Key PointsQuestionWhat are the trends in suicidal ideation and intentional self-harm in a large national cohort of commercially insured childbearing individuals? FindingsIn this serial cross-sectional analysis of 595 237 childbearing individuals 1 year before and after giving birth, suicidal ideation and intentional self-harm increased significantly between 2006 and 2017. Non-Hispanic Black individuals, those with low-income, and younger individuals as well as those with comorbid anxiety, depression, or other serious mental illness had larger escalations. MeaningClinical and policy interventions for addressing this health crisis should be tailored to meet the unique needs of childbearing individuals in the year before and following birth, particularly among high-risk groups.
JAMA Psychiatry – American Medical Association
Published: Feb 18, 2021
Keywords: self-injurious behavior,feeling suicidal,birth,comorbidity,psychotic disorders,hispanics or latinos,depressive disorders
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