Document Detail


Adverse perinatal outcomes and risk for postpartum suicide attempt in Washington state, 1987-2001.
MedLine Citation:
PMID:  16950958     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Postpartum suicide attempts are serious events with a significant impact on women and their families. Our objectives were to determine the temporal risk period for these events and to assess whether maternal complications and adverse infant outcomes are associated with risk for postpartum suicide attempt. METHODS: We performed a case-control study that compared 520 women who were hospitalized for a postpartum suicide attempt with 2204 control women who were not hospitalized for a postpartum suicide attempt in Washington State from 1987 to 2001. We performed logistic regression to evaluate whether maternal complications and adverse infant outcome, after controlling for other risk factors, were associated with a hospitalization for a suicide attempt within 1 year after delivery. RESULTS: Most attempts were the result of poisoning (63.6%). Suicide attempts were most frequent in the first and 12th months after delivery. Maternal complications including labor and delivery complications and cesarean delivery were not associated with risk for postpartum suicide attempt. After adjustment for age and marital status, fetal or infant death was associated with postpartum suicide attempt. Other adverse infant outcomes, including preterm delivery, low birth weight, and congenital malformations, were not associated with attempts. CONCLUSIONS: Maternal complications were not associated with hospitalizations for suicide attempts in the year after delivery. However, fetal death or the death of an infant in the first year after delivery was strongly associated with hospitalization for a suicide attempt. These risk factors may be useful predictors for health care providers who care for women or children during the postpartum period.
Authors:
Melissa A Schiff; David C Grossman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatrics     Volume:  118     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-04     Completed Date:  2006-09-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e669-75     Citation Subset:  AIM; IM    
Affiliation:
Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington 98104, USA. mschiff@u.washington.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Case-Control Studies
Female
Fetal Death
Humans
Infant
Infant Mortality
Infant, Newborn
Middle Aged
Patient Admission / statistics & numerical data
Postpartum Period / psychology*
Pregnancy
Pregnancy Complications / psychology
Pregnancy Outcome*
Retrospective Studies
Risk Factors
Suicide, Attempted / psychology*,  statistics & numerical data*
Washington / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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