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Pregnancy-associated homicide, suicide and unintentional opioid-involved overdose deaths, North Carolina 2018–2019
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10 01 2024
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Source: Inj Prev. 30(5):393-399
Details:
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Alternative Title:Inj Prev
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Personal Author:
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Description:Objective:
Rates of death due to homicide, suicide, and overdose during pregnancy and the first year postpartum have increased substantially in the United States in recent years. The aims of this study were to use 2018–2019 data on deaths identified for review by the North Carolina Maternal Mortality Review Committee (NC-MMRC) and data from the North Carolina Violent Death Reporting System (NC-VDRS) and Statewide Unintentional Drug Overdose Reporting System (NC-SUDORS) to examine homicide, suicide, and unintentional opioid-involved overdose deaths during pregnancy and the first year postpartum.
Methods:
We linked data from the 2018–2019 NC-MMRC to suicide and homicide deaths among women ages 10–50 years from the 2018–2019 NC-VDRS and to unintentional opioid-involved overdose deaths among women ages 10–50 years from the 2018–2019 NC-SUDORS. We conducted descriptive analyses to examine the prevalence of demographic characteristics and circumstances surrounding each cause of death.
Results:
From 2018–2019 in North Carolina, there were 23 homicide, 9 suicide, and 36 unintentional opioid-involved overdose deaths (9.7, 3.8, and 15.1 per 100,000 live births, respectively) during pregnancy and the first year postpartum. Most homicide deaths (87.0%) were by firearm, and more than half (52.5%) were related to IPV. More than two-thirds of women who died by suicide had a current mental health problem (77.8%). Less than one-fourth (22.2%) who died by unintentional opioid-involved overdose had a known history of substance use disorder treatment.
Conclusion:
Our approach to quantifying and describing these causes of pregnancy-associated death can serve as a framework for other states to inform data-driven prevention.
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Subjects:
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Source:
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Pubmed ID:38195655
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Pubmed Central ID:PMC11231051
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Document Type:
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Funding:
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Volume:30
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Issue:5
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Supporting Files:No Additional Files
