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. 2024 Jun 29;28(9):1443–1453. doi: 10.1007/s10995-024-03956-w

Table 2.

Independent risks factors for SA of the studies included in the systematic review (narrative synthesis)

Author, year Assessement Time Independent Risk Factors OR (95%CI)
Morgan et al., 1997 Pregnancy

Women admitted for miscarriage:

-before the event

-afterwards the event

Induced abortion afterwards the event

2.84 (1.67–4.81)***

2.29 (1.13–4.65)*

3.25 (1.79–5.91)***

Comtois et al., 2008 Postpartum

Prior hospitalization with psychiatric diagnosis

Prior hospitalization substance abuse

Prior hospitalization dual diagnosis

27.4 (10.6–70.8)*

6.2 (2.8–13.9)*

11.1 (5.1–24.2)*

Taylor et al., 2016 Pregnancy

Tobacco use in pregnancy

Self-harm in previous 2 years

3.64 (1.30-10.19)*

2.55 (1.05–6.50)*

Vigod et al., 2019 Postpartum

Number of previous births

Prior maternal psychiatric diagnosis within 2 years before the index birth

1.44 (1.39–1.51)*

7.01 (6.25–7.86)*

Gressier et al., 2017 Pregnancy

Alcohol use in severe mental illness

Smoking in severe mental illness

Miscarriage

2.37 [1.02–5.53)**

1.87 (1.01–3.49)**

2.29 (1.18–4.41)**

Postpartum

Maternal younger age

Current major depressive disorder

Recurrent depression

0.96 (0.93-0.096)*

2.72 (1.40–5.26)**

4.12 (2.25–7.51)***

Weng et al., 2016 Postpartum

Never having married

Widowed/Divorced the year before delivery

Caesarean delivery

Suicide history before delivery

Postpartum depressive disorder

2.06 (1.09–3.88)*

5.06 (2.15–11.93)***

2.38 (1.56–3.62) ***

32.34 (3.52-297.11)**

20.27 (8.99–45.73)***

Weng et al., 2018, 2016 Postpartum

Marital Status: Others(A)

Miscarriage (including stillbirth)

Termination of pregnancy

Mood disorder

Bipolar disorder

Anxiety disorder

Suicidal behavior before

3.24 (2.33–4.49)***

2.1 (1.66–2.65)***

2.5 (1.63–3.82)***

10.88 (5.53–21.80)***

14.20 (4.02–50.11)***

4.10 (2.30–7.30)***

22.07 (8.20–59.40)***

Schiff et al., 2006

Postpartum

(1 year)

Fetal and infant death

Two previous deliveries

Three or more previous deliveries

Smoking during pregnancy

3.1 (1.4–7.3)*

1.8 (1.4–2.4)*

3.1 (2.4–4.2)*

2.7 (2.2–3.4)*

Johannsen et al., 2020 Postpartum

Postpartum mental disorders first onset vs. mother population

Mental disorders outside postpartum period of 90 days

First 12 months after PPMD diagnosis vs. after

6.2 (4.9-8.0)+

10.1 (9.6–10.5)+

13.5 (8.4–21.7)+

*p≤ .05; **p ≤ .005; ***p≤ .0001

+ Hazard Ratio (Cox regression)

A = “Others” exclude being married(reference) and not being married

PPMD = Postpartum Mental Disorder