Suicide in Danish women evaluated for fertility problems
| Autor: | Christoffer Johansen, Susanne K. Kjaer, Susanne Oksbjerg Dalton, Sven Schmiedel, Trille Kristina Kjaer, Allan Jensen |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Infertility medicine.medical_specialty Denmark media_common.quotation_subject Population Poison control Fertility Anxiety Risk Assessment Suicide prevention Humans Medicine Longitudinal Studies Psychiatry education media_common education.field_of_study Depression business.industry Rehabilitation Hazard ratio Obstetrics and Gynecology medicine.disease Suicide Treatment Outcome Risk Estimate Reproductive Medicine Cohort Regression Analysis Female business Infertility Female Stress Psychological Demography |
| Zdroj: | Kjaer, T K, Jensen, A, Dalton, S O, Johansen, C, Schmiedel, S & Kjaer, S K 2011, ' Suicide in Danish women evaluated for fertility problems ', Human Reproduction, vol. 26, no. 9, pp. 2401-2407 . https://doi.org/10.1093/humrep/der188 |
| ISSN: | 1460-2350 0268-1161 |
| DOI: | 10.1093/humrep/der188 |
| Popis: | Background: Women with fertility problems often experience higher levels of stress, anxiety and depressive symptoms associated with both the infertility diagnosis and eventual fertility treatment. The authors investigated whether women who do not succeed in having a child after an infertility evaluation are at a higher risk of suicide than women who succeed in having a child after an infertility evaluation. Methods: A cohort of 51 221 Danish women with primary or secondary infertility and referred to hospitals or private fertility clinics in Denmark during 1973-1998 was established. The cohort was linked to four Danish administrative population-based registries. Each woman was followed from the date of her initial fertility evaluation at the clinic or hospital until 2006. Cox proportional hazards regression analyses was used to calculate hazard ratios (HRs) for suicide and their corresponding 95% confidence intervals (CIs) adjusted for potential confounders. Results: Women who did not have a child after an initial fertility evaluation had a >2-fold (HR: 2.43; 95% CI: 1.38-3.71) greater risk of suicide than women who had at least one child after a fertility evaluation. Women with secondary infertility, i.e. women who had a child before a fertility evaluation but did not succeed in having one after, also had an increased risk for suicide (HR: 1.68; 95% CI, 0.82-3.41) compared with women who succeeded in having another child, although the risk estimate failed to reach significance. Conclusions: Health-care personnel treating women with fertility problems should be aware of the emotional response of their patients in order to recognize and treat possible psychiatric morbidity after fertility problems. |
| Databáze: | OpenAIRE |
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