{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T01:16:28Z","timestamp":1792631788845,"version":"4.5.0"},"reference-count":37,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2019,7,12]],"date-time":"2019-07-12T00:00:00Z","timestamp":1562889600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0033291719001661_sec_a1\" sec-type=\"other\"><jats:title>Background<\/jats:title><jats:p>Women suffering from first onset postpartum mental disorders (PPMD) have a highly elevated risk of suicide. The current study aimed to: (1) describe the risk of self-harm among women with PPMD and (2) investigate the extent to which self-harm is associated with later suicide.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291719001661_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>We conducted a register-based cohort study linking national Danish registers. This identified women with any recorded first inpatient or outpatient contact to a psychiatric facility within 90 days after giving birth to their first child. The main outcome of interest was defined as the first hospital-registered episode of self-harm. Our cohort consisted of 1 202 292 women representing 24 053 543 person-years at risk.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291719001661_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Among 1554 women with severe first onset PPMD, 64 had a first-ever hospital record of self-harm. Women with PPMD had a hazard ratio (HR) for self-harm of 6.2 (95% CI 4.9\u20138.0), compared to mothers without mental disorders; but self-harm risk was lower in PPMD women compared to mothers with non-PPMD [HR: 10.1, (95% CI 9.6\u201310.5)] and childless women with mental disorders [HR: 9.3 (95% CI 8.9\u20139.7)]. Women with PPMD and records of self-harm had a significantly greater risk for later suicide compared with all other groups of women in the cohort.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291719001661_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Women with PPMD had a high risk of self-harm, although lower than risks observed in other psychiatric patients. However, PPMD women who had self-harmed constituted a vulnerable group at significantly increased risk of later suicide.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0033291719001661","type":"journal-article","created":{"date-parts":[[2019,7,12]],"date-time":"2019-07-12T11:19:29Z","timestamp":1562930369000},"page":"1563-1569","source":"Crossref","is-referenced-by-count":37,"title":["Self-harm in women with postpartum mental disorders"],"prefix":"10.1017","volume":"50","author":[{"given":"Benedicte Marie","family":"Johannsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janne Tidselbak","family":"Larsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas Munk","family":"Laursen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karyn","family":"Ayre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise M.","family":"Howard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Meltzer-Brody","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bodil Hammer","family":"Bech","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0786-7147","authenticated-orcid":false,"given":"Trine","family":"Munk-Olsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2019,7,12]]},"reference":[{"key":"S0033291719001661_ref28","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2014.16"},{"key":"S0033291719001661_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(16)00003-1"},{"key":"S0033291719001661_ref6a","doi-asserted-by":"publisher","DOI":"10.1177\/0004867412463737"},{"key":"S0033291719001661_ref32","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-016-0636-2"},{"key":"S0033291719001661_ref33a","volume-title":"Klassifikation af sygdomme: Udvidet dansk-latinsk udgave af verdenssundhedsorganisationens international klassifikation af sygdomme, skader og d\u00f8ds\u00e5rsager","year":"1976"},{"key":"S0033291719001661_ref4a","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1471-0528.2010.02847.x","article-title":"Saving Mothers' Lives: Reviewing maternal deaths to make motherhood safer: 2006\u20132008. 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