Evidence map›Paper›PMID 28847780›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2017

Perinatal suicide in Ontario, Canada: a 15-year population-based study.

Sophie Grigoriadis, Andrew S Wilton, Paul A Kurdyak, Anne E Rhodes, Emily H VonderPorten, Anthony Levitt, Amy Cheung, Simone N Vigod

Abstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 9 pooled it
–field-weighted citation impact
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

75 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Pooled it
  2. Brexanolone, zuranolone and related neurosteroid GABAThe Cochrane database of systematic reviews · 2025
    Pooled it
  3. Postnatal Depression Beyond 12 Months: A Systematic Review and Meta-Analysis.International journal of mental health nursing · 2025
    Pooled it
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  8. Antidepressant treatment for postnatal depression.The Cochrane database of systematic reviews · 2021
    Pooled it
  9. Pregnancy and Delivery Outcomes Following Benzodiazepine Exposure: A Systematic Review and Meta-analysis.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2020
    Pooled it
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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Sophie GrigoriadisWomen's Mood and Anxiety Clinic: Reproductive Transitions (Grigoriadis) and Evaluative Clinical Sciences, Sunnybrook Research Institute (Grigoriadis, VonderPorten, Levitt, Cheung), Sunnybrook Health Sciences Centre; Department of Psychiatry (Grigoriadis, Kurdyak, Levitt, Cheung, Vigod), University of Toronto; Institute for Clinical Evaluative Sciences (Wilton, Kurdyak, Vigod); Health Outcomes and Performance Evaluation, Institute for Mental Health Policy Research (Kurdyak), Centre for Addiction and Mental Health, Toronto, Ont.; The Offord Centre for Child Studies (Rhodes), Hamilton, Ont.; Women's College Hospital and Research Institute (Vigod), Toronto, Ont. Sophie.Grigoriadis@sunnybrook.ca.
Andrew S WiltonWomen's Mood and Anxiety Clinic: Reproductive Transitions (Grigoriadis) and Evaluative Clinical Sciences, Sunnybrook Research Institute (Grigoriadis, VonderPorten, Levitt, Cheung), Sunnybrook Health Sciences Centre; Department of Psychiatry (Grigoriadis, Kurdyak, Levitt, Cheung, Vigod), University of Toronto; Institute for Clinical Evaluative Sciences (Wilton, Kurdyak, Vigod); Health Outcomes and Performance Evaluation, Institute for Mental Health Policy Research (Kurdyak), Centre for Addiction and Mental Health, Toronto, Ont.; The Offord Centre for Child Studies (Rhodes), Hamilton, Ont.; Women's College Hospital and Research Institute (Vigod), Toronto, Ont.
Paul A KurdyakWomen's Mood and Anxiety Clinic: Reproductive Transitions (Grigoriadis) and Evaluative Clinical Sciences, Sunnybrook Research Institute (Grigoriadis, VonderPorten, Levitt, Cheung), Sunnybrook Health Sciences Centre; Department of Psychiatry (Grigoriadis, Kurdyak, Levitt, Cheung, Vigod), University of Toronto; Institute for Clinical Evaluative Sciences (Wilton, Kurdyak, Vigod); Health Outcomes and Performance Evaluation, Institute for Mental Health Policy Research (Kurdyak), Centre for Addiction and Mental Health, Toronto, Ont.; The Offord Centre for Child Studies (Rhodes), Hamilton, Ont.; Women's College Hospital and Research Institute (Vigod), Toronto, Ont.
Anne E RhodesWomen's Mood and Anxiety Clinic: Reproductive Transitions (Grigoriadis) and Evaluative Clinical Sciences, Sunnybrook Research Institute (Grigoriadis, VonderPorten, Levitt, Cheung), Sunnybrook Health Sciences Centre; Department of Psychiatry (Grigoriadis, Kurdyak, Levitt, Cheung, Vigod), University of Toronto; Institute for Clinical Evaluative Sciences (Wilton, Kurdyak, Vigod); Health Outcomes and Performance Evaluation, Institute for Mental Health Policy Research (Kurdyak), Centre for Addiction and Mental Health, Toronto, Ont.; The Offord Centre for Child Studies (Rhodes), Hamilton, Ont.; Women's College Hospital and Research Institute (Vigod), Toronto, Ont.
Emily H VonderPortenWomen's Mood and Anxiety Clinic: Reproductive Transitions (Grigoriadis) and Evaluative Clinical Sciences, Sunnybrook Research Institute (Grigoriadis, VonderPorten, Levitt, Cheung), Sunnybrook Health Sciences Centre; Department of Psychiatry (Grigoriadis, Kurdyak, Levitt, Cheung, Vigod), University of Toronto; Institute for Clinical Evaluative Sciences (Wilton, Kurdyak, Vigod); Health Outcomes and Performance Evaluation, Institute for Mental Health Policy Research (Kurdyak), Centre for Addiction and Mental Health, Toronto, Ont.; The Offord Centre for Child Studies (Rhodes), Hamilton, Ont.; Women's College Hospital and Research Institute (Vigod), Toronto, Ont.
Anthony LevittWomen's Mood and Anxiety Clinic: Reproductive Transitions (Grigoriadis) and Evaluative Clinical Sciences, Sunnybrook Research Institute (Grigoriadis, VonderPorten, Levitt, Cheung), Sunnybrook Health Sciences Centre; Department of Psychiatry (Grigoriadis, Kurdyak, Levitt, Cheung, Vigod), University of Toronto; Institute for Clinical Evaluative Sciences (Wilton, Kurdyak, Vigod); Health Outcomes and Performance Evaluation, Institute for Mental Health Policy Research (Kurdyak), Centre for Addiction and Mental Health, Toronto, Ont.; The Offord Centre for Child Studies (Rhodes), Hamilton, Ont.; Women's College Hospital and Research Institute (Vigod), Toronto, Ont.
Amy CheungWomen's Mood and Anxiety Clinic: Reproductive Transitions (Grigoriadis) and Evaluative Clinical Sciences, Sunnybrook Research Institute (Grigoriadis, VonderPorten, Levitt, Cheung), Sunnybrook Health Sciences Centre; Department of Psychiatry (Grigoriadis, Kurdyak, Levitt, Cheung, Vigod), University of Toronto; Institute for Clinical Evaluative Sciences (Wilton, Kurdyak, Vigod); Health Outcomes and Performance Evaluation, Institute for Mental Health Policy Research (Kurdyak), Centre for Addiction and Mental Health, Toronto, Ont.; The Offord Centre for Child Studies (Rhodes), Hamilton, Ont.; Women's College Hospital and Research Institute (Vigod), Toronto, Ont.
Simone N VigodWomen's Mood and Anxiety Clinic: Reproductive Transitions (Grigoriadis) and Evaluative Clinical Sciences, Sunnybrook Research Institute (Grigoriadis, VonderPorten, Levitt, Cheung), Sunnybrook Health Sciences Centre; Department of Psychiatry (Grigoriadis, Kurdyak, Levitt, Cheung, Vigod), University of Toronto; Institute for Clinical Evaluative Sciences (Wilton, Kurdyak, Vigod); Health Outcomes and Performance Evaluation, Institute for Mental Health Policy Research (Kurdyak), Centre for Addiction and Mental Health, Toronto, Ont.; The Offord Centre for Child Studies (Rhodes), Hamilton, Ont.; Women's College Hospital and Research Institute (Vigod), Toronto, Ont.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeath by suicide during the perinatal period has been understudied in Canada. We examined the epidemiology of and health service use related to suicides during pregnancy and the first postpartum year.

