Self-harm in women with postpartum mental disorders

Benedicte Marie Johannsen; Janne Tidselbak Larsen; Thomas Munk Laursen; Karyn Ayre; Louise M Howard; Samantha Meltzer-Brody; Bodil Hammer Bech; Trine Munk-Olsen

doi:10.1017/S0033291719001661

Self-harm in women with postpartum mental disorders

Benedicte Marie Johannsen, Janne Tidselbak Larsen, Thomas Munk Laursen, Karyn Ayre, Louise M Howard, Samantha Meltzer-Brody, Bodil Hammer Bech, Trine Munk-Olsen

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

27 Citationer (Scopus)

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Abstract

BACKGROUND: Women suffering from first onset postpartum mental disorders (PPMD) have a highly elevated risk of suicide. The current study aimed to: (1) describe the risk of self-harm among women with PPMD and (2) investigate the extent to which self-harm is associated with later suicide.

METHODS: We conducted a register-based cohort study linking national Danish registers. This identified women with any recorded first inpatient or outpatient contact to a psychiatric facility within 90 days after giving birth to their first child. The main outcome of interest was defined as the first hospital-registered episode of self-harm. Our cohort consisted of 1 202 292 women representing 24 053 543 person-years at risk.

RESULTS: Among 1554 women with severe first onset PPMD, 64 had a first-ever hospital record of self-harm. Women with PPMD had a hazard ratio (HR) for self-harm of 6.2 (95% CI 4.9-8.0), compared to mothers without mental disorders; but self-harm risk was lower in PPMD women compared to mothers with non-PPMD [HR: 10.1, (95% CI 9.6-10.5)] and childless women with mental disorders [HR: 9.3 (95% CI 8.9-9.7)]. Women with PPMD and records of self-harm had a significantly greater risk for later suicide compared with all other groups of women in the cohort.

CONCLUSIONS: Women with PPMD had a high risk of self-harm, although lower than risks observed in other psychiatric patients. However, PPMD women who had self-harmed constituted a vulnerable group at significantly increased risk of later suicide.

Originalsprog	Engelsk
Tidsskrift	Psychological Medicine
Vol/bind	50
Nummer	9
Sider (fra-til)	1563-1569
Antal sider	7
ISSN	0033-2917
DOI	https://doi.org/10.1017/S0033291719001661
Status	Udgivet - 1 jul. 2020

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10.1017/S0033291719001661

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title = "Self-harm in women with postpartum mental disorders",

abstract = "BACKGROUND: Women suffering from first onset postpartum mental disorders (PPMD) have a highly elevated risk of suicide. The current study aimed to: (1) describe the risk of self-harm among women with PPMD and (2) investigate the extent to which self-harm is associated with later suicide.METHODS: We conducted a register-based cohort study linking national Danish registers. This identified women with any recorded first inpatient or outpatient contact to a psychiatric facility within 90 days after giving birth to their first child. The main outcome of interest was defined as the first hospital-registered episode of self-harm. Our cohort consisted of 1 202 292 women representing 24 053 543 person-years at risk.RESULTS: Among 1554 women with severe first onset PPMD, 64 had a first-ever hospital record of self-harm. Women with PPMD had a hazard ratio (HR) for self-harm of 6.2 (95% CI 4.9-8.0), compared to mothers without mental disorders; but self-harm risk was lower in PPMD women compared to mothers with non-PPMD [HR: 10.1, (95% CI 9.6-10.5)] and childless women with mental disorders [HR: 9.3 (95% CI 8.9-9.7)]. Women with PPMD and records of self-harm had a significantly greater risk for later suicide compared with all other groups of women in the cohort.CONCLUSIONS: Women with PPMD had a high risk of self-harm, although lower than risks observed in other psychiatric patients. However, PPMD women who had self-harmed constituted a vulnerable group at significantly increased risk of later suicide.",

keywords = "Epidemiology, postpartum depression, postpartum mental disorders, self-harm, suicide, women's mental health",

author = "Johannsen, {Benedicte Marie} and Larsen, {Janne Tidselbak} and Laursen, {Thomas Munk} and Karyn Ayre and Howard, {Louise M} and Samantha Meltzer-Brody and Bech, {Bodil Hammer} and Trine Munk-Olsen",

