{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T13:11:21Z","timestamp":1789477881161,"version":"build-2803163510"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005788","name":"Medical University of Vienna","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005788","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Womens Ment Health"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aims to describe the phenomenon of unperceived pregnancy followed by neonaticide with a focus on the lack of awareness of reproductive potential in an Austrian sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An explorative comparative study of neonaticide cases with single and repeat perpetrators was conducted using nationwide register-based data from 1995 to 2017. A total number of 55 cases out of 66 were included in the analysis. A standardized coding sheet was used and calculations were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>48 women gave birth to 101 children, of which 55 were killed, 23 children lived out of home care and 23 lived with the perpetrator We found a higher fertility rate in both neonaticide perpetrators in the single (1,9) and the repeat group (4,25) in comparison to the general population (1,4). The use of contraception was only 31% among neonaticide perpetrators, deviating substantially from the general Austrian population age group (16-29yrs) which used contraception in 91%. The neonaticide perpetrators used an effective contraception method (pearl-index\u2009&lt;\u20094) in only 2%, whereas 20% of the general population did so. The number of unperceived pregnancies was high in both groups (50\/55) 91%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Future case reports and forensic evaluations should take reproductive behavior into account, as it may offer valuable insights into the events leading up to neonaticide. Our findings suggest that denial of reproductive potential often precedes unperceived pregnancies. In the Austrian cohort, women who experienced unperceived pregnancies resulting in unassisted births and subsequent neonaticide showed a low prevalence of contraceptive use. This is particularly noteworthy given that the primary motive for neonaticide is unwanted pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00737-024-01481-x","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T23:40:27Z","timestamp":1718754027000},"page":"463-469","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Denial of reproductive potential: a predictor of unperceived pregnancy in an Austrian neonaticide sample"],"prefix":"10.1007","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0696-8904","authenticated-orcid":false,"given":"Claudia M.","family":"Klier","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2855-7682","authenticated-orcid":false,"given":"Bozic","family":"Ina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4200-0522","authenticated-orcid":false,"given":"Yvonne","family":"Kuipers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Amon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"issue":"3","key":"1481_CR1","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1007\/s00737-012-0268-0","volume":"15","author":"S Amon","year":"2012","unstructured":"Amon S, Putkonen H, Weizmann-Henelius G, Almiron MP, Formann AK, Voracek M, Eronen M, Yourstone J, Friedrich M, Klier CM (2012) Potential predictors in neonaticide: the impact of the circumstances of pregnancy. Archives Women\u2019s Mental Health 15(3):167\u2013174. https:\/\/doi.org\/10.1007\/s00737-012-0268-0","journal-title":"Archives Women\u2019s Mental Health"},{"issue":"1","key":"1481_CR2","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1007\/s00737-021-01176-7","volume":"25","author":"DL Barnes","year":"2022","unstructured":"Barnes DL (2022) Towards a new understanding of pregnancy denial: the misunderstood dissociative disorder. Archives Women\u2019s Mental Health 25(1):51\u201359. https:\/\/doi.org\/10.1007\/s00737-021-01176-7","journal-title":"Archives Women\u2019s Mental Health"},{"issue":"5","key":"1481_CR3","doi-asserted-by":"publisher","first-page":"723","DOI":"10.1016\/j.jpsychores.2005.11.002","volume":"61","author":"KM Beier","year":"2006","unstructured":"Beier KM, Wille R, Wessel J (2006) Denial of pregnancy as a reproductive dysfunction: a proposal for international classification systems. J Psychosom Res 61(5):723\u2013730. https:\/\/doi.org\/10.1016\/j.jpsychores.2005.11.002","journal-title":"J Psychosom Res"},{"issue":"4","key":"1481_CR4","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1016\/0145-2134(93)90025-z","volume":"17","author":"C Bonnet","year":"1993","unstructured":"Bonnet C (1993) Adoption at birth: Prevention against abandonment or neonaticide. Child Abuse Negl 17(4):501\u2013513. https:\/\/doi.org\/10.1016\/0145-2134(93)90025-z","journal-title":"Child Abuse