CoChat
Sign Up
Cited by 221Maternal Mental Health During Pregnancy and PostpartumSuicide and Self-Harm StudiesHomicide, Infanticide, and Child Abuse

The DOI matches its Crossref record; 37 of the 38 references it cites were found in a registry or an index.

Suicide in perinatal and non-perinatal women in contact with psychiatric services: 15 year findings from a UK national inquiry

Open access
Khalifeh, Hind, Hunt, Isabelle M, Appleby, Louis, Howard, Louise M·2016·The Lancet Psychiatry
DOI 10.1016/s2215-0366(16)00003-1
Open this paper in CoChat — free accountOpen PDF

Abstract

Background Suicide in pregnant and postnatal women is an important cause of maternal death, but evidence to guide suicide prevention in this group is scarce. We aimed to compare the trend, nature, and correlates of suicide in perinatal and non-perinatal women in contact with psychiatric services.Methods We used 1997-2012 data from the UK National Confidential Inquiry into Suicides and Homicides by People with Mental Illness, which includes all suicides by people (age ≥10 years) who had been in contact with psychiatric services in the previous year. The study sample comprised all women who died by suicide in pregnancy or the first postnatal year (perinatal suicides), and all women in the same age range who died by suicide outside this period (non-perinatal suicides). We compared suicides among perinatal and non-perinatal women with logistic regression of multiply imputed data.Findings The study sample included 4785 women aged 16-50 years who died by suicide, of whom 98 (2%) died in the perinatal period. Of the 1485 women aged 20-35 years, 74 (4%) women died in the perinatal period. Over the course of the study, we recorded a modest downward trend in the mean number of women dying by suicide in the non-perinatal period (-2·07 per year [SD 0·96]; p=0·026), but not the perinatal period (-0·07 per year [0·37]; p=0·58). Compared with non-perinatal women, women who died by suicide in the perinatal period were more likely to have a diagnosis of depression (adjusted odds ratio [OR] 2·19 [95% CI 1·43-3·34]; p<0·001) and less likely to be receiving any active treatment (0·46 [0·24-0·89]; p=0·022) at the time of death. Women who died by suicide within versus outside the perinatal period were also more likely to be younger (crude OR -6·39 [95% CI -8·15 to -4·62]; p<0·0001) and married (4·46 [2·93-6·80]; p<0·0001), with shorter illness duration (2·93 [1·88-4·56]; p<0·001) and no history of alcohol misuse (0·47 [0·24-0·92]; p=0·027). There were no differences in service contact or treatment adherence.Interpretation In women in contact with UK psychiatric services, suicides in the perinatal period were more likely to occur in those with a depression diagnosis and no active treatment at the time of death. Assertive follow-up and treatment of perinatal women in contact with psychiatric services are needed to address suicide risk in this group.Funding Healthcare Quality Improvement Partnership and National Institute for Health Research.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1016/s2215-0366(16)00003-1

Cites

37 of 37 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Show all 38 references

Research works printed but not linked: 1

  1. Lindahl, 2005, Prevalence of suicidality during pregnancy and the postpartum, Arch Women Ment Health, 8, 77, 10.1007/s00737-005-0080-1 · DOI · Paper page

Cited by

Sorted by citations

Items 201–221 of 221

Related

See all

Metadata

Authors
Khalifeh, H., Hunt, I. M., Appleby, L., & Howard, L. M.
Affiliations
  • King's College London (GB)
  • University of Manchester (GB)
Corresponding author
Khalifeh, Hind
ORCID
Venue
The Lancet Psychiatry
Publisher
Elsevier BV
Published
2016-03
Volume
3
Issue
3
Pages
233-242
ISSN
2215-0366 (ISSN-L)
DOI
10.1016/s2215-0366(16)00003-1
OpenAlex
W2271952246
Cited by
221
References
38
Citations by year
2026: 23 · 2025: 19 · 2024: 21 · 2023: 25 · 2022: 25 · 2021: 21 · 2020: 21 · 2019: 20 · 2018: 15 · 2017: 16 · 2016: 15
FWCI
21.81
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Lancet Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Research Explorer (The University of Manchester) (publishedVersion)
  • Research Portal (King's College London) (submittedVersion, other-oa)
Funders
National Institute for Health Research (NIHR) professorship to LMH (NIHR-RP-R3-12-011)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
maternal suicide, postpartum depression, suicide prevention, women with mental illness, mental health services, suicide trends, depression diagnosis, treatment engagement, young women, married women, maternal mortality, suicide risk factors, access to mental health care
MeSH terms
Adolescent, Adult, Mental Disorders, Female, United Kingdom, Humans, Middle Aged, Pregnancy, Suicide, Databases, Factual, Pregnant People, Young Adult

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review