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Database - Alliance francophone pour l'accouchement respecté (AFAR)

Record ID : 94
Created on : 10/10/2003
Modified on : 2/12/2007

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URL of this record : http://afar.info/id=94

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Author(s) :

Bertil Jacobson & Marc Bygdeman

Year of publication :


Bibliographical entry (without author) :

Obstetric care and proneness of offspring to suicide as adults: case-control study. British Medical Journal 1998;317:1346-1349

Résumé (français) :

Abstract (English):

Objective: To investigate any long term effects of traumatic birth and obstetric procedures in relation
to suicide by violent means in offspring as adults.

Design: Prospective case-control study.

Setting: Stockholm, Sweden.

Subjects: 242 adults who committed suicide by violent means from 1978 to 1995, and who were born
in one of seven hospitals in Stockholm during 1945-80, matched with 403 biological siblings born during
the same period and at the same group of hospitals.

Main outcome measures: Adverse and beneficial perinatal factors expressed as relative risks (odds ratios) and 95% confidence intervals, derived from logistic regression of cases matched with their siblings.

Results: For multiple birth trauma the estimated relative risks of offspring subsequently committing suicide by violent means were 4.9 (95% confidence interval 1.8 to 13) for men and 1.04 (0.2 to 4.6) for women. In mothers who received multiple opiate treatment during delivery, the estimated relative risk of offspring subsequently committing suicide was equal for both sexes (0.26, 0.09 to 0.69).

Conclusion: Minimising pain and discomfort to the infant during birth seems to be of importance in reducing the risk of committing suicide by violent means as an adult.

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Argument (français) :

Argument (English):

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Keywords :

fetal distress ; traumatism ; psychology

Author of this record :

Bernard Bel

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