{Reference Type}: Journal Article
{Title}: Do stillbirth, miscarriage, and termination of pregnancy increase risks of attempted and completed suicide within a year? A population-based nested case-control study.
{Author}: Weng SC;Chang JC;Yeh MK;Wang SM;Lee CS;Chen YH;
{Journal}: BJOG
{Volume}: 125
{Issue}: 8
{Year}: Jul 2018
{Factor}: 7.331
{DOI}: 10.1111/1471-0528.15105
{Abstract}: <B>OBJECTIVE: </B>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.<BR><B>METHODS: </B>A nested case-control study.<BR><B>METHODS: </B>Linking three nationwide population-based data sets in Taiwan: the National Health Insurance Research Database, the National Birth Registry and the National Death Registry.<BR><B>METHODS: </B>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.<BR><B>METHODS: </B>Conditional logistic regression.<BR><B>METHODS: </B>Attempted and completed suicidal statuses were determined.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>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.<BR><B>CONCLUSIONS: </B>Suicide risk increased in women who had a stillbirth, miscarriage, or termination of pregnancy within 1 year postnatally.