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Self-Harm in the Perinatal Period

 Self-Harm in the Perinatal Period

Suicide is a significant cause of maternal deaths and frequently preceded by self-harm during the perinatal period (pregnancy and the year post-birth). However little is known about the prevalence, risk factors and consequences of perinatal self-harm (PSH) itself. We therefore aim to investigate, in (a) the general population, and (b) secondary mental-healthcare service-users, the prevalence and risk factors for PSH and estimate the extent to which PSH is associated with later suicide.

We will carry out a systematic review and two cohort studies. The first cohort study, is of women with hospital deliveries >24-weeks gestation (1996–2011) and ICD coded PSH contacts with outpatient, inpatient and A&E departments of medical/psychiatric hospitals, using national registry data from the National Center for Register-Based Research in Denmark. The second cCohort study  uses secondary mental-healthcare data  of service users with hospital deliveries >24-weeks gestation (2007–2014), and ICD-coded/free-text PSH events, using clinical informatics (using comprehensive de-identified mental-healthcare records of South London and Maudsley NHS Foundation Trust service-users (the Clinical Records Interactive Search system see

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