TY - JOUR
PY - 2022//
TI - Association of postpartum depression with maternal suicide: a nationwide population-based study
JO - International journal of environmental research and public health
A1 - Lee, Yi-Liang
A1 - Tien, Yun
A1 - Bai, Yin-Shiuan
A1 - Lin, Chi-Kang
A1 - Yin, Chang-Sheng
A1 - Chung, Chi-Hsiang
A1 - Sun, Chien-An
A1 - Huang, Shi-Hao
A1 - Huang, Yao-Ching
A1 - Chien, Wu-Chien
A1 - Kang, Chieh-Yi
A1 - Wu, Gwo-Jang
SP - e5118
EP - e5118
VL - 19
IS - 9
N2 - 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.
Language: en
LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph19095118 ID - ref1 ER -