Worldwide prevalence of suicide attempt in pregnant and postpartum women: a meta-analysis of observational studies

Purpose Past suicide attempts (SA) are a major contributor to suicide. The prevalence of SA in pregnant and postpartum women varied significantly across studies. Therefore, this meta-analysis was conducted to examine the prevalence of SA and its mediating factors in this population. Methods Relevant...

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Veröffentlicht in:Social Psychiatry and Psychiatric Epidemiology 2021-05, Vol.56 (5), p.711-720
Hauptverfasser: Rao, Wen-Wang, Yang, Yuan, Ma, Tian-Jiao, Zhang, Qinge, Ungvari, Gabor S., Hall, Brian J., Xiang, Yu-Tao
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container_issue 5
container_start_page 711
container_title Social Psychiatry and Psychiatric Epidemiology
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creator Rao, Wen-Wang
Yang, Yuan
Ma, Tian-Jiao
Zhang, Qinge
Ungvari, Gabor S.
Hall, Brian J.
Xiang, Yu-Tao
description Purpose Past suicide attempts (SA) are a major contributor to suicide. The prevalence of SA in pregnant and postpartum women varied significantly across studies. Therefore, this meta-analysis was conducted to examine the prevalence of SA and its mediating factors in this population. Methods Relevant articles published in PubMed, EMBASE, Web of Science, PsycINFO, Medline complete, Chinese National Knowledge Infrastructure database (CNKI), Chinese Wanfang and Chongqing VIP database were systematically searched from inception to March 28, 2019. Titles, abstracts and full texts were reviewed independently by three researchers. Studies were included if they reported data on SA prevalence or provided relevant data that enabled the calculation of SA prevalence. Data were extracted by two researchers and checked by one senior researcher. The random-effects model was used to analyze data by the CMA 2.0 and Stata 12.0, with the high degree of statistical heterogeneity present. The primary outcomes were prevalence of SA with 95% CI during pregnancy and during the first-year postpartum. Results Fourteen studies covering 6,406,245 pregnant and postpartum women were included. The pooled prevalence of SA was 680 per 100,000 (95% confidence interval 0.10–4.69%) during pregnancy and 210 per 100,000 (95% confidence interval 0.01–3.21%) during the first-year postpartum. Data source was significantly associated with prevalence of SA in the subgroup analysis (pregnancy, p  
doi_str_mv 10.1007/s00127-020-01975-w
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The prevalence of SA in pregnant and postpartum women varied significantly across studies. Therefore, this meta-analysis was conducted to examine the prevalence of SA and its mediating factors in this population. Methods Relevant articles published in PubMed, EMBASE, Web of Science, PsycINFO, Medline complete, Chinese National Knowledge Infrastructure database (CNKI), Chinese Wanfang and Chongqing VIP database were systematically searched from inception to March 28, 2019. Titles, abstracts and full texts were reviewed independently by three researchers. Studies were included if they reported data on SA prevalence or provided relevant data that enabled the calculation of SA prevalence. Data were extracted by two researchers and checked by one senior researcher. The random-effects model was used to analyze data by the CMA 2.0 and Stata 12.0, with the high degree of statistical heterogeneity present. The primary outcomes were prevalence of SA with 95% CI during pregnancy and during the first-year postpartum. Results Fourteen studies covering 6,406,245 pregnant and postpartum women were included. The pooled prevalence of SA was 680 per 100,000 (95% confidence interval 0.10–4.69%) during pregnancy and 210 per 100,000 (95% confidence interval 0.01–3.21%) during the first-year postpartum. Data source was significantly associated with prevalence of SA in the subgroup analysis (pregnancy, p  &lt; 0.001; the first-year postpartum, p  = 0.013). Conclusion The prevalence of SA is not high in pregnant and postpartum women. Due to the potential loss of life and negative impact of SA on health outcomes, however, careful screening and effective preventive measures should be implemented for this population.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-020-01975-w</identifier><identifier>PMID: 33191455</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Analysis ; Asian Continental Ancestry Group ; Confidence intervals ; Epidemiology ; Female ; Health aspects ; Heterogeneity ; Humans ; Mass Screening ; Medicine ; Medicine &amp; Public Health ; Mental health ; Meta-analysis ; Observational studies ; Postpartum Period ; Pregnancy ; Pregnant women ; Prevalence ; Psychiatry ; Review ; Statistical analysis ; Subgroups ; Suicidal behavior ; Suicide, Attempted ; Suicides &amp; suicide attempts ; Systematic review</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2021-05, Vol.56 (5), p.711-720</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>COPYRIGHT 2021 Springer</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-24498e4dcd086dd1d3dbf3acedbdd7eb8a00735014cf1ddad8babd5e0de7dfa13</citedby><cites>FETCH-LOGICAL-c508t-24498e4dcd086dd1d3dbf3acedbdd7eb8a00735014cf1ddad8babd5e0de7dfa13</cites><orcidid>0000-0002-3514-3082</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00127-020-01975-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00127-020-01975-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33191455$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rao, Wen-Wang</creatorcontrib><creatorcontrib>Yang, Yuan</creatorcontrib><creatorcontrib>Ma, Tian-Jiao</creatorcontrib><creatorcontrib>Zhang, Qinge</creatorcontrib><creatorcontrib>Ungvari, Gabor S.