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Adverse perinatal conditions were associated with risk of suicide by violent means for men

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Question Are traumatic birth and obstetric procedures associated with risk of suicide by violent means in offspring as adults?

Design

Case control study.

Setting

Stockholm, Sweden.

Participants

Cases were 242 adults who committed suicide by violent means between 1978 and 1995 and who were born between 1945 and 1980. Controls were 403 matched biological siblings.

Assessment of risk factors

A trauma score was calculated by adding the number of instances when any of the following occurred: presentation other than vertex, meconium stained amniotic fluid and membranes, instrumental delivery or internal version, and resuscitation and other complications usually requiring ward care. Opiate use within 24 hours of birth was also recorded. Data from the birth records were extracted by midwives …

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