Objective: The purpose of this study was to evaluate preexisting psychiatric risk factors for postpartum suicide attempts resulting in hospitalization. Study Design: We performed a population-based case-control study using Washington State birth certificates linked to hospital discharge data to evaluate the association between hospitalization with a psychiatric diagnosis, substance use diagnosis, or dual diagnosis in the 5 years before delivery with risk of postpartum suicide attempt. We compared cases (n = 355) hospitalized postpartum for a suicide attempt with controls (n = 1420) by using multivariable logistic regression. Results: Women with a psychiatric disorder were at a 27.4-fold (95% confidence interval 10.6-70.8) increased risk, and those with a substance use disorder were at a 6.2-fold (95% confidence interval 2.8-13.9) increased risk, and those with a dual diagnosis were at an 11.1-fold (95% confidence interval 5.1-24.2) increased risk of postpartum suicide attempt compared with controls. Conclusion: Prenatal screening for preexisting psychiatric or substance abuse diagnoses may help identify women at risk of postpartum suicide attempt. © 2008 Mosby, Inc. All rights reserved.
Comtois, K. A., Schiff, M. A., & Grossman, D. C. (2008). Psychiatric risk factors associated with postpartum suicide attempt in Washington State, 1992-2001. American Journal of Obstetrics and Gynecology, 199(2), 120.e1-120.e5. https://doi.org/10.1016/j.ajog.2008.02.011