Duration of maternal mental health-related outcomes after an infant's death: A retrospective matched cohort study using linkable administrative data

2018 ◽  
Vol 35 (4) ◽  
pp. 305-312
Author(s):  
Elizabeth Wall-Wieler ◽  
Leslie L. Roos ◽  
James Bolton
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Administrative Data ◽  
Maternal Mental Health ◽  
Matched Cohort ◽  
Matched Cohort Study ◽  
Health Related ◽  
Linkable Administrative Data

scholarly journals Duration of maternal mental health-related outcomes after an infant’s death: A retrospective matched-cohort study using linkable administrative data

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Elizabeth Wall-Wieler ◽  
Leslie Roos ◽  
James Bolton
Keyword(s):  
Mental Health ◽  
Psychotropic Medication ◽  
Maternal Mental Health ◽  
Medication Use ◽  
First Year ◽  
Death Of A Child ◽  
Health Related ◽  
One Year ◽  
Child's Death ◽  
Linkable Administrative Data

IntroductionMothers have increased mental illness such as anxiety and depression after the death of a child. Objectives and ApproachThe mental health of all mothers who experience the death of an infant (< 1 years old) in Manitoba, Canada between April 1, 1999, and March 31, 2011 (n = 534) is examined in the four years leading up to, and the four years following, the death of their child to determine how long increased levels of mental-health realted outcomes remain elevated after the death of an infant. Mental health-related outcomes of these mothers are compared with a matched (3:1) cohort of mothers who did not experience the death of a child (n = 1,602). ResultsCompared with mothers who did not experience the death of a child, mothers experiencing this event had higher rates of anxiety diagnoses and psychotropic prescriptions starting 6 months before the death. Elevated rates of anxiety continued for the first year and elevated rates of psychotropic prescriptions continued for six months after the death of the child. Mothers who experienced the death of a child had higher rates of depression diagnoses in the year after the death. Relative rates (RR) of depression (RR = 4.94), anxiety (RR = 2.21), and psychotropic medication use (RR = 3.18) were highest in the six months after the child’s death. Conclusion/ImplicationsElevated rates of depression, anxiety, and psychotropic medication use after the death of a child end within one year of the child’s death.

scholarly journals Mental health: A cause or consequence of injury? A population-based matched cohort study

2006 ◽  
Vol 6 (1) ◽  
Author(s):  
Cate M Cameron ◽  
David M Purdie ◽  
Erich V Kliewer ◽  
Rod J McClure
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Population Based ◽  
Matched Cohort ◽  
Matched Cohort Study

scholarly journals Suicide and all-cause mortality in Swedish deployed military veterans: a population-based matched cohort study

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e014034 ◽  
Author(s):  
Carl-Martin Pethrus ◽  
Kari Johansson ◽  
Kristian Neovius ◽  
Johan Reutfors ◽  
Johan Sundström ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Mortality Risk ◽  
Military Veterans ◽  
Population Based ◽  
Physical Factors ◽  
Matched Cohort ◽  
Matched Cohort Study ◽  
All Cause Mortality ◽  
Age And Sex

