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Association of Postpartum Depression with Maternal Suicide: A Nationwide Population-Based Study

Author

Listed:
  • Yi-Liang Lee

    (Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
    Department of Obstetrics and Gynecology, Kang Ning Hospital, Taipei 11490, Taiwan)

  • Yun Tien

    (Department of Psychiatry, Taoyuan Psychiatric Center, Taoyuan 33058, Taiwan)

  • Yin-Shiuan Bai

    (Department of Obstetrics and Gynecology, Kang Ning Hospital, Taipei 11490, Taiwan
    Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 11490, Taiwan)

  • Chi-Kang Lin

    (Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan)

  • Chang-Sheng Yin

    (Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
    Department of Obstetrics and Gynecology, Kang Ning Hospital, Taipei 11490, Taiwan)

  • Chi-Hsiang Chung

    (Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
    School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
    Taiwanese Injury Prevention and Safety Promotion Association, Taipei 11490, Taiwan)

  • Chien-An Sun

    (Department of Public Health, College of Medicine, Fu-Jen Catholic University, New Taipei City 24206, Taiwan
    Big Data Research Center, College of Medicine, Fu-Jen Catholic University, New Taipei City 24206, Taiwan)

  • Shi-Hao Huang

    (Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
    School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
    Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), Taipei 10608, Taiwan)

  • Yao-Ching Huang

    (Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
    School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
    Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), Taipei 10608, Taiwan)

  • Wu-Chien Chien

    (Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 11490, Taiwan
    Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
    School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
    Taiwanese Injury Prevention and Safety Promotion Association, Taipei 11490, Taiwan)

  • Chieh-Yi Kang

    (Gynecologic Oncologist Division, Department of Obstetrics & Gynecology, Chi Mei Medical Center, Tainan City 71004, Taiwan)

  • Gwo-Jang Wu

    (Department of Obstetrics and Gynecology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
    Department of Obstetrics and Gynecology, Kang Ning Hospital, Taipei 11490, Taiwan
    Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan)

Abstract

Background: To examine the association of postpartum depression (PPD) with maternal suicide in the Taiwanese population. Methods: We examined the medical records of women aged 18–50 years who experienced childbirth and had PPD (the study cohort, n = 2882), who experienced childbirth but did not have PPD (comparison cohort 1, n = 5764), and who neither experienced childbirth nor had PPD (comparison cohort 2, n = 5764) between 2000 and 2015. The patients were followed up until suicide, withdrawal from the National Health Insurance program, or 31 December 2015. Results: The rates of anxiety and depression symptoms, as well as the cumulative risk of suicide, were significantly higher in the study cohort. PPD was significantly correlated with an increased risk of maternal suicide and was associated with a greater risk of developing comorbidities such as hypertension, diabetes mellitus, hyperlipidemia, and stroke. The comparison cohorts did not differ significantly in terms of suicide risk. Conclusion: PPD was associated with a significantly higher rate of suicide and a shorter time to suicide after childbirth. Younger age, winter, and subclinical depression and anxiety positively predicted suicide in the study cohort. To prevent maternal suicide, clinicians should be observant of subclinical depression and anxiety symptoms among patients.

Suggested Citation

  • Yi-Liang Lee & Yun Tien & Yin-Shiuan Bai & Chi-Kang Lin & Chang-Sheng Yin & Chi-Hsiang Chung & Chien-An Sun & Shi-Hao Huang & Yao-Ching Huang & Wu-Chien Chien & Chieh-Yi Kang & Gwo-Jang Wu, 2022. "Association of Postpartum Depression with Maternal Suicide: A Nationwide Population-Based Study," IJERPH, MDPI, vol. 19(9), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5118-:d:800305
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