Sociodemographic components linked to pregnancy-associated suicide, murder

September 20, 2022

2 min learn

Disclosures:
Modest experiences receiving fee from the America’s OB/GYN Board Evaluate Course. The opposite authors report no related monetary disclosures.


Being pregnant-associated suicide was linked to psychological well being points and substance use, and pregnancy-associated murder was linked to intimate accomplice violence, in line with a retrospective cohort research revealed in Obstetrics & Gynecology.

Different components linked to pregnancy-associated suicide and murder have been race and ethnicity, age, marital standing and training degree.

Data derived from Modest AM, et al. Obstet Gynecol. 2022;doi:10.1097/AOG.0000000000004932.
Information derived from Modest AM, et al. Obstet Gynecol. 2022;doi:10.1097/AOG.0000000000004932.

“We have been inquisitive about pursuing this research query as a method to contribute to the dialog concerning maternal mortality in the US,” Anna M. Modest, PhD, MPH, an assistant professor of obstetrics, gynecology and reproductive biology at Beth Israel Deaconess Medical Middle in Boston, advised Healio. “There was a variety of crucial consideration paid to obstetric causes of maternal mortality. Nevertheless, there are different causes of dying amongst pregnant and just lately pregnant individuals.”

Modest and colleagues used the CDC’s Nationwide Violent Dying Reporting System to establish 38,417 individuals of child-bearing age — outlined by the CDC as age 15 to 44 years — who died by suicide or murder. Those who occurred throughout being pregnant or inside 1 yr of supply have been categorized as pregnancy-associated deaths.

Within the full cohort, a higher proportion of people that died by murder vs. suicide have been youthful (29.4 ± 8.2 years vs. 31.5 ± 8.6 years) and single or by no means married (61% vs. 50%), whereas a decrease proportion acquired not less than some school training (28.1% vs. 43.9%).

General, 1,300 deaths within the cohort have been related to being pregnant. Of these, 660 have been murder deaths, accounting for 20.6% of all murder deaths within the cohort. The remaining 640 have been suicide deaths, accounting for 8.8% of all suicide deaths within the cohort.

Amongst individuals who had a pregnancy-associated dying, a higher proportion of those that died by murder have been Black or African American (48.8% vs. 12.3%) single or by no means married (72.3% vs. 50.5%) and have lower than a highschool diploma (61.7% vs. 46.8%) in contrast with those that died by suicide.

Of word, firearms have been concerned in 68.3% and 35.3% of pregnancy-associated murder and suicide deaths, respectively.

Moreover, a higher proportion of people that died by pregnancy-associated suicide vs. pregnancy-associated murder had a psychological well being drawback (77.4% vs. 7.2%) or any substance use (33.3% vs. 12.8%; each, P < .001). Alternatively, a higher proportion of those that died by pregnancy-associated murder have been victims of intimate accomplice violence (IPV) in contrast with those that died by pregnancy-associated suicide (57.3% vs. 37.1%; P < .001).

Anna M. Modest, PhD, MPH

Anna M. Modest

“There’s a want for improved screening and intervention to forestall pregnancy-associated murder and suicide,” Modest mentioned. “Our society additionally wants a greater method to monitor these deaths as a way to higher perceive the impacts.”

Nevertheless, Modest famous that there are not any interventions confirmed to scale back pregnancy-associated murder and suicide. “With out interventions, even improved screening won’t cut back these deaths,” she mentioned.

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