Skip to main content
The BMJ logoLink to The BMJ
. 1996 Dec 7;313(7070):1431–1434. doi: 10.1136/bmj.313.7070.1431

Suicides after pregnancy in Finland, 1987-94: register linkage study.

M Gissler 1, E Hemminki 1, J Lönnqvist 1
PMCID: PMC2352979  PMID: 8973229

Abstract

OBJECTIVE: To determine rates of suicide associated with pregnancy by the type of pregnancy. DESIGN: Register linkage study. Information on suicides in women of reproductive age was linked with the Finnish birth, abortion, and hospital discharge registers to find out how many women who committed suicide had had a completed pregnancy during her last year of life. SETTING: Nationwide data from Finland. SUBJECTS: Women who committed suicide in 1987-94. RESULTS: There were 73 suicides associated with pregnancy, representing 5.4% of all suicides in women in this age group. The mean annual suicide rate was 11.3 per 100,000. The suicide rate associated with birth was significantly lower (5.9) and the rates associated with miscarriage (18.1) and induced abortion (34.7) were significantly higher than in the population. The risk associated with birth was higher among teenagers and that associated with abortion was increased in all age groups. Women who had committed a suicide tended to come from lower social classes and were more likely to be unmarried than other women who had had a completed pregnancy. CONCLUSIONS: The increased risk of suicide after an induced abortion indicates either common risk factors for both or harmful effects of induced abortion on mental health.

Full text

PDF
1431

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adler N. E., David H. P., Major B. N., Roth S. H., Russo N. F., Wyatt G. E. Psychological factors in abortion. A review. Am Psychol. 1992 Oct;47(10):1194–1204. doi: 10.1037//0003-066x.47.10.1194. [DOI] [PubMed] [Google Scholar]
  2. Appleby L. Suicide during pregnancy and in the first postnatal year. BMJ. 1991 Jan 19;302(6769):137–140. doi: 10.1136/bmj.302.6769.137. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cox J. L., Murray D., Chapman G. A controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatry. 1993 Jul;163:27–31. doi: 10.1192/bjp.163.1.27. [DOI] [PubMed] [Google Scholar]
  4. Gissler M., Teperi J., Hemminki E., Meriläinen J. Data quality after restructuring a national medical registry. Scand J Soc Med. 1995 Mar;23(1):75–80. doi: 10.1177/140349489502300113. [DOI] [PubMed] [Google Scholar]
  5. Gissler M., Ulander V. M., Hemminki E., Rasimus A. Declining induced abortion rate in Finland: data quality of the Finnish abortion register. Int J Epidemiol. 1996 Apr;25(2):376–380. doi: 10.1093/ije/25.2.376. [DOI] [PubMed] [Google Scholar]
  6. Greer H. S., Lal S., Lewis S. C., Belsey E. M., Beard R. W. Psychosocial consequences of therapeutic abortion King's termination study III. Br J Psychiatry. 1976 Jan;128:74–79. doi: 10.1192/bjp.128.1.74. [DOI] [PubMed] [Google Scholar]
  7. Hedegaard M., Henriksen T. B., Sabroe S., Secher N. J. Psychological distress in pregnancy and preterm delivery. BMJ. 1993 Jul 24;307(6898):234–239. doi: 10.1136/bmj.307.6898.234. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Heikkinen M. E., Isometsä E. T., Marttunen M. J., Aro H. M., Lönnqvist J. K. Social factors in suicide. Br J Psychiatry. 1995 Dec;167(6):747–753. doi: 10.1192/bjp.167.6.747. [DOI] [PubMed] [Google Scholar]
  9. Högberg U., Innala E., Sandström A. Maternal mortality in Sweden, 1980-1988. Obstet Gynecol. 1994 Aug;84(2):240–244. [PubMed] [Google Scholar]
  10. Murray D., Cox J. L., Chapman G., Jones P. Childbirth: life event or start of a long-term difficulty? Further data from the Stoke-on-Trent controlled study of postnatal depression. Br J Psychiatry. 1995 May;166(5):595–600. doi: 10.1192/bjp.166.5.595. [DOI] [PubMed] [Google Scholar]
  11. Scott D. Early identification of maternal depression as a strategy in the prevention of child abuse. Child Abuse Negl. 1992;16(3):345–358. doi: 10.1016/0145-2134(92)90044-r. [DOI] [PubMed] [Google Scholar]
  12. Stein A., Cooper P. J., Campbell E. A., Day A., Altham P. M. Social adversity and perinatal complications: their relation to postnatal depression. BMJ. 1989 Apr 22;298(6680):1073–1074. doi: 10.1136/bmj.298.6680.1073. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Surtees P. G., Dean C., Ingham J. G., Kreitman N. B., Miller P. M., Sashidharan S. P. Psychiatric disorder in women from an Edinburgh community: associations with demographic factors. Br J Psychiatry. 1983 Mar;142:238–246. doi: 10.1192/bjp.142.3.238. [DOI] [PubMed] [Google Scholar]
  14. Zolese G., Blacker C. V. The psychological complications of therapeutic abortion. Br J Psychiatry. 1992 Jun;160:742–749. doi: 10.1192/bjp.160.6.742. [DOI] [PubMed] [Google Scholar]

Articles from BMJ : British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES