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 |
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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 |
format | Article |
fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2461003036</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A716432615</galeid><sourcerecordid>A716432615</sourcerecordid><originalsourceid>FETCH-LOGICAL-c508t-24498e4dcd086dd1d3dbf3acedbdd7eb8a00735014cf1ddad8babd5e0de7dfa13</originalsourceid><addsrcrecordid>eNp9kUFv1DAQhS0EokvhD3BAlrhwSbHjOE64VVWhSJW4gDhajmeycpXYwXa66r-vwxYqEEI-2Bp_72lmHiGvOTvjjKn3iTFeq4rVrGK8V7I6PCE73ghR9XUnn5Id68tb9bI5IS9SumGMiV6J5-RECN7zRsodid9DnODgAOkS8dZM6C3SMNK0OrtVTc44L5k6vwF7b3ymxgNdQsqLiXmd6SHM6D9QQ2fMpjLeTHfJpc0kDAnjrckulCJNeQWH6SV5Npop4auH-5R8-3j59eKquv7y6fPF-XVlJetyVTdN32EDFljXAnAQMIzCWIQBQOHQmbIDIRlv7MgBDHSDGUAiA1QwGi5Oybuj7xLDjxVT1rNLFqfJeAxr0nXTljUKJtqCvv0LvQlrLD0XSnLVqqZW6pHalzVp58eQo7GbqT5XvG1E3XJZqLN_UOUAzs4Gj6Mr9T8E9VFgY0gp4qiX6GYT7zRnegtaH4PWJWj9M2h9KKI3Dx2vw4zwW_Ir2QKII5DKl99jfBzpP7b3lwa1vQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2517674277</pqid></control><display><type>article</type><title>Worldwide prevalence of suicide attempt in pregnant and postpartum women: a meta-analysis of observational studies</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Rao, Wen-Wang ; Yang, Yuan ; Ma, Tian-Jiao ; Zhang, Qinge ; Ungvari, Gabor S. ; Hall, Brian J. ; Xiang, Yu-Tao</creator><creatorcontrib>Rao, Wen-Wang ; Yang, Yuan ; Ma, Tian-Jiao ; Zhang, Qinge ; Ungvari, Gabor S. ; Hall, Brian J. ; Xiang, Yu-Tao</creatorcontrib><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
< 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 & 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</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
< 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 & 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 & suicide attempts</subject><subject>Systematic review</subject><issn>0933-7954</issn><issn>1433-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kUFv1DAQhS0EokvhD3BAlrhwSbHjOE64VVWhSJW4gDhajmeycpXYwXa66r-vwxYqEEI-2Bp_72lmHiGvOTvjjKn3iTFeq4rVrGK8V7I6PCE73ghR9XUnn5Id68tb9bI5IS9SumGMiV6J5-RECN7zRsodid9DnODgAOkS8dZM6C3SMNK0OrtVTc44L5k6vwF7b3ymxgNdQsqLiXmd6SHM6D9QQ2fMpjLeTHfJpc0kDAnjrckulCJNeQWH6SV5Npop4auH-5R8-3j59eKquv7y6fPF-XVlJetyVTdN32EDFljXAnAQMIzCWIQBQOHQmbIDIRlv7MgBDHSDGUAiA1QwGi5Oybuj7xLDjxVT1rNLFqfJeAxr0nXTljUKJtqCvv0LvQlrLD0XSnLVqqZW6pHalzVp58eQo7GbqT5XvG1E3XJZqLN_UOUAzs4Gj6Mr9T8E9VFgY0gp4qiX6GYT7zRnegtaH4PWJWj9M2h9KKI3Dx2vw4zwW_Ir2QKII5DKl99jfBzpP7b3lwa1vQ</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Rao, Wen-Wang</creator><creator>Yang, Yuan</creator><creator>Ma, Tian-Jiao</creator><creator>Zhang, Qinge</creator><creator>Ungvari, Gabor S.</creator><creator>Hall, Brian J.</creator><creator>Xiang, Yu-Tao</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3514-3082</orcidid></search><sort><creationdate>20210501</creationdate><title>Worldwide prevalence of suicide attempt in pregnant and postpartum women: a meta-analysis of observational studies</title><author>Rao, Wen-Wang ; Yang, Yuan ; Ma, Tian-Jiao ; Zhang, Qinge ; Ungvari, Gabor S. ; Hall, Brian J. ; Xiang, Yu-Tao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-24498e4dcd086dd1d3dbf3acedbdd7eb8a00735014cf1ddad8babd5e0de7dfa13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Analysis</topic><topic>Asian Continental Ancestry Group</topic><topic>Confidence intervals</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health aspects</topic><topic>Heterogeneity</topic><topic>Humans</topic><topic>Mass Screening</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental health</topic><topic>Meta-analysis</topic><topic>Observational studies</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Pregnant women</topic><topic>Prevalence</topic><topic>Psychiatry</topic><topic>Review</topic><topic>Statistical analysis</topic><topic>Subgroups</topic><topic>Suicidal behavior</topic><topic>Suicide, Attempted</topic><topic>Suicides & suicide attempts</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rao, Wen-Wang</au><au>Yang, Yuan</au><au>Ma, Tian-Jiao</au><au>Zhang, Qinge</au><au>Ungvari, Gabor S.</au><au>Hall, Brian J.</au><au>Xiang, Yu-Tao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Worldwide prevalence of suicide attempt in pregnant and postpartum women: a meta-analysis of observational studies</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiatry Psychiatr Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>56</volume><issue>5</issue><spage>711</spage><epage>720</epage><pages>711-720</pages><issn>0933-7954</issn><eissn>1433-9285</eissn><abstract>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
< 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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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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