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Updated: Jun 13, 2026
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Published on: February 3, 2026
Associations between abortion, mental disorders, and suicidal behaviour in a nationally representative sample
Natalie P Mota1, Margaret Burnett, Jitender Sareen
1Department of Psychology, University of Manitoba, Winnipeg, Manitoba.
Summary
This study found a strong link between abortion and increased risks of mood, anxiety, and substance use disorders, as well as suicidal ideation and attempts in US women. Findings highlight the importance of mental health support following abortion.
Area of Science:
- Psychiatry and Mental Health
- Reproductive Health
- Epidemiology
Background:
- Previous research on abortion and mental health yields inconsistent results.
- A US nationally representative sample was used to investigate these associations.
Purpose of the Study:
- To examine the relationship between abortion, mental disorders, and suicidality.
- To assess the temporal relationship between abortion and the onset of mental disorders.
Main Methods:
- Utilized data from the National Comorbidity Survey Replication (n=3310 women).
- Assessed mental disorders and lifetime abortion using the World Health Organization-Composite International Diagnostic Interview.
- Employed multiple logistic regression analyses and calculated population attributable fractions.
Main Results:
- Abortion was associated with increased odds of mood disorders (AOR 1.75-1.91), anxiety disorders (AOR 1.87-1.91), substance use disorders (AOR 3.14-4.99), and suicidality (AOR 1.97-2.18).
- Less than half of women reported mental disorder onset after their first abortion.
- Population attributable fractions ranged from 5.8% (suicidal ideation) to 24.7% (drug abuse).
Conclusions:
- A significant association exists between abortion and mental disorders.
- Potential mechanisms underlying this relationship warrant further investigation.
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