Evidence map›Paper›PMID 40509983›Full record

ArticleSuicide & life-threatening behavior2025

Self-Injurious Thoughts and Behaviors From Pregnancy to Postpartum: Risk Factors and Clinical Implications.

Nicolette C Molina, Parisa R Kaliush, Simone Mendes, Ashley E Pappal, Kira R Wright, Anna M Zhou, Kevin M King, Elisabeth Conradt, Sheila E Crowell

Abstract read
In one paragraph

Article in Suicide & life-threatening behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nicolette C MolinaDepartment of Psychology, University of Oregon, Eugene, Oregon, USA.ORCID https://orcid.org/0000-0001-8825-2648
Parisa R KaliushDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0001-7911-0955
Simone MendesDepartment of Psychology, University of Oregon, Eugene, Oregon, USA.
Ashley E PappalDepartment of Psychology, University of Utah, Salt Lake City, Utah, USA.
Kira R WrightDepartment of Psychology, University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0009-0002-2378-2685
Anna M ZhouDepartment of Psychology, University of Denver, Denver, Colorado, USA.ORCID https://orcid.org/0000-0003-3407-625X
Kevin M KingDepartment of Psychology, University of Washington, Seattle, Washington, USA.ORCID https://orcid.org/0000-0001-8358-9946
Elisabeth ConradtDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, North Carolina, USA.
Sheila E CrowellDepartment of Psychology, University of Oregon, Eugene, Oregon, USA.ORCID https://orcid.org/0000-0003-1296-6614

Funding

Development of Psychopathology, Psychobiology, & BehaviorT32MH015442 · NIMH · UNIVERSITY OF COLORADO DENVER · PI JASON R TREGELLAS · 1985 to 2026
$10.2M
Emotion dysregulation across generations: Identifying early developmental and clinical indicators of riskR01MH119070 · NIMH · UNIVERSITY OF UTAH · PI CONRADT, LIZ D, CROWELL, SHEILA E. · 2019 to 2023
$3.9M
Advancing the science and technology of prenatal programing researchR21MH109777 · NIMH · UNIVERSITY OF UTAH · PI CROWELL, SHEILA E. · 2016 to 2017
$384k
NIMH NIH HHS R01 MH119070NIMH NIH HHS R01MH119070NIMH NIH HHS R21 MH109777NIMH NIH HHS R21MH109777NIMH NIH HHS T32 MH015442
6 · The paper itself

Abstract

objectiveSuicide is a leading cause of mortality among perinatal populations. Despite increasing rates, research on this topic remains limited. This paper examined (1) change in self-injurious thoughts and behaviors (SITBs) from pregnancy to postpartum, (2) associations between risk factors and SITBs, and (3) whether risk factors moderated change in SITBs.

methodsParticipants (N = 223) reported on SITBs, emotion dysregulation, and partner stress at the third trimester and 7 months postpartum, and childhood trauma at the third trimester. We tested study aims with generalized linear models.

resultWhile self-injurious thoughts did not change from pregnancy to postpartum, the odds of self-injurious behaviors were 3.56 times higher postpartum (OR = 3.56, p = 0.011), even while accounting for risk factors. Higher concurrent emotion dysregulation was associated with self-injurious thoughts during pregnancy and postpartum (OR = 1.04, p < 0.001; OR = 1.05, p < 0.001) and with behaviors postpartum (OR = 1.05, p = 0.002). Childhood trauma was associated with self-injurious thoughts during pregnancy (OR = 2.54, p = 0.004) and postpartum (OR = 2.05, p = 0.028) and with behaviors postpartum (OR = 3.25, p = 0.009). Partner relationship conflict was not associated with self-injurious thoughts or behaviors at either time point. Higher rates of prenatal risk factors increased the odds of SITBs in the postpartum period.

conclusionFindings support interventions addressing childhood trauma and emotion dysregulation for prevention of SITBs before postpartum, when risk is higher.

Indexed as

Emotional RegulationPostpartum PeriodSelf-Injurious BehaviorSuicidal IdeationAdultFemaleHumansPregnancyRisk FactorsYoung Adultchildhood traumaemotion dysregulationpartner relationship conflictpostpartumpregnancyself‐injurious behaviorsself‐injurious thoughts

Identifiers

PMID40509983
PMCPMC12163696

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.