{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T08:23:11Z","timestamp":1787905391121,"version":"build-2784847793"},"reference-count":53,"publisher":"American Medical Association (AMA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"\n Importance<\/jats:title>\n Peripartum suicide attempt is a major psychiatric complication associated with pregnancy, but the risk factors remain largely uncertain.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To identify the demographic characteristics and predisposing risks for peripartum suicide attempts and postpartum depression.<\/jats:p>\n <\/jats:sec>\n \n Design, Setting, and Participants<\/jats:title>\n This cohort study used retrospective data on pregnant women who delivered children between April 1, 2016, and March 31, 2021, at 712 hospitals in Japan. The nationwide Diagnosis Procedure Combination database was used.<\/jats:p>\n <\/jats:sec>\n \n Exposures<\/jats:title>\n Psychiatric and nonpsychiatric medical history, age, alcohol and tobacco use, and obstetric complications and procedures.<\/jats:p>\n <\/jats:sec>\n \n Main Outcomes and Measures<\/jats:title>\n Data on admissions for prepartum suicide attempt and delivery during the same hospital stay and readmissions for depression or suicide attempt within 1 year post partum were collected. Comparisons of prevalence of each study variable were performed, and multivariable logistic regression analyses were used to determine risk factors.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n From a total of 39\u202f908\u202f649 hospitalization episodes, 804\u202f617 cumulative pregnant women (median [IQR] age at childbirth, 33 [29-36] years) who delivered at the enrolled hospitals were identified, including 1202 who were admitted for suicide attempt and delivery during the same hospital stay and 111 readmitted for suicide attempt within 1 year post partum. Risk factors associated with prepartum suicide attempts included younger age (adjusted odds ratio [aOR], 0.99; 95% CI, 0.98-1.00) and histories of personality disorder (aOR, 10.81; 95% CI, 5.70-20.49), depression (aOR, 3.97; 95% CI, 2.35-6.70), schizophrenia (aOR, 2.89; 95% CI, 1.52-5.50), and adjustment disorder (aOR, 2.66; 95% CI, 1.07-6.58). Risk factors associated with postpartum suicide attempts included younger age (aOR, 0.96; 95% CI, 0.93-1.00), heavy tobacco use (aOR, 23.09; 95% CI, 5.46-97.62), and histories of alcohol use disorder (aOR, 163.54; 95% CI, 28.30-944.95), personality disorder (aOR, 10.28; 95% CI, 3.29-32.10), anxiety disorders (aOR, 8.13; 95% CI, 2.88-22.98), depression (aOR, 7.27; 95% CI, 2.95-17.91), schizophrenia (aOR, 5.77; 95% CI, 2.17-15.38), bipolar disorder (aOR, 3.98; 95% CI, 1.36-11.67), and insomnia (aOR, 3.17; 95% CI, 1.30-7.78). On sensitivity analysis, risk factors associated with postpartum depression after excluding those with prenatal depression included histories of personality disorder, adjustment disorder, bipolar disorder, insomnia, and anxiety disorders.<\/jats:p>\n <\/jats:sec>\n \n Conclusions and Relevance<\/jats:title>\n The findings of this cohort study suggest that histories of smoking and prenatal psychiatric disorders are potential risk factors for peripartum suicide attempts and may require additional treatment and prevention interventions.<\/jats:p>\n <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2022.50661","type":"journal-article","created":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T11:32:44Z","timestamp":1673523164000},"page":"e2250661","source":"Crossref","is-referenced-by-count":27,"title":["Risk Factors Associated With Peripartum Suicide Attempts in Japan"],"prefix":"10.1001","volume":"6","author":[{"given":"Tetsuya","family":"Akaishi","sequence":"first","affiliation":[{"name":"Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunio","family":"Tarasawa","sequence":"additional","affiliation":[{"name":"Department of Health Administration and Policy, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyohide","family":"Fushimi","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Informatics, Tokyo Medical and Dental University Graduate School of Medical and Dental