Suicide crises among women and mothers during and around the time of pregnancy: Prevalence and timing of initial contact with first responders and health services

Objectives: Suicide is a leading cause of maternal mortality. Suicidality during and around the time of pregnancy can have detrimental impacts on a child’s development and outcomes. This paper examines prevalence, demographic characteristics, and timing of initial contact with first responders and health services for a cohort of women who experienced suicidality during and around […]

Suicide and maternal mortality

Purpose of Review Suicide is a leading cause of death in the perinatal period (pregnancy and 1 year postpartum). We review recent findings on prevalence, risk factors, outcomes, and prevention and intervention for suicide during pregnancy and the first year postpartum. Recent Findings Standardization of definitions and ascertainment of maternal deaths have improved identification of perinatal […]

Predictors and outcomes of suicidal ideation during peripartum period

Introduction Suicide belongs to the leading causes of maternal perinatal mortality and suicidal ideation is one of the strongest predictors for suicide attempt and completion and thus represents an opportunity for early intervention prior to self and infant harm. This post-hoc analysis aims to investigate predictors of peripartum suicidality (PS) and potential maternal and infant […]

Is parity status associated with bipolar disorder clinical features, severity of evolution?

Objective To assess prospectively the association of the number of past pregnancies on the evolution of bipolar disorder (BD). Methods Data were drawn from the 2 waves of the National Epidemiologic Study of Alcohol and Related Conditions (NESARC), a representative sample of the US population of 34,653 participants. All women diagnosed with BD were included. […]

Suicides during pregnancy and 1 year postpartum in Sweden, 1980-2007.

Although the incidence of suicide among women who have given birth during the past 12 months is lower than that of women who have not given birth, suicide remains one of the most common causes of death during the year following delivery in high-income countries, such as Sweden. The maternal suicide ratio was 3.7 per […]

British outcomes following self-inflicted poisoning during pregnancy, California, 2000 to 2004.

There were 430 hospital discharges for an intentional poisoning during pregnancy documented in the dataset. Intentional acute poisoning during pregnancy was associated with several adverse birth outcomes; however, these relationships may be confounded by concomitant maternal substance abuse.

Prevalence of psychiatric disorders in the first trimester of pregnancy and factors associated with current suicide risk.

This study aimed to describe the prevalence of psychiatric disorders and to identify the factors associated with Current Suicide Risk (CSR) in the first trimester of pregnancy. The adjusted regression model showed a higher prevalence ratio (PR) of CSR among pregnant women with generalized anxiety disorder (PR=2.70, 95% CI: 1.36Ð5.37), with ≥two parturitions (PR=2.46, 95% […]

Pregnant adolescents admitted to an inpatient child and adolescent psychiatric unit: An eight-year review.

To assess patient outcomes and describe demographic data of pregnant adolescents admitted to an inpatient child and adolescent psychiatric unit, as well as to determine if it is safe to continue to admit pregnant adolescents to such a unit. A descriptive retrospective chart review conducted at a free-standing pediatric hospital in northeast Ohio of all […]

Complex challenges in treating depression during pregnancy.

The treatment of depression during pregnancy can be challenging for patients and providers alike. An increasing attention to perinatal mood disorders has led to an expanding literature that is often difficult for providers to navigate. Contact us for a copy of this article, or view online at http://ajp.psychiatryonline.org/doi/full/10.1176/appi.ajp.2012.12040440

Bipolar disorder, affective psychosis, and schizophrenia in pregnancy and the post-partum period.

The perinatal period is associated with an increased risk of severe mental disorders. We summarise the evidence regarding the epidemiology, risk factors, and treatment of severe mental illness in relation to childbirth, focusing on bipolar disorder, affective psychosis, and schizophrenia. We discuss women with ongoing chronic conditions and those with the onset of new episodes […]

Views and experiences of suicidal ideation during pregnancy and the postpartum: Findings from interviews with maternal care clinic patients.

Perinatal suicidality (i.e., thoughts of death, suicide attempts, or self-harm during the period immediately before and up to 12 months after the birth of a child) is a significant public health concern. Few investigations have examined the patients’ own views and experiences of maternal suicidal ideation. Methods: Between April and October 2010, researchers identified 14 […]

Mental health, substance use and intimate partner problems among pregnant and postpartum suicide victims in the National Violent Death Reporting System.

The 2083 female suicide victims of reproductive age demonstrated high prevalence of existing mental health diagnosis and current depressed mood, with depressed mood significantly higher among postpartum women. Substance use and presence of other precipitating factors were high and similar among groups. Intimate partner problems were higher among pregnant and postpartum victims. Contact us for […]

Abortion in young women and subsequent mental health.

Background:  The extent to which abortion has harmful consequences for mental health remains controversial. We aimed to examine the linkages between having an abortion and mental health outcomes over the interval from age 15Ð25 years. Methods:  Data were gathered as part of the Christchurch Health and Development Study, a 25-year longitudinal study of a birth […]

Orphaned and abused youth are vulnerable to pregnancy and suicide risk.

Objective Little is known about the magnitude and consequences of violence against children for those living outside family care. We sought to estimate the frequency of childhood abuse and examine its association with lifetime pregnancy involvement (LPI) and past year suicide ideation among orphaned youth. Methods We analyzed data collected via cross-sectional interviewer-administered surveys completed […]

Attempted suicide and pregnancy

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Association Between Parity and Risk of Suicide Among Parous Women

This study examined whether there is an association between parity & risk of death by suicide among women. The study cohort consisted of 1,292,462 Taiwanese women who had a first live birth between January 1978-December 1987. The women were followed up from the date of their first birth to December 2007. Cox proportional hazard regression […]

Nepal Maternal Mortality and Morbidity Study 2008/2009: Summary of Preliminary Findings

This study examined all deaths of Nepalese women of reproductive age, April 2008-April 2009. Verbal autopsies were carried out to determine the cause of death & contributory factors. During the study period, suicide was the leading cause of death (16 percent), a steep increase from 1998 when suicide was ranked third. Analysis of verbal autopsy […]

Cause of Death Among Reproductive age Group Women in Maharashtra, India

This study reports data pertaining to deaths among reproductive age group women in Maharashtra, India along with factors contributing to these deaths. House-to-house surveys of a representative population were undertaken. A total of 103 deaths were investigated; 95 of these were due to non-maternal causes. Suicides were the leading cause of death in the injury […]

Parasuicide in Pregnancy

Parasuicide is a significant risk factor for completed suicide. Furthermore, suicide is emerging as an important cause of maternal death, especially among young mothers. There are no published reports of parasuicide in pregnancy from poor countries. Three cases are reported to highlight this issue & to demonstrate management options available to health professionals working in […]

Suicidal Behavior: A Developmental Perspective

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Pregnancies in High Psychosocial Risk Groups: Research Findings and Implications for Early Intervention

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Trends in Racial and Ethnic-Specific Rates for the Health Status Indicators: United States, 1990-98

National trends in racial & ethnic-specific rates for 17 health status indicators are reported for the period 1990-1998. The index of disparity increased by more than 10 percent for work-related injury death rates, motor vehicle crash rates, & suicide death rates. During the first half of the decade, there were increases in age-adjusted suicide rates […]

Mental Health Care in a High School Based Health Service

This paper describes the mental health services provided at a high school health centre in New York City. 5 years after the inception of the centre in 1988, mental health visits had quadrupled. In 1992, students made 1,002 mental health visits. One-third of these students reported problematic substance use among other family members. Other leading […]