Evidence map›Paper›PMID 41914610›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2026

Maternal Deaths Due to Suicide, Accidental Poisoning and Undetermined Intent Within 5 Years Following Childbirth: A Population-Based Study.

Louise Makarious, Ju Lee Oei, Andrew Page, Sadia Hossain, Mithilesh Dronavalli, Hannah Uebel, Evelyn Lee, Michelle Dickson, Lucinda Burns, Barbara Bajuk and 2 more

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In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Louise MakariousDepartment of Obstetrics and Gynaecology, Westmead Hospital, Westmead, New South Wales, Australia.
Ju Lee OeiDiscipline of Paediatrics and Child Health, Faculty of Medicine and Health, School of Clinical Medicine, University of New South Wales, Randwick, New South Wales, Australia.
Andrew PageTranslational Health Research Institute, Western Sydney University, Penrith, New South Wales, Australia.
Sadia HossainDiscipline of Paediatrics and Child Health, Faculty of Medicine and Health, School of Clinical Medicine, University of New South Wales, Randwick, New South Wales, Australia.ORCID https://orcid.org/0000-0003-4034-5911
Mithilesh DronavalliDiscipline of Paediatrics and Child Health, Faculty of Medicine and Health, School of Clinical Medicine, University of New South Wales, Randwick, New South Wales, Australia.
Hannah UebelDiscipline of Paediatrics and Child Health, Faculty of Medicine and Health, School of Clinical Medicine, University of New South Wales, Randwick, New South Wales, Australia.
Evelyn LeeDiscipline of Paediatrics and Child Health, Faculty of Medicine and Health, School of Clinical Medicine, University of New South Wales, Randwick, New South Wales, Australia.
Michelle DicksonThe Poche Centre for Indigenous Health, Faculty of Medicine and Health, University of Sydney, Camperdown, New South Wales, Australia.
Lucinda BurnsNational Drug and Alcohol Research Centre, University of New South Wales, Randwick, New South Wales, Australia.
Barbara BajukCritical Care Program, Sydney Children's Hospitals Network, Sydney, New South Wales, Australia.
John EastwoodNational Public Health Service, Te Whatu Ora-Health New Zealand, Dunedin, New Zealand.
Sithum MunasingheDiscipline of Paediatrics and Child Health, Faculty of Medicine and Health, School of Clinical Medicine, University of New South Wales, Randwick, New South Wales, Australia.ORCID https://orcid.org/0000-0003-3650-1889

Funding

Alpha Maxx HealthcareAustralian Red CrossCentre for Research Excellence for Integrated Health and Social Care (CREHSCI), funded by the National Health and Medical Research Council APP1198477Mindgardens Neuroscience NetworkUniversity of Sydney
6 · The paper itself

Abstract

objectivesInvestigate the incidence of maternal deaths by suicide, accidental poisoning and undetermined intent within 5 years following childbirth.

designLinked population-level data.

settingNew South Wales, Australia. POPULATION: All women who gave birth from 2002 to 2020.

methodsSociodemographic characteristics, diagnostic and healthcare use were compared between deceased mothers and mothers alive for 5 years following childbirth. Relative Risk Ratios (RRRs) were examined using multinomial logistic regression.

main outcome measuresDeaths by suicide, undetermined intent and accidental poisoning.

resultsFive-year death rates per 100 000 live births were 12.87 for suicide, 10.49 for accidental poisoning, 2.30 for undetermined intent and 25.66 for the three causes and remained stable over the study period. Deaths due to the abovementioned causes accounted for 21.75% of all deaths within 5 years after live birth, slightly increased as a proportion of all deaths compared to the early period, between 2002 and 2009. Compared to mothers who were alive 5 years postpartum, mothers who died by suicide, accidental poisoning and undetermined intent were more likely to be younger (age ≤ 24) (25% vs. 9%), Australian born (80+% vs. 65%), and identify as First Nations background (12+% vs. 2.3%). The RRRs were significantly higher for alcohol (ranged 15-27), substance use (ranged 12-69), mental health (ranged 9.5-14) and self-harm (ranged 20-34), related hospitalisations among mothers who died by suicide, accidental poisoning and undetermined intent compared to mothers alive for 5 years.

conclusionSuicide, undetermined intent and accidental poisoning accounted for more than one in every five maternal deaths within 5 years postpartum.

Indexed as

AccidentsMaternal DeathMaternal MortalityPoisoningSuicideAdolescentAdultCause of DeathFemaleHumansIncidenceNew South WalesPostpartum PeriodPregnancyYoung Adultaccidental poisoningdeaths due to undetermined intentmaternal mortalitypostpartumsuicide

Identifiers

PMID41914610
PMCPMC13254012

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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.