Negl"},{"issue":"2","key":"1481_CR5","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/j.sagf.2021.01.003","volume":"20","author":"C Bonnet","year":"2021","unstructured":"Bonnet C (2021) Description Clinique et accompagnement pluridisciplinaire du d\u00e9ni de grossesse. Sages-Femmes 20(2):10\u201315. https:\/\/doi.org\/10.1016\/j.sagf.2021.01.003","journal-title":"Sages-Femmes"},{"issue":"3","key":"1481_CR6","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1111\/1471-0528.16853","volume":"129","author":"H Delong","year":"2022","unstructured":"Delong H, Eutrope J, Thierry A, Sutter-Dallay A, Vulliez L, Gubler V, Saad Saint\u2010Gilles S, Tessier E, Le Foll J, Viaux S, Apter G, Danion A, Auer J, Rolland A (2022) Pregnancy denial: a complex symptom with life context as a trigger? A prospective case\u2013control study*. BJOG 129(3):485\u2013492. https:\/\/doi.org\/10.1111\/1471-0528.16853","journal-title":"BJOG"},{"issue":"4","key":"1481_CR7","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1080\/13625187.2022.2057469","volume":"27","author":"C Fiala","year":"2022","unstructured":"Fiala C, Agostini A, Bombas T, Lertxundi R, Lubusky M, Parachini M, Gemzell-Danielsson K (2022) Abortion: legislation and statistics in Europe. Eur J Contracept Reproductive Health Care: Official J Eur Soc Contracept 27(4):345\u2013352. https:\/\/doi.org\/10.1080\/13625187.2022.2057469","journal-title":"Eur J Contracept Reproductive Health Care: Official J Eur Soc Contracept"},{"issue":"2","key":"1481_CR8","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1176\/appi.psy.48.2.117","volume":"48","author":"SH Friedman","year":"2007","unstructured":"Friedman SH, Heneghan A, Rosenthal M (2007) Characteristics of women who deny or conceal pregnancy. Psychosomatics 48(2):117\u2013122. https:\/\/doi.org\/10.1176\/appi.psy.48.2.117","journal-title":"Psychosomatics"},{"issue":"6","key":"1481_CR9","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1515\/mks-1964-470601","volume":"47","author":"J Gerchow","year":"1964","unstructured":"Gerchow J (1964) Schwangerschaft Und Geburt unter medizinisch-forensischen Aspekten Der Kindest\u00f6tung. Monatsschrift f\u00fcr Kriminol Und Strafrechtsreform 47(6):233\u2013240. https:\/\/doi.org\/10.1515\/mks-1964-470601","journal-title":"Monatsschrift f\u00fcr Kriminol Und Strafrechtsreform"},{"key":"1481_CR10","volume-title":"Forensische Medizin f\u00fcr Studium Und Praxis","author":"M Hochmeister","year":"2007","unstructured":"Hochmeister M, Grassberger M, Stimpfl T (2007) Forensische Medizin f\u00fcr Studium Und Praxis. Maudrich, Wien"},{"issue":"1","key":"1481_CR12","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1007\/s00737-018-0850-1","volume":"22","author":"CM Klier","year":"2019","unstructured":"Klier CM, Amon S, Putkonen H, Arias F, P., Weizmann-Henelius G (2019) Repeated neonaticide: differences and similarities to single neonaticide events. Archives Women\u2019s Mental Health 22(1):159\u2013164. https:\/\/doi.org\/10.1007\/s00737-018-0850-1","journal-title":"Archives Women\u2019s Mental Health"},{"issue":"1","key":"1481_CR11","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1016\/j.wombi.2023.08.004","volume":"37","author":"Y Kuipers","year":"2024","unstructured":"Kuipers Y, Thomson G, \u0160kodov\u00e1 Z, Bozic I, L\u00edsa Sigur\u00f0ard\u00f3ttir V, Goberna-Tricas J, Zurera A, Neves DM, Barata C, Klier C (2024) A multidisciplinary evaluation, exploration, and advancement of the concept of a traumatic birth experience. Women Birth: J Australian Coll Midwives 37(1):51\u201362. https:\/\/doi.org\/10.1016\/j.wombi.2023.08.004","journal-title":"Women Birth: J Australian Coll Midwives"},{"issue":"4","key":"1481_CR13","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1111\/birt.12634","volume":"49","author":"J Leinweber","year":"2022","unstructured":"Leinweber J, Fontein-Kuipers Y, Thomson G, Karlsdottir S I, Nilsson C, Ekstr\u00f6m-Bergstr\u00f6m A, Olza I, Hadjigeorgiou E, Stramrood C (2022) Developing a woman-centered, inclusive definition of traumatic childbirth experiences: a discussion paper. Birth (Berkeley Calif) 49(4):687\u2013696. https:\/\/doi.org\/10.1111\/birt.12634","journal-title":"Birth (Berkeley Calif)"},{"issue":"3","key":"1481_CR14","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1111\/jan.13875","volume":"75","author":"S Murphy-Tighe","year":"2019","unstructured":"Murphy-Tighe S, Lalor JG (2019) Regaining agency and autonomy: a grounded typology of concealed pregnancy. J Adv Nurs 75(3):603\u2013615. https:\/\/doi.org\/10.1111\/jan.13875","journal-title":"J Adv Nurs"},{"key":"1481_CR15","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1186\/1471-244X-9-74","volume":"9","author":"H Putkonen","year":"2009","unstructured":"Putkonen H, Amon S, Almiron MP, Cederwall JY, Eronen M, Klier C, Kjelsberg E, Weizmann-Henelius G (2009) Filicide in Austria and Finland\u2014A register-based