• Mairi Harper, Rory C O'Connor, and Ronan E O'Carroll.
• Social Policy Research Unit, University of York, York, UK.
• BMJ Support Palliat Care. 2011 Dec 1; 1 (3): 306-9.

ObjectiveTo identify the relative risk (RR) of mortality in bereaved parents compared with non-bereaved counterparts.DesignRetrospective data linkage study.SettingUnited Kingdom, 1971-2006.ParticipantsA random sample from death registrations (5%) of parents who had a live birth where the infant lived beyond its first year of life (non-bereaved parents) and parents who had experienced a stillbirth or the death of a child in its first year of life (bereaved parents) between 1971 and 2006.Main Outcome MeasuresDeath or widowhood of the parent.ResultsBereaved parents in Scotland (n=738) were more than twice as likely to die in the first 15 years after their child's death than non-bereaved parents (n=50 132), p<0.005. Bereaved mothers in England and Wales (n=481) were more than four times as likely to die in the first 15 years after their child's birth than non-bereaved parents (n=30 956), p<0.001. The mortality risk for bereaved mothers compared with non-bereaved mothers, followed up for 25 years after death, was 1.5 (bereaved n=745, non-bereaved n=36 434), p<0.005. When followed up for 35 years, the risk of mortality for bereaved mothers (n=1120) was 1.2 times that of non-bereaved mothers (n=36 062), p<0.005.ConclusionsBereaved parents who experience stillbirth or infant death have markedly increased mortality compared with non-bereaved parents, up to 25 years (mean) after the death of their child. However, the RR reduces over time.

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