{"doi":"10.1111/sltb.70030","title":"Self‐Injurious Thoughts and Behaviors From Pregnancy to Postpartum: Risk Factors and Clinical Implications","abstract":"OBJECTIVE: Suicide 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. METHODS: Participants (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. RESULT: While 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. CONCLUSION: Findings support interventions addressing childhood trauma and emotion dysregulation for prevention of SITBs before postpartum, when risk is higher.","journal":"Suicide and Life-Threatening Behavior","year":2025,"id":525982,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9319,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":721683,"name":"Parisa R. Kaliush","orcid":"0000-0001-7911-0955","position":1,"is_corresponding":false},{"id":1401506,"name":"Simone Oliveira Mendes","orcid":null,"position":2,"is_corresponding":false},{"id":1119398,"name":"Ashley E. Pappal","orcid":null,"position":3,"is_corresponding":false},{"id":1290229,"name":"Kira R. Wright","orcid":null,"position":4,"is_corresponding":false},{"id":916568,"name":"Anna M. Zhou","orcid":"0000-0003-3407-625X","position":5,"is_corresponding":false},{"id":371695,"name":"Kevin M. King","orcid":"0000-0001-8358-9946","position":6,"is_corresponding":false},{"id":721684,"name":"Elisabeth Conradt","orcid":"0000-0002-9808-1915","position":7,"is_corresponding":false},{"id":267630,"name":"Sheila E. Crowell","orcid":"0000-0003-1296-6614","position":8,"is_corresponding":false},{"id":1118902,"name":"Nicolette C. Molina","orcid":"0000-0001-8825-2648","position":0,"is_corresponding":true}],"reference_count":101,"raw_metadata":null,"created_at":"2026-07-19T02:50:25.860105Z","pmid":"40509983","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}