 2.5 (95% CI = 2.0-3.3). After multivariable modeling, high scores of depression, living in big cities, and being single were identified as variables associated with lack of trust in suicide-bereaved parents.

CONCLUSION:

Suicide-bereaved parents show lack of trust in the health-care system. We present possible effect modifiers that may be considered in professional interventions aiming at influencing suicide-bereaved parents' level of trust.

KEYWORDS:

bereavement; distrust; health care; suicide survivor; trust

PMID:
26122260
DOI:
10.1027/0227-5910/a000312
[Indexed for MEDLINE]

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