Evidence map›Paper›PMID 38951296›Full record

SynthesisMaternal and child health journal2024

Suicide Attempts during Pregnancy and Postpartum: A Systematic Review and Meta-Analysis.

Estel Gelabert, Anna Plaza, Alba Roca-Lecumberri, Alessandra Bramante, Valeria Brenna, Lluisa Garcia-Esteve, Ilaria Lega, Susana Subirà, Carolina Toscano, Anna Torres-Giménez

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Maternal and child health journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. 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

10 authors.

Estel GelabertDepartament of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain. Estel.gelabert@uab.cat.ORCID http://orcid.org/0000-0001-5897-1932
Anna PlazaUnitat de Crisi i Prevenció del Suicidi, CPB-Dreta Eixample, Barcelona, Spain.
Alba Roca-LecumberriUnitat de Salut Mental Perinatal CLINIC-BCN, Hospital Clínic, Barcelona, Spain.
Alessandra BramanteSocietà Marcè Italiana, Milan, Italy.
Valeria BrennaDepartment of Mental Health and Addiction Services, Niguarda Hospital, Milano, Italy.
Lluisa Garcia-EsteveUnitat de Salut Mental Perinatal CLINIC-BCN, Hospital Clínic, Barcelona, Spain.
Ilaria LegaInstituto Superiore di Sanità, Roma, Italy.
Susana SubiràDepartament of Clinical and Health Psychology, Universitat Autònoma de Barcelona, Barcelona, Spain.
Carolina ToscanoPsychology Research Center (CIPsi), University of Minho, Braga, Portugal.
Anna Torres-GiménezUnitat de Salut Mental Perinatal CLINIC-BCN, Hospital Clínic, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSuicide attempts (SA) during perinatal period have the potential to adversely affect a woman's health and her developing infant. To date, little is known about perinatal SA and their risk factors. This study aimed to synthetize the evidence on risk factors of SA in pregnant and postpartum women.

methodsWe systematically reviewed studies retrieved from PubMed/Medline, PsycINFO, and CINAHL, following the PRISMA guidelines for reporting. A meta-analysis was conducted only for risk factors examined in at least three distinct samples.

resultsA total of ten studies were eligible for inclusion. All the studies found significant associations in regression models between perinatal SA and other variables (sociodemographic, clinical factors obstetric, neonatal, and psychosocial). The meta-analysis showed that unmarried women (pooled OR = 1.87, 95% CI = 1.26-2.78), with no higher education (pooled OR = 1.89, 95% CI = 1.31-2.74) and affected by a mood disorder (pooled OR = 11.43, 95% CI = 1.56-83.87) have a higher risk of postpartum SA; women who smoke during pregnancy (pooled OR = 3.87, 95% CI = 1.35-11.11) have a higher risk of SA in pregnancy; and women with previous suicidal behavior(pooled OR = 38.04, 95% CI = 3.36-431.17) have a higher risk of perinatal SA, whether during pregnancy or in the postpartum period. The type of sample, whether community or clinical, is a relevant moderating factor.

conclusionOur study extends prior reviews about suicidal behaviors in women by studying perinatal suicide attempts independently, as well as it synthesized data on some sociodemographic, clinical, and obstetric/neonatal risk factors. Further studies about specific risk factors for perinatal SA are needed in order to improve early detection and intervention of women at risk.

Indexed as

Postpartum PeriodSuicide, AttemptedAdultFemaleHumansPregnancyPregnancy ComplicationsRisk FactorsPostpartumPregnancyRisk factorsSuicide attempts

Identifiers

PMID38951296
PMCPMC11358321

What OpenQuestion holds

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Registered trials

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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.