</creatorcontrib><creatorcontrib>Hall, Brian J.</creatorcontrib><creatorcontrib>Xiang, Yu-Tao</creatorcontrib><title>Worldwide prevalence of suicide attempt in pregnant and postpartum women: a meta-analysis of observational studies</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Purpose Past suicide attempts (SA) are a major contributor to suicide. The prevalence of SA in pregnant and postpartum women varied significantly across studies. Therefore, this meta-analysis was conducted to examine the prevalence of SA and its mediating factors in this population. Methods Relevant articles published in PubMed, EMBASE, Web of Science, PsycINFO, Medline complete, Chinese National Knowledge Infrastructure database (CNKI), Chinese Wanfang and Chongqing VIP database were systematically searched from inception to March 28, 2019. Titles, abstracts and full texts were reviewed independently by three researchers. Studies were included if they reported data on SA prevalence or provided relevant data that enabled the calculation of SA prevalence. Data were extracted by two researchers and checked by one senior researcher. The random-effects model was used to analyze data by the CMA 2.0 and Stata 12.0, with the high degree of statistical heterogeneity present. The primary outcomes were prevalence of SA with 95% CI during pregnancy and during the first-year postpartum. Results Fourteen studies covering 6,406,245 pregnant and postpartum women were included. The pooled prevalence of SA was 680 per 100,000 (95% confidence interval 0.10–4.69%) during pregnancy and 210 per 100,000 (95% confidence interval 0.01–3.21%) during the first-year postpartum. Data source was significantly associated with prevalence of SA in the subgroup analysis (pregnancy, p  &lt; 0.001; the first-year postpartum, p  = 0.013). Conclusion The prevalence of SA is not high in pregnant and postpartum women. Due to the potential loss of life and negative impact of SA on health outcomes, however, careful screening and effective preventive measures should be implemented for this population.</description><subject>Analysis</subject><subject>Asian Continental Ancestry Group</subject><subject>Confidence intervals</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health aspects</subject><subject>Heterogeneity</subject><subject>Humans</subject><subject>Mass Screening</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mental health</subject><subject>Meta-analysis</subject><subject>Observational studies</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Pregnant women</subject><subject>Prevalence</subject><subject>Psychiatry</subject><subject>Review</subject><subject>Statistical analysis</subject><subject>Subgroups</subject><subject>Suicidal behavior</subject><subject>Suicide, Attempted</subject><subject>Suicides &amp; 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The prevalence of SA in pregnant and postpartum women varied significantly across studies. Therefore, this meta-analysis was conducted to examine the prevalence of SA and its mediating factors in this population. Methods Relevant articles published in PubMed, EMBASE, Web of Science, PsycINFO, Medline complete, Chinese National Knowledge Infrastructure database (CNKI), Chinese Wanfang and Chongqing VIP database were systematically searched from inception to March 28, 2019. Titles, abstracts and full texts were reviewed independently by three researchers. Studies were included if they reported data on SA prevalence or provided relevant data that enabled the calculation of SA prevalence. Data were extracted by two researchers and checked by one senior researcher. The random-effects model was used to analyze data by the CMA 2.0 and Stata 12.0, with the high degree of statistical heterogeneity present. The primary outcomes were prevalence of SA with 95% CI during pregnancy and during the first-year postpartum. Results Fourteen studies covering 6,406,245 pregnant and postpartum women were included. The pooled prevalence of SA was 680 per 100,000 (95% confidence interval 0.10–4.69%) during pregnancy and 210 per 100,000 (95% confidence interval 0.01–3.21%) during the first-year postpartum. Data source was significantly associated with prevalence of SA in the subgroup analysis (pregnancy, p  &lt; 0.001; the first-year postpartum, p  = 0.013). Conclusion The prevalence of SA is not high in pregnant and postpartum women. Due to the potential loss of life and negative impact of SA on health outcomes, however, careful screening and effective preventive measures should be implemented for this population.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33191455</pmid><doi>10.1007/s00127-020-01975-w</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-3514-3082</orcidid></addata></record>
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Analysis
Asian Continental Ancestry Group
Confidence intervals
Epidemiology
Female
Health aspects
Heterogeneity
Humans
Mass Screening
Medicine
Medicine & Public Health
Mental health
Meta-analysis
Observational studies
Postpartum Period
Pregnancy
Pregnant women
Prevalence
Psychiatry
Review
Statistical analysis
Subgroups
Suicidal behavior
Suicide, Attempted
Suicides & suicide attempts
Systematic review
title Worldwide prevalence of suicide attempt in pregnant and postpartum women: a meta-analysis of observational studies
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