Demographic and Psychosocial Factors Associated with Suicide Mortality Among Childbearing-Aged Individuals: A Case-Control Study
Research Mentor Name
Amy Loree PhD
Research Mentor Email Address
Institution / Department
Henry Ford Health System
Level of Research
Objective: Examine pregnancy-related, demographic, psychosocial and healthcare utilization factors associated with suicide mortality among childbearing-aged women. Methods: Data from nine health care systems in the Mental Health Research Network were included. A case-control study design was used in which 290 childbearing-age women who died by suicide (cases) from 2000-2015 were matched with 2,900 childbearing-age women from the same healthcare system and enrolled during the same time period who did not die by suicide. Conditional logistic regression was used to analyze associations between patient characteristics and suicide. Results: Women who died by suicide were more likely to have mental health or substance use disorders (aOR = 2.36, 95%CI: 1.46, 3.82) and to have visited the emergency department in the year prior to index date (aOR = 3.35, 95%CI: 2.39, 4.68). Pregnancy (aOR = 0.17, 95% CI: 0.04, 0.78) and delivery of a liveborn baby (aOR = 0.39, 95% CI: 0.16, 0.92) within a year before index date were associated with lower risk of suicide mortality. Women who experienced pregnancy loss were more likely to die by suicide (aOR = 1.41, 95% CI: 0.49, 4.06), but this was not statistically significant potentially due to small sample size (n = 6 cases; n = 21 control). Conclusions: Childbearing-aged women with mental health and/or substance use disorders, prior emergency department encounters may benefit from routine screening and monitoring for suicide risk. Future research should further examine the relationship between pregnancy loss and suicide mortality.
Cognitive Behavioral Therapy | Community Health | Medicine and Health Sciences | Obstetrics and Gynecology | Psychiatric and Mental Health | Psychiatry | Substance Abuse and Addiction
Furman, Katerina A.; Loree, Amy PhD; Gavrilova, Lyuba BS; Hecht, Leah PhD; Yeh, Hsueh-Han; Lynch, Frances; Ahmedani, Brian; Rossom, Rebecca; Beck, Anne PhD; Daida, Yihe PhD; Simon, Gregory MD; Lu, Christine PhD; Westphal, Joslyn MPH; Owen-Smith, Ashii PhD; Waring, Stephen; and Frank, Cathrine MD, "Demographic and Psychosocial Factors Associated with Suicide Mortality Among Childbearing-Aged Individuals: A Case-Control Study" (2023). Medical Student Research Symposium. 286.
Cognitive Behavioral Therapy Commons, Community Health Commons, Obstetrics and Gynecology Commons, Psychiatric and Mental Health Commons, Psychiatry Commons, Substance Abuse and Addiction Commons