S-C Weng1, J-C Chang2, M-K Yeh3, S-M Wang4,5, C-S Lee6,7, Y-H Chen8. 1. Bachelor's Degree Program of Golden-Age Well-being Management, Yuanpei University of Medical Technology, Hsinchu, Taiwan. 2. School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan. 3. Graduate Institute of Medical Science and School of Pharmacy, National Defense Medical Centre, Taipei, Taiwan. 4. Department of Health Services Administration, China Medical University, Taichung, Taiwan. 5. Department of Biotechnology and Pharmaceutical Technology, Yuanpei University of Medical Technology, Hsinchu, Taiwan. 6. Department of Psychiatry, Mackay Memorial Hospital, Taipei, Taiwan. 7. Department of Medicine, Mackay Medical College, New Taipei City, Taiwan. 8. School of Public Health, College of Public Health, Taipei Medical University, Taipei, Taiwan.
Abstract
OBJECTIVE: To investigate the risks of attempted and completed suicide in women who experienced a stillbirth, miscarriage, or termination of pregnancy within 1 year postnatally and compare this risk with that in women who experienced a live birth. DESIGN: A nested case-control study. SETTING: Linking three nationwide population-based data sets in Taiwan: the National Health Insurance Research Database, the National Birth Registry and the National Death Registry. SAMPLE: In all, 485 and 350 cases of attempted and completed suicide, respectively, were identified during 2001-11; for each case, ten controls were randomly selected and matched to the cases according to the age and year of delivery. METHODS: Conditional logistic regression. MAIN OUTCOME MEASURES: Attempted and completed suicidal statuses were determined. RESULTS: The rates of attempted suicide increased in the women who experienced fetal loss. The risk of completed suicide was higher in women who experienced a stillbirth [adjusted odds ratio (aOR) 5.2; 95% CI 1.77-15.32], miscarriage (aOR 3.81; 95% CI 2.81-5.15), or termination of pregnancy (aOR 3.12; 95% CI 1.77-5.5) than in those who had a live birth. Furthermore, the risk of attempted suicide was significantly higher in women who experienced a miscarriage (aOR 2.1; 95% CI 1.66-2.65) or termination of pregnancy (aOR 2.5; 95% CI 1.63-3.82). In addition to marital and educational statuses, psychological illness increased the risk of suicidal behaviour. CONCLUSIONS: The risk of suicide might increase in women who experience fetal loss within 1 year postnatally. Healthcare professionals and family members should enhance their sensitivity to care for possible mental distress, particularly for women who have experienced a stillbirth. TWEETABLE ABSTRACT: Suicide risk increased in women who had a stillbirth, miscarriage, or termination of pregnancy within 1 year postnatally.
OBJECTIVE: To investigate the risks of attempted and completed suicide in women who experienced a stillbirth, miscarriage, or termination of pregnancy within 1 year postnatally and compare this risk with that in women who experienced a live birth. DESIGN: A nested case-control study. SETTING: Linking three nationwide population-based data sets in Taiwan: the National Health Insurance Research Database, the National Birth Registry and the National Death Registry. SAMPLE: In all, 485 and 350 cases of attempted and completed suicide, respectively, were identified during 2001-11; for each case, ten controls were randomly selected and matched to the cases according to the age and year of delivery. METHODS: Conditional logistic regression. MAIN OUTCOME MEASURES: Attempted and completed suicidal statuses were determined. RESULTS: The rates of attempted suicide increased in the women who experienced fetal loss. The risk of completed suicide was higher in women who experienced a stillbirth [adjusted odds ratio (aOR) 5.2; 95% CI 1.77-15.32], miscarriage (aOR 3.81; 95% CI 2.81-5.15), or termination of pregnancy (aOR 3.12; 95% CI 1.77-5.5) than in those who had a live birth. Furthermore, the risk of attempted suicide was significantly higher in women who experienced a miscarriage (aOR 2.1; 95% CI 1.66-2.65) or termination of pregnancy (aOR 2.5; 95% CI 1.63-3.82). In addition to marital and educational statuses, psychological illness increased the risk of suicidal behaviour. CONCLUSIONS: The risk of suicide might increase in women who experience fetal loss within 1 year postnatally. Healthcare professionals and family members should enhance their sensitivity to care for possible mental distress, particularly for women who have experienced a stillbirth. TWEETABLE ABSTRACT: Suicide risk increased in women who had a stillbirth, miscarriage, or termination of pregnancy within 1 year postnatally.
Authors: Triin Laisk; Ana Luiza G Soares; Teresa Ferreira; Jodie N Painter; Jenny C Censin; Samantha Laber; Jonas Bacelis; Chia-Yen Chen; Maarja Lepamets; Kuang Lin; Siyang Liu; Iona Y Millwood; Avinash Ramu; Jennifer Southcombe; Marianne S Andersen; Ling Yang; Christian M Becker; Anders D Børglum; Scott D Gordon; Jonas Bybjerg-Grauholm; Øyvind Helgeland; David M Hougaard; Xin Jin; Stefan Johansson; Julius Juodakis; Christiana Kartsonaki; Viktorija Kukushkina; Penelope A Lind; Andres Metspalu; Grant W Montgomery; Andrew P Morris; Ole Mors; Preben B Mortensen; Pål R Njølstad; Merete Nordentoft; Dale R Nyholt; Margaret Lippincott; Stephanie Seminara; Andres Salumets; Harold Snieder; Krina Zondervan; Thomas Werge; Zhengming Chen; Donald F Conrad; Bo Jacobsson; Liming Li; Nicholas G Martin; Benjamin M Neale; Rasmus Nielsen; Robin G Walters; Ingrid Granne; Sarah E Medland; Reedik Mägi; Deborah A Lawlor; Cecilia M Lindgren Journal: Nat Commun Date: 2020-11-25 Impact factor: 14.919
Authors: Adam K Lewkowitz; Julia D López; Matt Keller; Joshua I Rosenbloom; George A Macones; Margaret A Olsen; Alison G Cahill Journal: Am J Obstet Gynecol Date: 2020-09-12 Impact factor: 8.661