Evidence map›Paper›PMID 30895808›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2019

Mental Disorders and Suicide Attempts in the Pregnancy and Postpartum Periods Compared with Non-Pregnancy: A Population-Based Study.

Natalie P Mota, Mariette Chartier, Okechukwu Ekuma, Yao Nie, Jennifer M Hensel, Leonard MacWilliam, Chelsey McDougall, Simone Vigod, James M Bolton

Abstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Postpartum Psychosis: A Review of Risk Factors, Clinical Picture, Management, Prevention, and Psychosocial Determinants.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Review
  13. Article
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  15. Article
  16. Suicide and Maternal Mortality.Current psychiatry reports · 2022
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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

9 authors.

Natalie P Mota1 Departments of Clinical Health Psychology and Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.
Mariette Chartier2 Department of Community Health Sciences, University of Manitoba.
Okechukwu Ekuma3 Manitoba Centre for Health Policy, Winnipeg, Manitoba, Canada.
Yao Nie3 Manitoba Centre for Health Policy, Winnipeg, Manitoba, Canada.
Jennifer M Hensel4 Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.
Leonard MacWilliam3 Manitoba Centre for Health Policy, Winnipeg, Manitoba, Canada.
Chelsey McDougall3 Manitoba Centre for Health Policy, Winnipeg, Manitoba, Canada.
Simone Vigod5 Department of Psychiatry, Women's College Hospital and Research Institute, Institute for Clinical Evaluative Sciences, the University of Toronto, Toronto, Ontario, Canada.
James M Bolton6 Departments of Psychiatry, Psychology, and Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the rate of mental disorders (i.e., mood and anxiety, substance use, psychotic disorders) and suicide attempts within the same group of women across the pre-pregnancy, pregnancy, and postpartum periods, and between this perinatal cohort and a non-perinatal reference group.

methodData were from an administrative repository of residents in Manitoba, Canada. The perinatal cohort consisted of women aged 18 to 45 years who experienced

resultsWithin the perinatal cohort, pregnancy was associated with a lower rate of diagnosed mood or anxiety disorder, substance use disorder, and suicide attempt relative to pre-pregnancy (aRR range, 0.22-0.82). Pregnancy also had lower rates of all outcomes compared with the postpartum period (aRR, 0.44-0.87). Postpartum had a higher rate of psychotic disorder compared with pre-pregnancy (aRR, 1.61; 95% CI, 1.17-2.21), but a lower rate of mood or anxiety disorder and suicide attempt. Compared with non-perinatal women, pregnancy was associated with lower rates of all outcomes (aRR range, 0.25-0.87).

conclusionsCompared with a non-perinatal period, the rate of a diagnosed mental disorder is lower during pregnancy but begins to rise in the postpartum period, highlighting an important period for early identification and rapid access to intervention.

Indexed as

Suicide, AttemptedAdolescentAdultCase-Control StudiesFemaleHumansManitobaMental DisordersMiddle AgedPostpartum PeriodPregnancyPregnancy ComplicationsYoung Adultmaternal healthmental health servicesperinatal

Identifiers

PMID30895808
PMCPMC6610562

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.