Suicides After Pregnancy In Finland, 1987-1994: Register Linkage Study (BMJ,1996) (other studies)

This is a record-based study… "This study was an attempt to document suicides taking place within a year after the end of pregnancy. A review of registry data covering all deaths of Finnish women of childbearing age in the years 1987 to 1994 yielded 73 suicides associated with pregnancy…Suicide was most likely in the first 2 postpartum months. The risk was highest for women of 35 to 39 years of age…As in the general population, more than 80 percent of abortions followed by suicide were elected for social reasons. "Women committing suicide were more likely than their counterparts in the general population to be single (19 percent vs. 6 percent) and divorced (7 percent vs. 1 percent)… "The suicide rate associated with birth was 5.9 percent; the rates associated with miscarriage and induced abortion in the population study were 18.1 percent and 34 percent, respectively. …The data suggest that miscarriage is not as important a risk factor as induced abortion, but is clearly more important than birth (Brit Medical Jour 1996; 313:1431). "Among women who committed suicide after an abortion, the lower social classes were over-represented. Suicide, mental disease, life events, social class, and social support interact in very complex ways. "The present findings clearly show, however, that women having an abortion are at increased risk of committing suicide…We need to heighten our awareness that depression can and does occur after spontaneous or induced abortion, fetal or neonatal death, or normal pregnancy…  "In the United States…in 1991, suicide was the fourth leading cause of death among all women in the 15 to 24 years age group and the sixth...