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doi = "10.1017/S0033291719001661",

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T1 - Self-harm in women with postpartum mental disorders

AU - Johannsen, Benedicte Marie

AU - Larsen, Janne Tidselbak

AU - Laursen, Thomas Munk

AU - Ayre, Karyn

AU - Howard, Louise M

AU - Meltzer-Brody, Samantha

AU - Bech, Bodil Hammer

AU - Munk-Olsen, Trine

PY - 2020/7/1

Y1 - 2020/7/1

N2 - BACKGROUND: Women suffering from first onset postpartum mental disorders (PPMD) have a highly elevated risk of suicide. The current study aimed to: (1) describe the risk of self-harm among women with PPMD and (2) investigate the extent to which self-harm is associated with later suicide.METHODS: We conducted a register-based cohort study linking national Danish registers. This identified women with any recorded first inpatient or outpatient contact to a psychiatric facility within 90 days after giving birth to their first child. The main outcome of interest was defined as the first hospital-registered episode of self-harm. Our cohort consisted of 1 202 292 women representing 24 053 543 person-years at risk.RESULTS: Among 1554 women with severe first onset PPMD, 64 had a first-ever hospital record of self-harm. Women with PPMD had a hazard ratio (HR) for self-harm of 6.2 (95% CI 4.9-8.0), compared to mothers without mental disorders; but self-harm risk was lower in PPMD women compared to mothers with non-PPMD [HR: 10.1, (95% CI 9.6-10.5)] and childless women with mental disorders [HR: 9.3 (95% CI 8.9-9.7)]. Women with PPMD and records of self-harm had a significantly greater risk for later suicide compared with all other groups of women in the cohort.CONCLUSIONS: Women with PPMD had a high risk of self-harm, although lower than risks observed in other psychiatric patients. However, PPMD women who had self-harmed constituted a vulnerable group at significantly increased risk of later suicide.

AB - BACKGROUND: Women suffering from first onset postpartum mental disorders (PPMD) have a highly elevated risk of suicide. The current study aimed to: (1) describe the risk of self-harm among women with PPMD and (2) investigate the extent to which self-harm is associated with later suicide.METHODS: We conducted a register-based cohort study linking national Danish registers. This identified women with any recorded first inpatient or outpatient contact to a psychiatric facility within 90 days after giving birth to their first child. The main outcome of interest was defined as the first hospital-registered episode of self-harm. Our cohort consisted of 1 202 292 women representing 24 053 543 person-years at risk.RESULTS: Among 1554 women with severe first onset PPMD, 64 had a first-ever hospital record of self-harm. Women with PPMD had a hazard ratio (HR) for self-harm of 6.2 (95% CI 4.9-8.0), compared to mothers without mental disorders; but self-harm risk was lower in PPMD women compared to mothers with non-PPMD [HR: 10.1, (95% CI 9.6-10.5)] and childless women with mental disorders [HR: 9.3 (95% CI 8.9-9.7)]. Women with PPMD and records of self-harm had a significantly greater risk for later suicide compared with all other groups of women in the cohort.CONCLUSIONS: Women with PPMD had a high risk of self-harm, although lower than risks observed in other psychiatric patients. However, PPMD women who had self-harmed constituted a vulnerable group at significantly increased risk of later suicide.

KW - Epidemiology

KW - postpartum depression

KW - postpartum mental disorders

KW - self-harm

KW - suicide

KW - women's mental health

U2 - 10.1017/S0033291719001661

DO - 10.1017/S0033291719001661

M3 - Journal article

C2 - 31298172

SN - 0033-2917

VL - 50

SP - 1563

EP - 1569

JO - Psychological Medicine

JF - Psychological Medicine

IS - 9

ER -

Self-harm in women with postpartum mental disorders

Abstract

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