Evidence map›Paper›PMID 36179783›Full record

ArticleJournal of affective disorders2023

Trends in antenatal depression and suicidal ideation diagnoses among commercially insured childbearing individuals in the United States, 2008-2018.

K M Tabb, V K Dalton, A Tilea, G E Kolenic, L K Admon, S V Hall, X Zhang, K K Ryckman, K Zivin

Abstract read
In one paragraph

Article in Journal of affective disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
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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.

K M TabbUniversity of Illinois at Urbana-Champaign, School of Social Work, Urbana, IL, United States of America. Electronic address: ktabb@illinois.edu.
V K DaltonUniversity of Michigan, Department of Obstetrics and Gynecology, Ann Arbor, MI, United States of America. Electronic address: daltonvk@med.umich.edu.
A TileaUniversity of Michigan, Department of Obstetrics and Gynecology, Ann Arbor, MI, United States of America. Electronic address: atilea@med.umich.edu.
G E KolenicUniversity of Michigan, Department of Biostatistics, Ann Arbor, MI, United States of America. Electronic address: gkolenic@med.umich.edu.
L K AdmonUniversity of Michigan, Department of Obstetrics and Gynecology, Ann Arbor, MI, United States of America. Electronic address: lindskb@med.umich.edu.
S V HallUniversity of Michigan, Department of Learning Health Sciences, Ann Arbor, MI, United States of America. Electronic address: stephall@med.umich.edu.
X ZhangUniversity of Michigan, Department of Obstetrics and Gynecology, Ann Arbor, MI, United States of America. Electronic address: xiaosonz@med.umich.edu.
K K RyckmanUniversity of Iowa, College of Public Health, Iowa City, IA, United States of America; Indiana University, School of Public Health, Bloomington, IN, United States of America. Electronic address: kryckman@iu.edu.
K ZivinUniversity of Michigan, Department of Obstetrics and Gynecology, Ann Arbor, MI, United States of America; Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, United States of America.. Electronic address: kzivin@umich.edu.

Funding

Disparities in utilization and delivery outcomes for women with perinatal mood and anxiety disorders (PMAD): groundwork for state policymakingR01MD014958 · NIMHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZIVIN, KARA · 2021 to 2025
$3.2M
Relationship between mental health coverage and outcomes for privately insured women with perinatal mood and anxiety disorders (PMAD)R01MH120124 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZIVIN, KARA · 2019 to 2022
$2.8M
Understanding the impact of perinatal insurance disruptions on maternal and child health outcomesK08HS027640 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ADMON, LINDSAY KENNEDY · 2021 to 2025
$776k
HSR&D Research Career Scientist AwardIK6HX003397 · VA · VETERANS HEALTH ADMINISTRATION · PI Kara Zivin · 2021 to 2026
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AHRQ HHS K08 HS027640HSRD VA IK6 HX003397NIMHD NIH HHS R01 MD014958NIMH NIH HHS R01 MH120124
6 · The paper itself

Abstract

introductionAntenatal depression and suicidal ideation represent serious pregnancy-related complications, yet comprehensive estimates of the prevalence and predictors of these diagnoses among birthing people remain unclear.

objectiveThis study aimed to characterize trends in the prevalence of depression and suicidal ideation diagnoses identified among pregnant individuals prior to giving birth.

methodsThis study included 536,647 individuals aged 15-44 years continuously enrolled in a single commercial health insurance plan for one year before childbirth from 2008 to 2018. The primary outcomes included depression or suicidal ideation based on identification of the relevant ICD-9 and ICD-10 diagnosis codes during pregnancy.

resultsRates (95 % CIs) of depression increased by 39 % from 540 (520-560) per 10,000 individuals in 2008 to 750 (730-770) per 10,000 individuals in 2018. Suicidal ideation increased by 100 % from 15 (12-18) per 10,000 individuals in 2008 to 44 (39-50) per 10,000 individuals in 2018. Black birthing people experiencing the sharpest proportional increases.

conclusionsThe prevalence of depression and suicidal ideation occurring during pregnancy substantially increased over a ten-year period. Further, suicidal ideation diagnosis increased the most for among Black birthing people compared to all groups, resulting in a need for future studies in this area to determine the reasons for an increase in diagnosis and any change in resulting treatment of follow up.

Indexed as

Depressive DisorderPregnancy ComplicationsDepressionFemaleHumansPregnancyPrevalenceRisk FactorsSuicidal IdeationUnited StatesDepressionMental healthPregnancySuicidal ideationTrends

Identifiers

PMID36179783
PMCPMC9675712

What OpenQuestion holds

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LicenceCC BY
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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.