Sciences, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirotaka","family":"Hamada","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masatoshi","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natsuko","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saya","family":"Kikuchi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Tomita","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadashi","family":"Ishii","sequence":"additional","affiliation":[{"name":"Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Fujimori","sequence":"additional","affiliation":[{"name":"Department of Health Administration and Policy, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuo","family":"Yaegashi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Sendai, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","published-online":{"date-parts":[[2023,1,12]]},"reference":[{"key":"zoi221443r1","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1186\/1471-2393-12-138","article-title":"Mode of birth and women\u2019s psychological and physical wellbeing in the postnatal period.","volume":"12","author":"Rowlands","year":"2012","journal-title":"BMC Pregnancy Childbirth"},{"issue":"2","key":"zoi221443r2","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1017\/S1138741600004595","article-title":"Maternity \u201cblues\u201d: prevalence and risk factors.","volume":"11","author":"Faisal-Cury","year":"2008","journal-title":"Span J Psychol"},{"issue":"1-2","key":"zoi221443r3","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/j.jad.2008.05.003","article-title":"Maternity blues as a predictor of DSM-IV depression and anxiety disorders in the first three months postpartum.","volume":"113","author":"Reck","year":"2009","journal-title":"J Affect Disord"},{"issue":"5","key":"zoi221443r4","doi-asserted-by":"publisher","first-page":"436","DOI":"10.1016\/S1701-2163(16)35240-9","article-title":"Postpartum depression: diagnostic and treatment issues.","volume":"34","author":"Sharma","year":"2012","journal-title":"J Obstet Gynaecol Can"},{"issue":"5, pt 1","key":"zoi221443r5","doi-asserted-by":"publisher","first-page":"1071","DOI":"10.1097\/01.AOG.0000183597.31630.db","article-title":"Perinatal depression: a systematic review of prevalence and incidence.","volume":"106","author":"Gavin","year":"2005","journal-title":"Obstet Gynecol"},{"issue":"1","key":"zoi221443r6","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1037\/0021-843X.100.1.63","article-title":"Controlled prospective study of postpartum mood disorders: psychological, environmental, and hormonal variables.","volume":"100","author":"O\u2019Hara","year":"1991","journal-title":"J Abnorm Psychol"},{"issue":"3","key":"zoi221443r7","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1007\/s00737-006-0122-3","article-title":"Multicentre prospective study of perinatal depression in Japan: incidence and correlates of antenatal and postnatal depression.","volume":"9","author":"Kitamura","year":"2006","journal-title":"Arch Womens Ment Health"},{"issue":"3","key":"zoi221443r8","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1007\/s00737-013-0335-1","article-title":"Self-harm in postpartum depression and referrals to a perinatal mental health team: an audit study.","volume":"16","author":"Healey","year":"2013","journal-title":"Arch Womens Ment Health"},{"key":"zoi221443r9","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1016\/j.jpsychires.2020.12.024","article-title":"Suicide attempts during pregnancy and perinatal outcomes.","volume":"133","author":"Shigemi","year":"2021","journal-title":"J Psychiatr Res"},{"issue":"6","key":"zoi221443r10","doi-asserted-by":"publisher","first-page":"1233","DOI":"10.1097\/AOG.0000000000001695","article-title":"Maternal deaths from suicide and overdose in Colorado, 2004-2012.","volume":"128","author":"Metz","year":"2016","journal-title":"Obstet Gynecol"},{"issue":"2","key":"zoi221443r11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0192943","article-title":"Adverse obstetric outcomes during delivery hospitalizations complicated by suicidal behavior among US pregnant women.","volume":"13","author":"Zhong","year":"2018","journal-title":"PLoS One"},{"issue":"20","key":"zoi221443r12","doi-asserted-by":"publisher","first-page":"2487","DOI":"10.1001\/jama.293.20.2487","article-title":"Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990-1992 to 2001-2003.","volume":"293","author":"Kessler","year":"2005","journal-title":"JAMA"},{"issue":"4","key":"zoi221443r13","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1111\/pin.v71.4","article-title":"Maternal