自杀对孕产妇死亡率的贡献:一项基于全国人口的队列研究
Kinke M Lommerse1,2, Saskia Mérelle2, Anna L Rietveld3,4
1Department of Psychiatry, Haaglanden Medisch Centrum, The Hague, The Netherlands.
BJOG : an international journal of obstetrics and gynaecology
|February 12, 2024
概括
孕产妇自杀率保持稳定,但现在占孕产妇死亡的比例更大. 大多数产后自杀事件发生在第一次母亲身上,低教育是危险因素.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 孕产妇死亡率有所下降,但具体原因需要进一步调查.
- 了解母亲自杀的趋势和风险因素对于有针对性的干预至关重要.
研究的目的:
- 确定2006年至2020年期间荷兰母亲自杀的发生率和特征.
- 将当前趋势与前一个时期 (1996-2005) 进行比较,并确定风险因素.
主要方法:
- 进行了一项基于全国人口的队列研究.
- 来自死亡登记册的数据与对孕产妇死亡的机密调查有关.
- 分析了社会人口统计学和患者相关的风险因素.
主要成果:
- 孕产妇自杀率保持稳定,约为每10万活产婴儿中有2.6例.
- 自杀导致的孕产妇死亡比例从18%增加到28%.
- 较低的教育水平被认为是显著的风险因素,自杀报告不足的情况很大 (78%).
结论:
- 孕产妇自杀现在是孕产妇死亡的主要原因,包括产后一年内死亡.
- 有必要改善对母亲自杀的数据收集和分析.
- 干预措施应应对诸如低教育程度和产后妇女心理健康支持等风险因素.
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