RT Journal
A1 Munk-Olsen T, Laursen T, Pedersen CB, Lidegaard Ø, Mortensen P
T1 FIrst-time first-trimester induced abortion and risk of readmission to a psychiatric hospital in women with a history of treated mental disorder
JF Archives of General Psychiatry
JO Archives of General Psychiatry
YR 2012
FD February 1
VO 69
IS 2
SP 159
OP 165
DO 10.1001/archgenpsychiatry.2011.153
UL http://dx.doi.org/10.1001/archgenpsychiatry.2011.153
AB Context 
                  Mental health problems are associated with women's reproductive decisions and predict poor mental health outcomes after abortion and childbirth.Objectives 
                  To study whether having a first-trimester induced abortion influenced the risk of psychiatric readmission and compare findings with readmission risk in women with mental disorders giving birth.Design 
                  Survival analyses were performed in a population-based cohort study merging data from the Danish Civil Registration System, the Danish Psychiatric Central Register, and the Danish National Hospital Register from January 1,1994, to December 31, 2007.Setting 
                  Denmark.Participants 
                  All women born in Denmark between 1962 and 1992 with a record of 1 or more psychiatric admissions at least 9 months before a first-time first-trimester induced abortion or childbirth.Main Outcome Measure 
                  Readmission at a psychiatric hospital with any type of mental disorder from 9 months before to 12 months after a first-time first-trimester induced abortion or childbirth.Results 
                  Relative risk (RR) for readmission risk 9 to 0 months before a first-trimester induced abortion was 0.95 (95% CI, 0.73-1.23) compared with the first year after the abortion. This contrasts with a reduced risk of readmission before childbirth (RR, 0.56; 95% CI, 0.42-0.75) compared with the first year post partum. Proximity to previous psychiatric admission in particular predicted rehospitalization risks in both the abortion and the childbirth group.Conclusions 
                  Risk of readmission is similar before and after first-time first-trimester abortion, contrasting with a marked increased in risk of readmission post partum. We speculate that recent psychiatric episodes may influence women's decisions to have an induced abortion; however, this decision does not appear to influence the illness course in women with a history of treated mental disorders.