目的:调查死产妇女自杀未遂和完全自杀的风险,流产,或在出生后1年内终止妊娠,并将这种风险与经历过活产的女性进行比较。
方法:巢式病例对照研究。
方法:链接台湾的三个全国人口数据集:国民健康保险研究数据库,国家出生登记处和国家死亡登记处。
方法:总之,485例和350例自杀未遂和完全自杀,分别,在2001-11年度被确认;对于每一个案例,随机选择10名对照,并根据分娩年龄和分娩年份与病例相匹配.
方法:条件逻辑回归。
方法:确定已尝试和已完成的自杀状态。
结果:经历胎儿丢失的妇女自杀未遂率增加。死产妇女的自杀风险较高[校正比值比(aOR)5.2;95%CI1.77-15.32],流产(AOR3.81;95%CI2.81-5.15),或终止妊娠(aOR3.12;95%CI1.77-5.5)比那些活产。此外,在经历过流产(aOR2.1;95%CI1.66~2.65)或终止妊娠(aOR2.5;95%CI1.63~3.82)的女性中,自杀未遂风险显著增高.除了婚姻和教育状态,心理疾病增加了自杀行为的风险。
结论:在出生后1年内经历胎儿丢失的妇女自杀风险可能会增加。医疗保健专业人员和家庭成员应提高对可能的精神困扰的护理敏感性,特别是对于经历过死产的女性。
结论:死产妇女自杀风险增加,流产,或在出生后1年内终止妊娠。
OBJECTIVE: 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.
METHODS: A nested
case-control study.
METHODS: Linking three nationwide population-based data sets in Taiwan: the National Health Insurance Research Database, the National Birth Registry and the National Death Registry.
METHODS: 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.
METHODS: Conditional logistic regression.
METHODS: Attempted and completed suicidal statuses were determined.
RESULTS: 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.
CONCLUSIONS: 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.
CONCLUSIONS: Suicide risk increased in women who had a stillbirth, miscarriage, or termination of pregnancy within 1 year postnatally.