ObjectiveTo investigate suicide and mortality risk in deployed military veterans versus non-deployed comparators who had gone through military conscription testing.DesignPopulation-based matched cohort study.SettingSweden.ParticipantsParticipants were identified from the Military Service Conscription Register and deployment status from the Swedish Military Information Personnel Register. Of 1.9 million conscripts, 21 721 had deployed at some time between 1990 and 2013 (deployed military veterans). Non-deployed comparators were matched to deployed military veterans in two ways: (1) by cognitive ability, psychological assessment, mental health, body mass index, sex, birth-year and conscription-year (carefully matched), with further adjustment for exercise capacity and suicide attempt history; and (2) by sex, birth-year and conscription-year (age- and sex-matched).Main outcomeSuicide retrieved from the Swedish National Patient and Causes of Death Register until 31 December 2013.ResultsDuring a median follow-up of 12 years, 39 and 211 deaths by suicide occurred in deployed military veterans (n=21 627) and carefully matched non-deployed comparators (n=107 284), respectively (15 vs 16/100 000 person-years; adjusted HR (aHR) 1.07; 95% CI 0.75 to 1.52; p=0.72) and 329 in age- and sex-matched non-deployed comparators (n=108 140; 25/100 000 person-years; aHR 0.59; 95% CI 0.42 to 0.82; p=0.002). There were 284 and 1444 deaths by suicide or attempted suicides in deployed military veterans and carefully matched non-deployed comparators, respectively (109 vs 112; aHR 0.99; 95% CI 0.88 to 1.13; p=0.93) and 2061 in age- and sex-matched non-deployed comparators (158; aHR 0.69; 95% CI 0.61 to 0.79; p<0.001). The corresponding figures for all-cause mortality for carefully matched non-deployed comparators were 159 and 820 (61 vs 63/100 000 person-years; aHR 0.97; 95% CI 0.82 to 1.15; p=0.71) and 1289 for age- and sex-matched non-deployed comparators (98/100 000 person-years; aHR 0.62; 95% CI 0.52 to 0.73; p<0.001).ConclusionDeployed military veterans had similar suicide and mortality risk as non-deployed comparators after accounting for psychological, psychiatric and physical factors. Studies of mental health in deployed veterans need to adjust for more factors than age and sex for comparisons to be meaningful.

Risk of Colorectal Cancer in Chronic Kidney Disease: A Matched Cohort Study Based on Administrative Data

2013 ◽  
Vol 20 (12) ◽  
pp. 3885-3891 ◽  
Author(s):  
Mei-Yi Wu ◽  
Tung-Cheng Chang ◽  
Tsu-Yi Chao ◽  
Ming-Te Huang ◽  
Hui-Wen Lin
Keyword(s):  
Colorectal Cancer ◽  
Chronic Kidney Disease ◽  
Cohort Study ◽  
Kidney Disease ◽  
Administrative Data ◽  
Matched Cohort ◽  
Matched Cohort Study

scholarly journals Trends in mental health related contacts among mothers of Aboriginal children in Western Australia (1990–2013): a linked data population-based cohort study of over 40 000 children

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e027733 ◽  
Author(s):  
Fernando Lima ◽  
Carrington Shepherd ◽  
Janice Wong ◽  
Melissa O’Donnell ◽  
Rhonda Marriott
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Western Australia ◽  
Mental Health Problems ◽  
Aboriginal People ◽  
Maternal Mental Health ◽  
Health Issues ◽  
Mental Health Issues ◽  
Health Related ◽  
Aboriginal Children

ObjectiveThis study examines the scale of maternal mental health related contacts among Australian Aboriginal children over time, and associations with socio-economic characteristics, geographical remoteness and maternal age.DesignA retrospective cohort study of the prevalence of maternal mental health related contacts among Aboriginal children born in Western Australia between 1990 and 2013.SettingPopulation of Western Australia with de-identified linked administrative data from the Western Australian Department of Health.ParticipantsAll Aboriginal children born in Western Australia between 1990 and 2013 and their mothers.Primary outcome measurePrevalence of maternal mental health related contacts among Aboriginal children born between 1990 and 2013. Mental health related contacts were identified using mental health related inpatient hospitalisations and outpatient contacts.ResultsAlmost 30% of cohort children were born to a mother with at least one mental health contact in the 5 years prior to birth, with 15% reported in the year prior to birth and the year post birth. There was a distinct increase in the prevalence of maternal mental health contacts between 1990 and 2013 (4–5% per year, with a peak in 2007). Maternal mental health contacts were associated with living in more disadvantaged areas and major cities, and having a mother aged over 20 years at birth.ConclusionsThe study affirms that mental health issues place a considerable burden on Aboriginal Australia, and suggests that many of the mental health issues that women develop earlier in life are chronic at the time of conception, during pregnancy and at birth. Early intervention and support for women in the earliest stages of family planning are required to alleviate the burden of mental health problems at birth and after birth. There is a clear need for policies on the development of a holistic healthcare model, with a multisector approach, offering culturally appropriate services for Aboriginal people.

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