death analysis based on data from the nationwide registration system in Japan (2010-2018).","volume":"71","author":"Wakasa","year":"2021","journal-title":"Pathol Int"},{"issue":"9","key":"zoi221443r14","doi-asserted-by":"publisher","first-page":"1112","DOI":"10.1111\/aogs.2017.96.issue-9","article-title":"Maternal deaths in the Nordic countries.","volume":"96","author":"Vangen","year":"2017","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"5","key":"zoi221443r15","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1080\/00016340902897992","article-title":"Maternal deaths in Denmark 2002-2006.","volume":"88","author":"B\u00f8dker","year":"2009","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"1-2","key":"zoi221443r16","first-page":"25","article-title":"Maternal mortality in Switzerland 1995-2004.","volume":"140","author":"F\u00e4ssler","year":"2010","journal-title":"Swiss Med Wkly"},{"issue":"1","key":"zoi221443r17","doi-asserted-by":"publisher","first-page":"11026","DOI":"10.1038\/s41598-019-47378-z","article-title":"Decline in maternal death due to obstetric haemorrhage between 2010 and 2017 in Japan.","volume":"9","author":"Hasegawa","year":"2019","journal-title":"Sci Rep"},{"issue":"2","key":"zoi221443r18","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1089\/jwh.2020.8875","article-title":"Pregnancy-associated deaths from homicide, suicide, and drug overdose: review of research and the intersection with intimate partner violence.","volume":"30","author":"Campbell","year":"2021","journal-title":"J Womens Health (Larchmt)"},{"issue":"1","key":"zoi221443r19","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1186\/1742-4755-11-17","article-title":"Maternal mortality revisited: the application of the new ICD-MM classification system in reference to maternal deaths in Sri Lanka.","volume":"11","author":"Agampodi","year":"2014","journal-title":"Reprod Health"},{"issue":"8","key":"zoi221443r20","doi-asserted-by":"publisher","first-page":"573","DOI":"10.7326\/0003-4819-147-8-200710160-00010","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.","volume":"147","author":"von Elm","year":"2007","journal-title":"Ann Intern Med"},{"issue":"5","key":"zoi221443r22","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0215735","article-title":"Prevalence and risk factors of postpartum depression within one year after birth in urban slums of Dhaka, Bangladesh.","volume":"14","author":"Azad","year":"2019","journal-title":"PLoS One"},{"issue":"2-3","key":"zoi221443r23","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1016\/j.jad.2005.12.051","article-title":"Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms.","volume":"91","author":"Halbreich","year":"2006","journal-title":"J Affect Disord"},{"key":"zoi221443r24","doi-asserted-by":"publisher","first-page":"632","DOI":"10.1016\/j.jad.2021.08.118","article-title":"One-year trajectories of postpartum depressive symptoms and associated psychosocial factors: findings from the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study.","volume":"295","author":"Kikuchi","year":"2021","journal-title":"J Affect Disord"},{"issue":"4","key":"zoi221443r25","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1016\/S0895-4356(00)00314-0","article-title":"Adjusting for multiple testing\u2014when and how?","volume":"54","author":"Bender","year":"2001","journal-title":"J Clin Epidemiol"},{"issue":"6","key":"zoi221443r26","doi-asserted-by":"publisher","first-page":"804","DOI":"10.1002\/(ISSN)1099-1557","article-title":"Examination of the prescription of antiepileptic drugs to prenatal and postpartum women in Japan from a health administrative database.","volume":"28","author":"Ishikawa","year":"2019","journal-title":"Pharmacoepidemiol Drug Saf"},{"key":"zoi221443r27","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1186\/1744-859X-6-10","article-title":"Suicide risk in schizophrenia: learning from the past to change the future.","volume":"6","author":"Pompili","year":"2007","journal-title":"Ann Gen Psychiatry"},{"issue":"2","key":"zoi221443r28","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1037\/per0000089","article-title":"Personality disorder risk factors for suicide attempts over 10 years of follow-up.","volume":"6","author":"Ansell","year":"2015","journal-title":"Personal