Adverse Perinatal Outcomes and Risk for Postpartum Suicide Attempt in Washington State, 1987–2001

Schiff, Melissa A.; Grossman, David C.

doi:10.1542/peds.2006-0116

Cited by 56 publications

(50 citation statements)

References 19 publications

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“…The majority of women in the current sample had attempted suicide using violent methods, confirming earlier reports of high rates of dramatic methods of suicide, with high intentionality [2,4]. Earlier studies have also shown that in the general population, Axis 1 disorders, particularly depressive disorders and substance use disorders, are important predictors of suicidality [18,19].…”

Section: Discussionsupporting

confidence: 86%

Prevalence and correlates of suicidality among Indian women with post-partum psychosis in an inpatient setting

Babu

Subbakrishna

Chandra

2008

Aust N Z J Psychiatry

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Section: Discussionsupporting

confidence: 86%

Prevalence and correlates of suicidality among Indian women with post-partum psychosis in an inpatient setting

Babu

Subbakrishna

Chandra

2008

Aust N Z J Psychiatry

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“…57 In this study, labor and delivery complications, cesarean section, pre-term delivery, low birthweight, and congenital malformations were not associated with increased risk of suicide attempts. A review of studies that confirmed that suicide rates are lower during pregnancy and the postpartum period emphasized that perinatal women complete suicide by more violent and lethal means than do women who are not perinatal.…”

Section: Ppdmentioning

confidence: 48%

Postpartum depression

Pearlstein

Howard

Salisbury

et al. 2009

American Journal of Obstetrics and Gynecology

397

253

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Postpartum depression (PPD) affects up to 15% of mothers. Recent research has identified several psychosocial and biologic risk factors for PPD. The negative short-term and long-term effects on child development are well-established. PPD is under recognized and under treated. The obstetrician and pediatrician can serve important roles in screening for and treating PPD. Treatment options include psychotherapy and antidepressant medication. Obstacles to compliance with treatment recommendations include access to psychotherapists and concerns of breastfeeding mothers about exposure of the infant to antidepressant medication. Further research is needed to examine systematically the short-term and long-term effect of medication exposure through breastmilk on infant and child development.

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“…Previous studies, mainly in developed countries showed that suicide is the leading cause [5] or within the leading causes [8,11] of maternal deaths in some countries. Few developing countries also documented suicide as a leading cause among high risk groups [12].…”

Section: Discussionmentioning

confidence: 99%

“…Few developing countries also documented suicide as a leading cause among high risk groups [12]. However, it has been traditionally considered as an indirect cause [3,8,9,11,12] of maternal death and even in some developed countries, deaths due to suicide are not included in the maternal mortality investigation system.…”

Section: Discussionmentioning

confidence: 99%

Maternal mortality revisited: the application of the new ICD-MM classification system in reference to maternal deaths in Sri Lanka

Agampodi

Wickramage²,

Agampodi

et al. 2014

Reprod Health

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BackgroundThe recently published WHO guidelines on applications of ICD-10 to deaths during pregnancy, childbirth, and the puerperium (ICD-MM) aimed at enabling a comprehensive framework for international comparison of maternal deaths, which includes maternal suicides as a direct cause of maternal deaths. At present, most developing countries do not include suicide as a maternal death.MethodsWe extracted and analysed data from the maternal death surveillance system in North Central Province of Sri Lanka for the period of 2005 to 2011, in order to identify the implications of this new classification on maternal mortality estimates. All reported deaths of pregnant women and women within 12 months of termination of pregnancy were included in this study. Causes of deaths were extracted and coded using ICD-10 reclassified according to new ICD-MM for maternal deaths.ResultsOf the 118 deaths analysed, the maternal death investigation system had classified 53 (44.9%) deaths as maternal deaths. These 53 maternal deaths included one deaths due to suicied, out of 21 (17.8%) suicide deaths among 118 reported deaths. Application of the new ICD-MM showed 83 maternal deaths which resulted in a 56.6% increase of number of maternal deaths in the province. Detailed analysis of all individual causes by ICD 10 codes showed that intentional self-poisoning by an exposure to pesticide (ICD code X63) as the leading cause of maternal deaths in NCP (n = 11, 13.3% of all maternal deaths) during this period. The estimated MMR in the study area based on the new classification in years 2009, 2010 and 2011 was 115, 103 and 88 per 100,000 live births respectively.ConclusionsThe new classification system may have an immediate effect in raising maternal mortality thresholds, making the MDG Goal 5A more elusive for many countries. However, this new approach may ultimately lead to a more accurate understanding of maternal mortality, as well as the real number of maternal deaths attributed to suicide. This more accurate accounting has implications for policymakers andpractitioners globally as they strive to meet women's needs during pregnancy, including attention to detection and treatment for maternal depression, given its close correlation with maternal suicide.

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Adverse Perinatal Outcomes and Risk for Postpartum Suicide Attempt in Washington State, 1987–2001

Cited by 56 publications

References 19 publications

Prevalence and correlates of suicidality among Indian women with post-partum psychosis in an inpatient setting

Prevalence and correlates of suicidality among Indian women with post-partum psychosis in an inpatient setting

Postpartum depression

Maternal mortality revisited: the application of the new ICD-MM classification system in reference to maternal deaths in Sri Lanka

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