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Association of Postpartum Depression with Maternal Suicide: A Nationwide Population-Based Study

Background: To examine the association of postpartum depression (PPD) with maternal suicide in the Taiwanese population. Methods: We examined the medical records of women aged 18–50 years who experienced childbirth and had PPD (the study cohort, n = 2882), who experienced childbirth but did not have...

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Autores principales: Lee, Yi-Liang, Tien, Yun, Bai, Yin-Shiuan, Lin, Chi-Kang, Yin, Chang-Sheng, Chung, Chi-Hsiang, Sun, Chien-An, Huang, Shi-Hao, Huang, Yao-Ching, Chien, Wu-Chien, Kang, Chieh-Yi, Wu, Gwo-Jang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9099720/
https://www.ncbi.nlm.nih.gov/pubmed/35564525
http://dx.doi.org/10.3390/ijerph19095118
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author Lee, Yi-Liang
Tien, Yun
Bai, Yin-Shiuan
Lin, Chi-Kang
Yin, Chang-Sheng
Chung, Chi-Hsiang
Sun, Chien-An
Huang, Shi-Hao
Huang, Yao-Ching
Chien, Wu-Chien
Kang, Chieh-Yi
Wu, Gwo-Jang
author_facet Lee, Yi-Liang
Tien, Yun
Bai, Yin-Shiuan
Lin, Chi-Kang
Yin, Chang-Sheng
Chung, Chi-Hsiang
Sun, Chien-An
Huang, Shi-Hao
Huang, Yao-Ching
Chien, Wu-Chien
Kang, Chieh-Yi
Wu, Gwo-Jang
author_sort Lee, Yi-Liang
collection PubMed
description Background: To examine the association of postpartum depression (PPD) with maternal suicide in the Taiwanese population. Methods: We examined the medical records of women aged 18–50 years who experienced childbirth and had PPD (the study cohort, n = 2882), who experienced childbirth but did not have PPD (comparison cohort 1, n = 5764), and who neither experienced childbirth nor had PPD (comparison cohort 2, n = 5764) between 2000 and 2015. The patients were followed up until suicide, withdrawal from the National Health Insurance program, or 31 December 2015. Results: The rates of anxiety and depression symptoms, as well as the cumulative risk of suicide, were significantly higher in the study cohort. PPD was significantly correlated with an increased risk of maternal suicide and was associated with a greater risk of developing comorbidities such as hypertension, diabetes mellitus, hyperlipidemia, and stroke. The comparison cohorts did not differ significantly in terms of suicide risk. Conclusion: PPD was associated with a significantly higher rate of suicide and a shorter time to suicide after childbirth. Younger age, winter, and subclinical depression and anxiety positively predicted suicide in the study cohort. To prevent maternal suicide, clinicians should be observant of subclinical depression and anxiety symptoms among patients.
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spelling pubmed-90997202022-05-14 Association of Postpartum Depression with Maternal Suicide: A Nationwide Population-Based Study Lee, Yi-Liang Tien, Yun Bai, Yin-Shiuan Lin, Chi-Kang Yin, Chang-Sheng Chung, Chi-Hsiang Sun, Chien-An Huang, Shi-Hao Huang, Yao-Ching Chien, Wu-Chien Kang, Chieh-Yi Wu, Gwo-Jang Int J Environ Res Public Health Article Background: To examine the association of postpartum depression (PPD) with maternal suicide in the Taiwanese population. Methods: We examined the medical records of women aged 18–50 years who experienced childbirth and had PPD (the study cohort, n = 2882), who experienced childbirth but did not have PPD (comparison cohort 1, n = 5764), and who neither experienced childbirth nor had PPD (comparison cohort 2, n = 5764) between 2000 and 2015. The patients were followed up until suicide, withdrawal from the National Health Insurance program, or 31 December 2015. Results: The rates of anxiety and depression symptoms, as well as the cumulative risk of suicide, were significantly higher in the study cohort. PPD was significantly correlated with an increased risk of maternal suicide and was associated with a greater risk of developing comorbidities such as hypertension, diabetes mellitus, hyperlipidemia, and stroke. The comparison cohorts did not differ significantly in terms of suicide risk. Conclusion: PPD was associated with a significantly higher rate of suicide and a shorter time to suicide after childbirth. Younger age, winter, and subclinical depression and anxiety positively predicted suicide in the study cohort. To prevent maternal suicide, clinicians should be observant of subclinical depression and anxiety symptoms among patients. MDPI 2022-04-23 /pmc/articles/PMC9099720/ /pubmed/35564525 http://dx.doi.org/10.3390/ijerph19095118 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Yi-Liang
Tien, Yun
Bai, Yin-Shiuan
Lin, Chi-Kang
Yin, Chang-Sheng
Chung, Chi-Hsiang
Sun, Chien-An
Huang, Shi-Hao
Huang, Yao-Ching
Chien, Wu-Chien
Kang, Chieh-Yi
Wu, Gwo-Jang
Association of Postpartum Depression with Maternal Suicide: A Nationwide Population-Based Study
title Association of Postpartum Depression with Maternal Suicide: A Nationwide Population-Based Study
title_full Association of Postpartum Depression with Maternal Suicide: A Nationwide Population-Based Study
title_fullStr Association of Postpartum Depression with Maternal Suicide: A Nationwide Population-Based Study
title_full_unstemmed Association of Postpartum Depression with Maternal Suicide: A Nationwide Population-Based Study
title_short Association of Postpartum Depression with Maternal Suicide: A Nationwide Population-Based Study
title_sort association of postpartum depression with maternal suicide: a nationwide population-based study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9099720/
https://www.ncbi.nlm.nih.gov/pubmed/35564525
http://dx.doi.org/10.3390/ijerph19095118
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