母亲自杀行为:怀孕和产后期间与非怀孕之间的比较,2006-2019年
Erica S LeCounte1, Jason L Salemi1, Cheryl A Vamos1
1College of Public Health, University of South Florida, Tampa, Florida, USA.
Journal of women's health (2002)
|February 12, 2026
概括
周产期似乎没有保护女性免受非致命的自杀行为. 与非孕期相比,怀孕期间和产后的自杀念头和自我伤害住院率较低.
科学领域:
- 生殖健康 生殖健康
- 心理健康研究 心理健康研究
- 公共卫生监督 公共卫生监督
背景情况:
- 围产期传统上被认为是防止女性自杀的保护.
- 然而,关于其对非致命的自杀行为保护作用的证据有限.
- 这项研究调查了怀孕,产后和非怀孕期间的自杀行为率和决定因素.
研究的目的:
- 在怀孕/分娩,产后和非怀孕/非产后期间比较住院率和自杀念头和故意自我伤害的风险因素.
- 分析这些行为的趋势随着时间的推移.
- 确定不同生殖时期与自杀行为相关的人口和付款人相关的决定因素.
主要方法:
- 一项重复的横截面研究利用了佛罗里达州从2006年到2019年的医院出院记录.
- 分析了自杀念头和故意自我伤害住院率的趋势.
- 负二项回归模型估计了调整率比率 (ARRs),将怀孕/分娩和产后期与非怀孕/非产后期进行比较.
主要成果:
- 自杀念头的住院率在2006-2007年至2018-2019年的所有时期都显著增加.
- 在非怀孕/非产后期间,故意自伤率下降,但在怀孕/分娩和产后期间保持稳定.
- 尽管趋势在增加,但在怀孕/分娩和产后期间,与非怀孕期间相比,自杀念头和故意自伤的aRR显着较低.
结论:
- 自杀行为仍然是生育年龄妇女的关键公共卫生问题.
- 虽然围产期显示自杀行为住院的调整率较低,但整体率正在上升.
- 改善心理健康护理的获取和为高风险人群开发定制的干预措施对于减少住院治疗至关重要.
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