Trends in Suicidality 1 Year Before and After Birth Among Commercially Insured Childbearing Individuals in the United States, 2006-2017.

JAMA Psychiatry
Lindsay K AdmonKara Zivin

Abstract

Suicide deaths are a leading cause of maternal mortality in the US, yet the prevalence and trends in suicidality (suicidal ideation and/or intentional self-harm) among childbearing individuals remain poorly described. To characterize trends in suicidality among childbearing individuals. This serial cross-sectional study analyzed data from a medical claims database for a large commercially insured population in the US from January 2006 to December 2017. There were 2714 diagnoses of suicidality 1 year before or after 698 239 deliveries among 595 237 individuals aged 15 to 44 years who were continuously enrolled in a single commercial health insurance plan. Data were analyzed from October 2019 to September 2020. The primary outcome was diagnosis of suicidality in childbearing individuals 1 year before or after birth based on the identification of relevant International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) and ICD-10-CM diagnosis codes during at least 1 inpatient or 2 outpatient visits. Of 595 237 included childbearing individuals, the mean (SD) age at delivery was 31.9 (6.4) years. A total of 40 568 individuals (6.8%) were Asian, 52 613 (8.6%) were Black, 73 172 (12.1%) were Hispanic, 369 50...Continue Reading

References

Aug 11, 2007·Maternal and Child Health Journal·Elena V KuklinaPolly A Marchbanks
Oct 22, 2011·Obstetrics and Gynecology·Christie Lancaster PalladinoKatherine J Gold
Oct 24, 2012·Obstetrics and Gynecology·William M CallaghanElena V Kuklina
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Aug 29, 2017·American Journal of Obstetrics and Gynecology·Abigail R Koch, Stacie E Geller
Oct 12, 2018·Obstetrics and Gynecology·Lindsay K AdmonVanessa K Dalton
Mar 9, 2019·American Journal of Obstetrics and Gynecology·Kimberly ManglaCatherine Monk
Jun 8, 2019·American Journal of Obstetrics and Gynecology·Sidra Goldman-Mellor, Claire E Margerison

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Citations

May 7, 2021·Obstetrics and Gynecology·Ariadna Forray, Kimberly A Yonkers
Jun 3, 2021·International Journal of Environmental Research and Public Health·Marianna MazzaGabriele Sani
Jun 24, 2021·The New England Journal of Medicine·Rebecca L HaffajeeKara Zivin
Jul 10, 2021·International Review of Psychiatry·Caitlin E Martin, Anna Beth Parlier-Ahmad
Jul 29, 2021·American Journal of Obstetrics & Gynecology MFM·Erin M ClearyKara M Rood
Aug 18, 2021·American Journal of Obstetrics & Gynecology MFM·Lucy A HutnerEmily S Miller

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