{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T13:47:44Z","timestamp":1773236864248,"version":"3.50.1"},"reference-count":18,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":8190,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1995,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>We investigated whether reported psychiatric morbidity was increased after termination of pregnancy compared with other outcomes of an unplanned pregnancy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This was a prospective cohort study of 13 261 women with an unplanned pregnancy. Psychiatric morbidity reported by GPs after the conclusion of the pregnancy was compared in four groups: women who had a termination of pregnancy (6410), women who did not request a termination (6151), women who were refused a termination (379), and women who changed their minds before the termination was performed (321).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Rates of total reported psychiatric disorder were no higher after termination of pregnancy than after childbirth. Women with a previous history of psychiatric illness were most at risk of disorder after the end of their pregnancy, whatever its outcome. Women without a previous history of psychosis had an apparently lower risk of psychosis after termination than postpartum (relative risk RR = 0.4, 95% confidence interval CI = 0.3\u20130.7), but rates of psychosis leading to hospital admission were similar. In women with no previous history of psychiatric illness, deliberate self-harm (DSH) was more common in those who had a termination (RR 1.7, 95%CI 1.1\u20132.6), or who were refused a termination (RR 2.9, 95%CI 1.3\u20136.3).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings on DSH are probably explicable by confounding variables, such as adverse social factors, associated both with the request for termination and with subsequent self-harm. No overall increase in reported psychiatric morbidity was found.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.167.2.243","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T01:31:20Z","timestamp":1224034280000},"page":"243-248","source":"Crossref","is-referenced-by-count":78,"title":["Termination of Pregnancy and Psychiatric Morbidity"],"prefix":"10.1192","volume":"167","author":[{"given":"Anne C.","family":"Gilchrist","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip C.","family":"Hannaford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Frank","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clifford R.","family":"Kay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000064412_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/0037-7856(77)90002-6"},{"key":"S0007125000064412_ref11","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.5.662"},{"key":"S0007125000064412_ref6","first-page":"427","article-title":"Psychiatric aspects of therapeutic abortion","volume":"125","author":"Doane","year":"1981","journal-title":"Canadian Medical Journal"},{"key":"S0007125000064412_ref13","volume-title":"Conceptions in England and Wales 1991: residents of regional and district health authority areas.","year":"1994"},{"key":"S0007125000064412_ref1","doi-asserted-by":"publisher","DOI":"10.2307\/2133974"},{"key":"S0007125000064412_ref10","first-page":"473","article-title":"Characteristics of women recruited to a long-term study of the sequelae of induced abortion","volume":"31","author":"Kay","year":"1981","journal-title":"Journal of the Royal College of General Practitioners"},{"key":"S0007125000064412_ref3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.6059.476"},{"key":"S0007125000064412_ref14","first-page":"683","article-title":"Predicting the psychological consequences of abortion","volume":"13A","author":"Shusterman","year":"1979","journal-title":"Social Science A Medicine"},{"key":"S0007125000064412_ref16","volume-title":"Manual of the International Statistical Classification of Diseases, Injuries, and Causes of Death, 1965 revision","year":"1967"},{"key":"S0007125000064412_ref4","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1176\/ajp.148.5.578","article-title":"The psychological sequelae of therapeutic abortion-denied and completed","volume":"148","author":"Dagg","year":"1991","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000064412_ref7","doi-asserted-by":"publisher","DOI":"10.1002\/pd.1970110109"},{"key":"S0007125000064412_ref18","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.160.6.742"},{"key":"S0007125000064412_ref5","doi-asserted-by":"publisher","DOI":"10.2307\/2134703"},{"key":"S0007125000064412_ref9","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.128.1.74"},{"key":"S0007125000064412_ref17","doi-asserted-by":"publisher","DOI":"10.2307\/2135377"},{"key":"S0007125000064412_ref12","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4679(198104)37:2<276::AID-JCLP2270370208>3.0.CO;2-H"},{"key":"S0007125000064412_ref8","first-page":"125","volume-title":"Suicide in Pregnancy","author":"Gabrielson","year":"1984"},{"key":"S0007125000064412_ref15","first-page":"63","volume-title":"Suicide in Pregnancy","author":"Whitlock","year":"1984"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000064412","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,13]],"date-time":"2019-05-13T17:23:10Z","timestamp":1557768190000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000064412\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1995,8]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1995,8]]}},"alternative-id":["S0007125000064412"],"URL":"https:\/\/doi.org\/10.1192\/bjp.167.2.243","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1995,8]]}}}