Evidence map›Paper›PMID 28830865›Full record

ArticleCMAJ open2017

Suicide and suicide attempts among women in the Manitoba Mothers and Fetal Alcohol Spectrum Disorder cohort: a retrospective matched analysis using linked administrative data.

Deepa Singal, Marni Brownell, Dan Chateau, Elizabeth Wall-Wieler, Sally Longstaffe, Ana Hanlon-Dearman, Leslie L Roos

Open access · diamondAbstract read
In one paragraph

Article in CMAJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Profile of Mothers of Children with Fetal Alcohol Spectrum Disorder: A Population-Based Study in Canada.International journal of environmental research and public health · 2020
    Observational
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Deepa SingalAffiliations: Department of Community Health Sciences and the Manitoba Centre for Health Policy (Singal, Brownell, Chateau, Wall-Wieler, Roos) and Department of Pediatrics and Child Health (Longstaffe, Hanlon-Dearman), Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.
Marni BrownellAffiliations: Department of Community Health Sciences and the Manitoba Centre for Health Policy (Singal, Brownell, Chateau, Wall-Wieler, Roos) and Department of Pediatrics and Child Health (Longstaffe, Hanlon-Dearman), Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.
Dan ChateauAffiliations: Department of Community Health Sciences and the Manitoba Centre for Health Policy (Singal, Brownell, Chateau, Wall-Wieler, Roos) and Department of Pediatrics and Child Health (Longstaffe, Hanlon-Dearman), Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.
Elizabeth Wall-WielerAffiliations: Department of Community Health Sciences and the Manitoba Centre for Health Policy (Singal, Brownell, Chateau, Wall-Wieler, Roos) and Department of Pediatrics and Child Health (Longstaffe, Hanlon-Dearman), Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.
Sally LongstaffeAffiliations: Department of Community Health Sciences and the Manitoba Centre for Health Policy (Singal, Brownell, Chateau, Wall-Wieler, Roos) and Department of Pediatrics and Child Health (Longstaffe, Hanlon-Dearman), Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.
Ana Hanlon-DearmanAffiliations: Department of Community Health Sciences and the Manitoba Centre for Health Policy (Singal, Brownell, Chateau, Wall-Wieler, Roos) and Department of Pediatrics and Child Health (Longstaffe, Hanlon-Dearman), Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.
Leslie L RoosAffiliations: Department of Community Health Sciences and the Manitoba Centre for Health Policy (Singal, Brownell, Chateau, Wall-Wieler, Roos) and Department of Pediatrics and Child Health (Longstaffe, Hanlon-Dearman), Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man.
Manitoba Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen who give birth to children with fetal alcohol spectrum disorder (FASD) may be at increased risk for suicide; however, there are few data in this area. The objective of this study was to compare rates of suicide between women who had given birth to children with FASD and women who had not given birth to children with FASD during critical periods in their lives, including before pregnancy, during pregnancy, during the postpartum period (maternal death) and until the end of the study period.

methodsWe conducted a retrospective cohort analysis of women with children born in Manitoba between Apr. 1, 1984, and Mar. 31, 2012 in whom FASD was diagnosed between Apr. 1, 1999, and Mar. 31, 2012, with follow-up until Dec. 1, 2013 (FASD group;

resultsThe 2799 participants produced 40 390.21 person-years until the end of the study period. Compared to the comparison group, the FASD group had higher rates of suicide completion (adjusted RR 6.20 [95% confidence interval (CI) 2.36-16.31]), a higher number of women who attempted suicide after the postpartum period until the end of the study period (adjusted RR 4.62 [95% CI 2.53-8.43]) and a higher number of attempts after the postpartum period until the end of the study period (adjusted RR 3.92 [95% CI 2.30-6.09]).

interpretationThis study identified a group of women with increased rates of social complexities, mental disorders and alcohol use, which places them at risk for suicide. Interventions are needed that screen for suicidal behaviour in women who are at high risk to consume alcohol during pregnancy and have mental disorders.

Identifiers

PMID28830865
PMCPMC5621956
OpenAlexW2749060896

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.