Disord"},{"issue":"5","key":"zoi221443r29","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0126870","article-title":"Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: a meta-analysis.","volume":"10","author":"Darvishi","year":"2015","journal-title":"PLoS One"},{"issue":"2","key":"zoi221443r30","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1080\/13811118.2015.1004489","article-title":"The association of alcohol use disorders with suicidal ideation and suicide attempts in a population-based sample with mood symptoms.","volume":"20","author":"Sung","year":"2016","journal-title":"Arch Suicide Res"},{"issue":"9","key":"zoi221443r31","doi-asserted-by":"publisher","first-page":"791","DOI":"10.1002\/da.20674","article-title":"The relationship between anxiety disorders and suicide attempts: findings from the National Epidemiologic Survey on Alcohol and Related Conditions.","volume":"27","author":"Nepon","year":"2010","journal-title":"Depress Anxiety"},{"issue":"5","key":"zoi221443r32","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1111\/acps.12946","article-title":"Risk factors for suicide in bipolar disorder: a cohort study of 12 850 patients.","volume":"138","author":"Hansson","year":"2018","journal-title":"Acta Psychiatr Scand"},{"issue":"16","key":"zoi221443r33","doi-asserted-by":"publisher","first-page":"2967","DOI":"10.3390\/ijerph16162967","article-title":"Adjustment disorder and suicidal behaviours presenting in the general medical setting: a systematic review.","volume":"16","author":"Fegan","year":"2019","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"zoi221443r34","doi-asserted-by":"publisher","first-page":"13888","DOI":"10.1038\/s41598-020-70866-6","article-title":"Sleep disturbances as risk factors for suicidal thoughts and behaviours: a meta-analysis of longitudinal studies.","volume":"10","author":"Harris","year":"2020","journal-title":"Sci Rep"},{"issue":"5","key":"zoi221443r35","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1007\/s00737-016-0646-0","article-title":"Suicidal ideation in pregnancy: an epidemiologic review.","volume":"19","author":"Gelaye","year":"2016","journal-title":"Arch Womens Ment Health"},{"key":"zoi221443r36","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1016\/j.jad.2014.12.048","article-title":"Interventions to prevent repeat suicidal behavior in patients admitted to an emergency department for a suicide attempt: a meta-analysis.","volume":"175","author":"Inagaki","year":"2015","journal-title":"J Affect Disord"},{"issue":"3","key":"zoi221443r37","doi-asserted-by":"publisher","first-page":"244","DOI":"10.4103\/0019-5545.86817","article-title":"Intervention for suicide attempters: a randomized controlled study.","volume":"53","author":"Vijayakumar","year":"2011","journal-title":"Indian J Psychiatry"},{"issue":"1","key":"zoi221443r38","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1186\/s12888-019-2017-7","article-title":"Active contact and follow-up interventions to prevent repeat suicide attempts during high-risk periods among patients admitted to emergency departments for suicidal behavior: a systematic review and meta-analysis.","volume":"19","author":"Inagaki","year":"2019","journal-title":"BMC Psychiatry"},{"issue":"6","key":"zoi221443r39","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1016\/S2215-0366(17)30129-3","article-title":"A brief psychological intervention to reduce repetition of self-harm in patients admitted to hospital following a suicide attempt: a randomised controlled trial.","volume":"4","author":"O\u2019Connor","year":"2017","journal-title":"Lancet Psychiatry"},{"issue":"1","key":"zoi221443r41","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1176\/appi.ajp.2016.16030336","article-title":"Hypnotic medications and suicide: risk, mechanisms, mitigation, and the FDA.","volume":"174","author":"McCall","year":"2017","journal-title":"Am J Psychiatry"},{"issue":"2","key":"zoi221443r42","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1002\/pds.v24.2","article-title":"Antidepressant treatment and suicide attempts and self-inflicted injury in children and adolescents.","volume":"24","author":"Gibbons","year":"2015","journal-title":"Pharmacoepidemiol Drug Saf"},{"key":"zoi221443r43","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/j.jad.2020.01.016","article-title":"Antidepressant