Document Detail

Homicide and suicide during the perinatal period: findings from the National Violent Death Reporting System.
MedLine Citation:
PMID:  22015873     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To estimate the rates of pregnancy-associated homicide and suicide in a multistate sample from the National Violent Death Reporting System, to compare these rates with other causes of maternal mortality, and to describe victims' demographic characteristics.
METHODS: We analyzed data from female victims of reproductive age from 2003 to 2007. We identified pregnancy-associated violent deaths as deaths attributable to homicide or suicide during pregnancy or within the first year postpartum, and we calculated the rates of pregnancy-associated homicide and suicide as the number of deaths per 100,000 live births in the sample population. We used descriptive statistics to report victims' demographic characteristics and prevalence of intimate-partner violence.
RESULTS: There were 94 counts of pregnancy-associated suicide and 139 counts of pregnancy-associated homicide, yielding pregnancy-associated suicide and homicide rates of 2.0 and 2.9 deaths per 100,000 live births, respectively. Victims of pregnancy-associated suicide were significantly more likely to be older and white or Native American as compared with all live births in National Violent Death Reporting System states. Pregnancy-associated homicide victims were significantly more likely to be at the extremes of the age range and African American. In our study, 54.3% of pregnancy-associated suicides involved intimate partner conflict that appeared to contribute to the suicide, and 45.3% of pregnancy-associated homicides were associated with intimate-partner violence.
CONCLUSION: Our results indicate that pregnancy-associated homicide and suicide are important contributors to maternal mortality and confirm the need to evaluate the relationships between sociodemographic disparities and intimate-partner violence with pregnancy-associated violent death.
Christie Lancaster Palladino; Vijay Singh; Jacquelyn Campbell; Heather Flynn; Katherine J Gold
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  118     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-10-21     Completed Date:  2011-12-12     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1056-63     Citation Subset:  AIM; IM    
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MeSH Terms
Centers for Disease Control and Prevention (U.S.)
Homicide / statistics & numerical data*
Pregnancy / statistics & numerical data*
Spouse Abuse
Suicide / statistics & numerical data*
United States
Young Adult
Grant Support
K23 MH085882/MH/NIMH NIH HHS; K23 MH085882-01A1/MH/NIMH NIH HHS; R24 HD042854/HD/NICHD NIH HHS
Comment In:
Obstet Gynecol. 2012 Jun;119(6):1274-5; author reply 1275-6   [PMID:  22617605 ]

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

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