title: Factors influencing attempted and completed suicide in postnatal women: A population-based study in Taiwan.
abstract: The aims of study were to investigate risk factors associated with attempted and completed suicide. This nested case-control study was conducted using the medical and death data of nearly all pregnant women for the period 2002-2012 in Taiwan. A total of 139 cases of attempted suicide and 95 cases of completed suicide were identified; for each case, 10 controls were randomly selected and matched to the cases according to age and year of delivery. A conditional logistic regression model was used. The mean attempted and completed suicide rates were 9.91 and 6.86 per 100,000 women with live births, respectively. Never having married and postpartum depression also increased the risk of attempted suicide (OR = 2.06; 95% CI = 1.09-3.88 and OR = 2.51; 95% CI = 1.10-5.75, respectively) and completed suicide (OR = 20.27; 95% CI = 8.99-45.73 and OR = 21.72; 95% CI = 8.08-58.37, respectively). Other factors for attempted suicide included being widowed or divorced, and having a caesarean delivery or suicide history. Other factors for completed suicide included lower education level, low infant birth weight, and diagnosis of anxiety or mood disorder. These results suggest that people should appropriately assess potential risk factors and provide assistance for postnatal women to reduce the occurrence of suicide events.
authors.affiliation: School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan.
authors.forename: Shu-Chuan
authors.initials: SC
authors.lastname: Weng
authors.affiliation: School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
authors.forename: Jung-Chen
authors.initials: JC
authors.lastname: Chang
authors.affiliation: School of Pharmacy, Graduate Institute of Medical Science, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Ming-Kung
authors.initials: MK
authors.lastname: Yeh
authors.affiliation: Department of Public Health, China Medical University, Taichung, Taiwan.|Department of Health Services Administration, China Medical University, Taichung, Taiwan.|Department of Health Care Administration, Oriental Institute of Technology, New Taipei, Taiwan.
authors.forename: Shun-Mu
authors.initials: SM
authors.lastname: Wang
authors.affiliation: School of Public Health, College of Public Health and Nutrition, Taipei Medical University, Taipei, Taiwan.
authors.forename: Yi-Hua
authors.initials: YH
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D049590:Postpartum Period; D011247:Pregnancy; D012307:Risk Factors; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D013624:Taiwan / Q000453:epidemiology; D055815:Young Adult