Non-fatal self-harm and suicide following postpartum psychiatric emergency department visits: A population-based retrospective cohort study

被引：1
作者：
Barker, Lucy C. [1 ,2 ,3 ,4 ]
Brown, Hilary K. [1 ,2 ,3 ,4 ,6 ]
Bronskill, Susan E. [2 ,3 ,4 ]
Fung, Kinwah [3 ]
Kurdyak, Paul [1 ,2 ,3 ,5 ]
Zaheer, Juveria [1 ,5 ]
Vigod, Simone N. [1 ,2 ,3 ,4 ]
机构：
[1] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
[2] Univ Toronto, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada
[3] ICES, Toronto, ON, Canada
[4] Womens Coll Hosp, 76 Grenville St, Toronto, ON M5S 1B2, Canada
[5] Ctr Addict & Mental Hlth, Toronto, ON, Canada
[6] Univ Toronto Scarborough, Dept Hlth & Soc, Toronto, ON, Canada
来源：
PSYCHIATRY RESEARCH | 2024年 / 335卷
基金：
加拿大健康研究院;
关键词：
Postpartum period; Suicide; Self-injurious behavior;
D O I：
10.1016/j.psychres.2024.115856
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
In a population -based cohort of postpartum individuals in Ontario, Canada, this study aimed to determine the risk of non -fatal self -harm and suicide within one year of an initial postpartum psychiatric emergency department (ED) visit (2008-2020), and the key associated factors. Of 16,475 postpartum individuals with psychiatric ED visits, 714 (4.3 %) had non -fatal self -harm within one year, and 23 (0.15 %) died by suicide. Risk was substantially higher for those with self -harm at the initial presentation. Further efforts to connect individuals with postpartum psychiatric ED visits with needed inpatient care and outpatient follow-up are required to reduce non -fatal self -harm and suicide risk.
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共 15 条
[1]   Follow-up after post-partum psychiatric emergency department visits: an equity-focused population-based study in Canada [J].
Barker, Lucy C. ;
Brown, Hilary K. ;
Bronskill, Susan E. ;
Kurdyak, Paul ;
Austin, Peter C. ;
Hussain-Shamsy, Neesha ;
Fung, Kinwah ;
Vigod, Simone N. .
LANCET PSYCHIATRY, 2022, 9 (05) :389-401
[2]   Hospital admission at the time of a postpartum psychiatric emergency department visit: the influence of the social determinants of health [J].
Barker, Lucy C. ;
Bronskill, Susan E. ;
Brown, Hilary K. ;
Kurdyak, Paul ;
Vigod, Simone N. .
EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES, 2021, 30
[3]   Postpartum psychiatric emergency visits: a nested case-control study [J].
Barker, Lucy Church ;
Kurdyak, Paul ;
Fung, Kinwah ;
Matheson, Flora I. ;
Vigod, Simone .
ARCHIVES OF WOMENS MENTAL HEALTH, 2016, 19 (06) :1019-1027
[4]  
Bethell Jennifer, 2009, Health Rep, V20, P35
[5]   Association of Suicide and Other Mortality With Emergency Department Presentation [J].
Goldman-Mellor, Sidra ;
Olfson, Mark ;
Lidon-Moyano, Cristina ;
Schoenbaum, Michael .
JAMA NETWORK OPEN, 2019, 2 (12)
[6]   Perinatal suicide in Ontario, Canada: a 15-year population-based study [J].
Grigoriadis, Sophie ;
Wilton, Andrew S. ;
Kurdyak, Paul A. ;
Rhodes, Anne E. ;
VonderPorten, Emily H. ;
Levitt, Anthony ;
Cheung, Amy ;
Vigod, Simone N. .
CANADIAN MEDICAL ASSOCIATION JOURNAL, 2017, 189 (34) :E1085-E1092
[7]   Mental health follow-up after deliberate self-harm and risk for repeat self-harm and death [J].
Hunter, Jon ;
Maunder, Robert ;
Kurdyak, Paul ;
Wilton, Andrew S. ;
Gruneir, Andrea ;
Vigod, Simone .
PSYCHIATRY RESEARCH, 2018, 259 :333-339
[8]   Self-Harm Thoughts Postpartum as a Marker for Long-Term Morbidity [J].
Iliadis, Stavros I. ;
Skalkidou, Alkistis ;
Ranstrand, Hanna ;
Georgakis, Marios K. ;
Axfors, Cathrine ;
Papadopoulos, Fotios C. .
FRONTIERS IN PUBLIC HEALTH, 2018, 6
[9]   Self-harm in women with postpartum mental disorders [J].
Johannsen, Benedicte Marie ;
Larsen, Janne Tidselbak ;
Laursen, Thomas Munk ;
Ayre, Karyn ;
Howard, Louise M. ;
Meltzer-Brody, Samantha ;
Bech, Bodil Hammer ;
Munk-Olsen, Trine .
PSYCHOLOGICAL MEDICINE, 2020, 50 (09) :1563-1569
[10]   Suicide in perinatal and non-perinatal women in contact with psychiatric services: 15 year findings from a UK national inquiry [J].
Khalifeh, Hind ;
Hunt, Isabelle M. ;
Appleby, Louis ;
Howard, Louise M. .
LANCET PSYCHIATRY, 2016, 3 (03) :233-242
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