ArticlePloS one2018
Adverse obstetric outcomes during delivery hospitalizations complicated by suicidal behavior among US pregnant women.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Association between suicidal behaviour in pregnant women and pregnancy and fetal outcomes: A systematic review and meta-analysis.Archives of women's mental health · 2025Pooled it
- Mental health of adolescents associated with sexual and reproductive outcomes: a systematic review.Bulletin of the World Health Organization · 2021Pooled it
- Predictors of antepartum and postpartum suicidal ideation at a diverse urban obstetric setting.BMC public health · 2026Article
- Connection between maternal suicide attempt and chronic morbidity in children.Psychological medicine · 2023Article
- Risk Factors Associated With Peripartum Suicide Attempts in Japan.JAMA network open · 2023Article
- Racial/Ethnic Disparity in Suicidal Ideation, Suicide Attempt and Non-suicidal Intentional Self-harm Among Pregnant Women in the United States.Journal of immigrant and minority health · 2022Article
- Suicide and Maternal Mortality.Current psychiatry reports · 2022Review
- Prevalence and correlates of suicidal behaviors during pregnancy: evidence from the National Survey on Drug Use and Health.Archives of women's mental health · 2021Article
- Prevalence and Correlates of Suicide Ideation and Attempt among Pregnant Women Attending Antenatal Care Services at Public Hospitals in Southern Ethiopia.Neuropsychiatric disease and treatment · 2021Article
- Exposure to General Anesthesia for Cesarean Delivery and Odds of Severe Postpartum Depression Requiring Hospitalization.Anesthesia and analgesia · 2020Article
- The Disproportionate Burden of the COVID-19 Pandemic Among Pregnant Black Women.Psychiatry research · 2020Article
- Temporal Trends in Pregnancy-Associated Stroke and Its Outcomes Among Women With Hypertensive Disorders of Pregnancy.Journal of the American Heart Association · 2020Article
- Use of natural language processing in electronic medical records to identify pregnant women with suicidal behavior: towards a solution to the complex classification problem.European journal of epidemiology · 2019Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThe effects of suicidal behavior on obstetric outcomes remain dangerously unquantified. We sought to report on the risk of adverse obstetric outcomes for US women with suicidal behavior at the time of delivery.
methodsWe performed a cross-sectional analysis of delivery hospitalizations from 2007-2012 National (Nationwide) Inpatient Sample. From the same hospitalization record, International Classification of Diseases codes were used to identify suicidal behavior and adverse obstetric outcomes. Adjusted odds ratios (aOR) and 95% confidence intervals (CI) were obtained using logistic regression.
resultsOf the 23,507,597 delivery hospitalizations, 2,180 were complicated by suicidal behavior. Women with suicidal behavior were at a heightened risk for outcomes including antepartum hemorrhage (aOR = 2.34; 95% CI: 1.47-3.74), placental abruption (aOR = 2.07; 95% CI: 1.17-3.66), postpartum hemorrhage (aOR = 2.33; 95% CI: 1.61-3.37), premature delivery (aOR = 3.08; 95% CI: 2.43-3.90), stillbirth (aOR = 10.73; 95% CI: 7.41-15.56), poor fetal growth (aOR = 1.70; 95% CI: 1.10-2.62), and fetal anomalies (aOR = 3.72; 95% CI: 2.57-5.40). No significant association was observed for maternal suicidal behavior with cesarean delivery, induction of labor, premature rupture of membranes, excessive fetal growth, and fetal distress. The mean length of stay was longer for women with suicidal behavior.
conclusionDuring delivery hospitalization, women with suicidal behavior are at increased risk for many adverse obstetric outcomes, highlighting the importance of screening for and providing appropriate clinical care for women with suicidal behavior during pregnancy.
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