study on all filicide cases in Austria and Finland 1995\u20132005. BMC Psychiatry 9:74. https:\/\/doi.org\/10.1186\/1471-244X-9-74","journal-title":"BMC Psychiatry"},{"key":"1481_CR16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/14999013.2016.1152616","volume":"0","author":"H Putkonen","year":"2016","unstructured":"Putkonen H, Amon S, Weizmann-Henelius G, Panakoski M, Eronen M, Klier CM (2016) Classifying Filicide. Int J Forensic Mental Health 0:0,1\u201313. https:\/\/doi.org\/10.1080\/14999013.2016.1152616","journal-title":"Int J Forensic Mental Health"},{"issue":"10","key":"1481_CR17","doi-asserted-by":"publisher","first-page":"1414","DOI":"10.1176\/ajp.126.10.1414","volume":"126","author":"G Resnick","year":"1970","unstructured":"Resnick G, P. J (1970) Murder of the newborn: a psychiatric review of neonaticide. Am J Psychiatry 126(10):1414\u20131420. https:\/\/doi.org\/10.1176\/ajp.126.10.1414","journal-title":"Am J Psychiatry"},{"issue":"5","key":"1481_CR18","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1080\/15299732.2016.1267685","volume":"18","author":"V \u015ear","year":"2017","unstructured":"\u015ear V, Ayd\u0131n N, van der Hart O, Steven Frankel A, \u015ear M, Omay O (2017) Acute dissociative reaction to spontaneous delivery in a case of total denial of pregnancy: diagnostic and forensic aspects. J Trauma Dissociation: Official J Int Soc Study Dissociation (ISSD) 18(5):710\u2013719. https:\/\/doi.org\/10.1080\/15299732.2016.1267685","journal-title":"J Trauma Dissociation: Official J Int Soc Study Dissociation (ISSD)"},{"issue":"3","key":"1481_CR19","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1016\/j.arcped.2018.01.004","volume":"25","author":"M Simermann","year":"2018","unstructured":"Simermann M, Rothenburger S, Auburtin B, Hasco\u00ebt J-M (2018) Outcome of children born after pregnancy denial. Archives De Pediatrie: Organe Officiel De La Societe Francaise De Pediatr 25(3):219\u2013222. https:\/\/doi.org\/10.1016\/j.arcped.2018.01.004","journal-title":"Archives De Pediatrie: Organe Officiel De La Societe Francaise De Pediatr"},{"key":"1481_CR20","unstructured":"Statistik Austria: Demographisches Jahrbuch 2017 (2018) https:\/\/www.statistik.at\/fileadmin\/publications\/Demographisches_Jahrbuch_2017.pdf. Accessed 13.2.2024"},{"issue":"Suppl 2","key":"1481_CR21","first-page":"113","volume":"25","author":"A Struye","year":"2013","unstructured":"Struye A, Zdanowicz N, Ibrahim C, Reynaert C (2013) Can denial of pregnancy be a denial of fertility? A case discussion. Psychiatria Danubina 25(Suppl 2):113\u2013117","journal-title":"Psychiatria Danubina"},{"key":"1481_CR22","unstructured":"Contraception report (Verh\u00fctungsreport) (2012) https:\/\/verhuetungsreport.at\/. Accessed 13.2.2024"},{"key":"1481_CR23","unstructured":"Contraception report (Verh\u00fctungsreport) (2019) https:\/\/verhuetungsreport.at\/. Accessed 13.2.2024"},{"key":"1481_CR24","doi-asserted-by":"publisher","unstructured":"Wessel J (2002) Denial of pregnancy: Population based study. BMJ (Clinical Research Ed. 324(7335):458. https:\/\/doi.org\/10.1136\/bmj.324.7335.458","DOI":"10.1136\/bmj.324.7335.458"},{"issue":"11","key":"1481_CR25","doi-asserted-by":"publisher","first-page":"1021","DOI":"10.1034\/j.1600-0412.2002.811105.x","volume":"81","author":"J Wessel","year":"2002","unstructured":"Wessel J, Endrikat J, Buscher U (2002) Frequency of denial of pregnancy: results and epidemiological significance of a 1-year prospective study in Berlin. Acta Obstet Gynecol Scand 81(11):1021\u20131027. https:\/\/doi.org\/10.1034\/j.1600-0412.2002.811105.x","journal-title":"Acta Obstet Gynecol Scand"},{"key":"1481_CR26","doi-asserted-by":"crossref","unstructured":"Wille R, Steckeler U, Wessel J (2003) Zur Kollusion Zwischen Juristen und medizinischen Gutachtern in Strafprozessen Wegen T\u00f6tung Unter Der Geburt, vol 10. Sexuologie - Urban & Fischer, pp 61\u201377","DOI":"10.61387\/S.2003.23.10"}],"container-title":["Archives of Women's Mental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00737-024-01481-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00737-024-01481-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00737-024-01481-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T09:18:50Z","timestamp":1747732730000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00737-024-01481-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,19]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["1481"],"URL":"https:\/\/doi.org\/10.1007\/s00737-024-01481-x","relation":{},"ISSN":["1434-1816","1435-1102"],"issn-type":[{"value":"1434-1816","type":"print"},{"value":"1435-1102","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,19]]},"assertion":[{"value":"9 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 June 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 June 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}