methodsIn this retrospective, population-based cohort study, we linked health administrative databases with coroner death records (1994-2008) for Ontario, Canada. We compared sociodemographic characteristics, clinical features and health service use in the 30 days and 1 year before death between women who died by suicide perinatally, women who died by suicide outside of the perinatal period and living perinatal women.

resultsThe perinatal suicide rate was 2.58 per 100 000 live births, with suicide accounting for 51 (5.3%) of 966 perinatal deaths. Most suicides occurred during the final quarter of the first postpartum year, with highest rates in rural and remote regions. Perinatal women were more likely to die from hanging (33.3% [17/51]) or jumping or falling (19.6% [10/51]) than women who died by suicide non-perinatally (

interpretationThe perinatal suicide rate for Ontario during the period 1994-2008 was comparable to international estimates and represents a substantial component of Canadian perinatal mortality. Given that deaths by suicide occur throughout the perinatal period, all health care providers must be collectively vigilant in assessing risk.

Indexed as

AdultDatabases, FactualFemaleHumansLogistic ModelsMental DisordersOntarioPostpartum PeriodPregnancyPregnancy ComplicationsRetrospective StudiesRisk FactorsRural PopulationSuicideYoung Adult

Identifiers

PMID28847780
PMCPMC5573543

What OpenQuestion holds

Textmetadata
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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.