Singh Parvati, Crawford Alaxandria, Crow Sarah, Powell Jonathan R, Gallo Maria F
Division of Epidemiology, College of Public Health, The Ohio State University, 338 Cunz Hall, 1841 Neil Avenue, Columbus, OH, 43210, USA.
National Registry of Emergency Medical Technicians, Columbus, USA.
Soc Psychiatry Psychiatr Epidemiol. 2025 Apr 17. doi: 10.1007/s00127-025-02902-7.
The United States Supreme Court's Dobbs decision in June 2022 may have worsened mental health among reproductive-aged women nationally. We examined whether the Dobbs decision preceded an increase in suicides among reproductive-aged women using national, monthly data, from January 2018-December 2023.
We retrieved national monthly suicide counts from January 2018 to December 2023 for women and men 15-49 years of age (overall and stratified by two age groups- 15-24 years, 25-49 years) from the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research Multiple Cause of Death database. We used time series analyses to examine whether residuals of nationally aggregated counts of monthly suicides among women 15-49, 15-24- and 25-49-years of age (outcomes) exhibited higher-than-expected values following the Dobbs decision, controlling for autocorrelation and concomitant monthly series of suicides among men.
We observed higher-than-expected residuals of suicides in July and September 2022 among 15-49-year-old women, and in September, October, December 2022 and March 2023 among 15-24-year-old women. No residual outliers were observed among 25-49-year-old women post-Dobbs. Results from time-series analyses indicate an average of 52.5 additional suicides in outlier months among 15-49-year-old women post-Dobbs (95% confidence interval [CI]: 14.85, 90.15). The increase appeared pronounced among younger age (15-24 years) women (coefficient = 19.6, 95% CI: 11.17, 28.03). Results suggest 104 additional suicides among 15-49-year-old women, and 78 excess suicides among 15-24-year-old women, nationally, post-Dobbs.
Findings highlight the adverse impact of the Dobbs ruling on mental health among reproductive-aged women.
美国最高法院 2022 年 6 月做出的多布斯裁决可能使全国育龄妇女的心理健康状况恶化。我们利用 2018 年 1 月至 2023 年 12 月的全国月度数据，研究多布斯裁决是否先于育龄妇女自杀率上升。
我们从疾病控制与预防中心的广泛在线流行病学研究多死因数据库中检索了 2018 年 1 月至 2023 年 12 月 15 - 49 岁女性和男性的全国月度自杀人数（总体及按两个年龄组分层——15 - 24 岁、25 - 49 岁）。我们使用时间序列分析来检验 15 - 49 岁、15 - 24 岁和 25 - 49 岁女性（结果）每月自杀人数的全国汇总计数的残差在多布斯裁决后是否表现出高于预期的值，同时控制自相关以及男性每月自杀的伴随序列。
我们观察到 2022 年 7 月和 9 月 15 - 49 岁女性自杀残差高于预期，以及 2022 年 9 月、10 月、12 月和 2023 年 3 月 15 - 24 岁女性自杀残差高于预期。多布斯裁决后，25 - 49 岁女性中未观察到残差异常值。时间序列分析结果表明，多布斯裁决后，15 - 49 岁女性异常月份平均额外增加 52.5 例自杀（95%置信区间[CI]：14.85，90.15）。这种增加在年轻（15 - 24 岁）女性中似乎更为明显（系数 = 19.6，95% CI：11.17，28.03）。结果表明，全国范围内，多布斯裁决后，15 - 49 岁女性额外增加 104 例自杀，15 - 24 岁女性额外增加 78 例自杀。
研究结果突出了多布斯裁决对育龄妇女心理健康的不利影响。
