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Maternal suicide at...
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Zhang, TianyangCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden
(author)
Maternal suicide attempts and deaths in the first year after cesarean delivery
- Article/chapterEnglish2023
Publisher, publication year, extent ...
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Cambridge University Press,2023
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LIBRIS-ID:oai:DiVA.org:oru-96063
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-96063URI
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https://doi.org/10.1017/S0033291721005109DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:148474231URI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Funding agency:China Scholarship Council 201707930002
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BACKGROUND: Cesarean delivery (CD) has been associated with postpartum psychiatric disorders, but less is known about the risk of suicidal behaviors. We estimated the incidence and risk of suicide attempts and deaths during the first postpartum year in mothers who delivered via CD v. vaginally.METHOD: All deliveries in Sweden between 1973 and 2012 were identified. The mothers were followed since delivery for 12 months or until the date of one of the outcomes (i.e. suicide attempt or death by suicide), death by other causes or emigration. Associations were estimated using Cox proportional hazards regression models.RESULTS: Of 4 016 789 identified deliveries, 514 113 (12.8%) were CDs and 3 502 676 (87.2%) were vaginal deliveries. During the 12-month follow-up, 504 (0.098%) suicide attempts were observed in the CD group and 2240 (0.064%) in the vaginal delivery group (risk difference: 0.034%), while 11 (0.0037%) deaths by suicide were registered in the CD group and 109 (0.0029%) in the vaginal delivery group (risk difference: 0.008%). Compared to vaginal delivery, CD was associated with an increased risk of suicide attempts [hazard ratio (HR) 1.46; 95% CI 1.32-1.60], but not of deaths by suicide (HR 1.44; 95% CI 0.88-2.36).CONCLUSIONS: Maternal suicidal behaviors during the first postpartum year were uncommon in Sweden. Compared to vaginal delivery, CD was associated with a small increased risk of suicide attempts, but not death by suicide. Improved understanding of the association between CD and maternal suicidal behaviors may promote more appropriate measures to improve maternal mental well-being and further reduce suicidal risks.
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Mantel, ÄnglaKarolinska Institutet
(author)
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Runeson, BoKarolinska Institutet
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Sidorchuk, AnnaKarolinska Institutet
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Rück, ChristianKarolinska Institutet
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Stephansson, OlofKarolinska Institutet
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Larsson, Henrik,1975-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden(Swepub:oru)hiln
(author)
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Chang, ZhengKarolinska Institutet
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Mataix-Cols, DavidKarolinska Institutet
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Fernández de la Cruz, LorenaKarolinska Institutet
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Karolinska InstitutetCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden
(creator_code:org_t)
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In:Psychological Medicine: Cambridge University Press53:7, s. 3056-30640033-29171469-8978
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Zhang, Tianyang
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Mantel, Ängla
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Runeson, Bo
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Sidorchuk, Anna
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Rück, Christian
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Stephansson, Olo ...
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Larsson, Henrik, ...
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Chang, Zheng
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Mataix-Cols, Dav ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Obstetrics Gynae ...
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Psychological Me ...
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Örebro University
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Karolinska Institutet