Frequent change of residence and risk of attempted and completed suicide among children and adolescents.

Centre for Register-Based Research, University of Aarhus, Taasingegade 1, DK-8000, Aarhus C, Denmark.
Archives of General Psychiatry (Impact Factor: 13.75). 07/2009; 66(6):628-32. DOI: 10.1001/archgenpsychiatry.2009.20
Source: PubMed

ABSTRACT In contemporary society, people change their place of residence frequently. However, large-scale population studies documenting the influence of frequent moves on mental health among children and adolescents are limited.
To evaluate the influence of frequent change of residence on risk of attempted and completed suicide among children and adolescents. Design, Setting, and
We used data from Danish longitudinal population registries to identify all children born from 1978 to 1995 in Denmark; 4160 of these children attempted suicide, and 79 completed suicide at ages 11 to 17 years. We adopted a nested case-control design and recruited 30 controls per case, matched individually on sex, age, and calendar time. Main Outcome Measure We used conditional logistic regression to compute the incidence rate ratio for attempted and/or completed suicide associated with the number of previous changes of residence.
We observed a significantly increased risk of attempted suicide associated with changes of living address, and there was an apparent dose-response trend for this association-the more frequent incidence of moving, the higher the risk for attempted suicide. This trend remained the same after controlling for possible confounding factors at birth, ie, birth order, birthplace, link to a father, and parental age at birth. However, it was somewhat attenuated, but still significant, after controlling for the child's own psychiatric morbidity and loss of a mother or father, as well as parental psychiatric history. The observed association was neither modified by sex nor age at the time of moving. Further analyses of suicide completers demonstrated a similar association between change of residence and completed suicide.
Frequent change of residence may induce distress among children and, therefore, increase their risk of suicidal behavior. More research is needed to explore this association.

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    ABSTRACT: Purpose Geographic moves have been reported to have a negative impact on the mental health of children, but it is often difficult to separate the effect of the move from the circumstances that impelled it. Military populations may offer a way to examine this issue. Moves are common in military families, but parental employment and healthcare coverage remain constant. Methods Children of military parents with geographic moves in 2008 were compared with those without geographic moves with regard to the odds of mental health service use in 2009. Results This study included 548,336 children aged 6–17 years, and 179,486 (25%) children moved in 2008. Children aged 6–11 years with a geographic move had higher odds of mental health and outpatient visits (odds ratio [OR] 1.03; 95% confidence interval [CI] 1.01–1.06). Children aged 12–17 years with a geographic move had higher odds of mental outpatient visits (OR 1.04; 95% CI 1.01–1.07), psychiatric hospitalizations (OR 1.19; 95% CI 1.07–1.32), and emergency psychiatric visits (OR 1.20; 95% CI 1.07–1.32). Conclusion Children with a geographic move in the previous year have increased odds of mental health encounters. Among adolescents, this increase extends to psychiatric hospitalizations and emergency visits.
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    Textbook of Psychiatric Epidemiology, 3rd ; Wiley., ISBN: 978-0-470-69467-1
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