title: Psychiatric risk factors associated with postpartum suicide attempt in Washington State, 1992-2001.
abstract: OBJECTIVE
  The purpose of this study was to evaluate preexisting psychiatric risk factors for postpartum suicide attempts resulting in hospitalization.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Prenatal screening for preexisting psychiatric or substance abuse diagnoses may help identify women at risk of postpartum suicide attempt.
authors: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA.
authors: Katherine A
authors: KA
authors: Comtois
authors: Melissa A
authors: MA
authors: Schiff
authors: David C
authors: DC
authors: Grossman
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D019052:Depression, Postpartum / Q000453:epidemiology; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D011644:Puerperal Disorders / Q000453:epidemiology* / Q000523:psychology*; D012307:Risk Factors; D013406:Suicide, Attempted / Q000523:psychology*; D014861:Washington / Q000453:epidemiology