prescriptions for prenatal and postpartum women in Japan: a health administrative database study.","volume":"264","author":"Ishikawa","year":"2020","journal-title":"J Affect Disord"},{"key":"zoi221443r44","doi-asserted-by":"publisher","first-page":"25770","DOI":"10.1038\/srep25770","article-title":"Factors influencing attempted and completed suicide in postnatal women: a population-based study in Taiwan.","volume":"6","author":"Weng","year":"2016","journal-title":"Sci Rep"},{"issue":"1","key":"zoi221443r45","doi-asserted-by":"publisher","first-page":"45","DOI":"10.5249\/jivr","article-title":"Attempted suicide and pregnancy.","volume":"3","author":"Czeizel","year":"2011","journal-title":"J Inj Violence Res"},{"issue":"3","key":"zoi221443r46","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1016\/j.jad.2011.10.037","article-title":"Suicidal behavior in pregnant teenagers in southern Brazil: social, obstetric and psychiatric correlates.","volume":"136","author":"Pinheiro","year":"2012","journal-title":"J Affect Disord"},{"issue":"16","key":"zoi221443r47","doi-asserted-by":"publisher","first-page":"2797","DOI":"10.1080\/14767058.2018.1560415","article-title":"The prevalence and risk factors for postpartum depression symptoms of fathers at one and 6 months postpartum: an adjunct study of the Japan Environment & Children\u2019s Study.","volume":"33","author":"Nishigori","year":"2020","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"1","key":"zoi221443r48","doi-asserted-by":"publisher","first-page":"6400","DOI":"10.1038\/s41598-022-09944-w","article-title":"Maternal personality and postpartum mental disorders in Japan: the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study.","volume":"12","author":"Murakami","year":"2022","journal-title":"Sci Rep"},{"key":"zoi221443r49","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1016\/j.jad.2015.10.024","article-title":"Psychological distress during pregnancy in Miyagi after the Great East Japan Earthquake: the Japan Environment and Children\u2019s Study.","volume":"190","author":"Watanabe","year":"2016","journal-title":"J Affect Disord"},{"issue":"5","key":"zoi221443r51","doi-asserted-by":"publisher","first-page":"711","DOI":"10.1007\/s00127-020-01975-w","article-title":"Worldwide prevalence of suicide attempt in pregnant and postpartum women: a meta-analysis of observational studies.","volume":"56","author":"Rao","year":"2021","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"issue":"5","key":"zoi221443r52","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1007\/s00127-018-1644-5","article-title":"Race\/ethnicity, nativity, and lifetime risk of mental disorders in US adults.","volume":"54","author":"Alvarez","year":"2019","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"issue":"2","key":"zoi221443r53","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1093\/ije\/dyu038","article-title":"The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013.","volume":"43","author":"Steel","year":"2014","journal-title":"Int J Epidemiol"},{"key":"zoi221443r21","volume-title":"International Statistical Classification of Diseases, Tenth Revision (ICD-10)","author":"World Health Organization","year":"1992"},{"key":"zoi221443r40","volume-title":"2012 National Strategy for Suicide Prevention: Goals and Objectives for Action: A Report of the U.S. Surgeon General and of the National Action Alliance for Suicide Prevention","author":"Office of the Surgeon General","year":"2012"},{"key":"zoi221443r50","unstructured":"Statistics of Japan. e-Stat: Portal Site of Official Statistics of Japan. Accessed November 10, 2022. https:\/\/www.e-stat.go.jp\/"}],"container-title":["JAMA Network Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/articlepdf\/2800274\/akaishi_2023_oi_221443_1672346532.8017.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,12]],"date-time":"2023-01-12T11:32:57Z","timestamp":1673523177000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2800274"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,12]]},"references-count":53,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1,3]]}},"URL":"https:\/\/doi.org\/10.1001\/jamanetworkopen.2022.50661","relation":{},"ISSN":["2574-3805"],"issn-type":[{"value":"2574-3805","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,12]]}}}