Etable 2. ICD-9-CM Diagnosis Codes Used to Identify Depression Diagnoses

eTable 1. ICD-9-CM diagnosis and procedure codes, DRG codes used to determine pregnancy- and delivery-related hospitalizations

eTable 2. ICD-9-CM diagnosis codes used to identify depression diagnoses

eTable 3a. Characteristics of pregnant women with suicidal ideation-related hospitalizations

eTable 3b. Characteristics of pregnant women with suicide- and self-inflicted injury-related hospitalizations

eTable 4. Suicidal behavior-related hospitalizations according to age groups among pregnant women

eTable 5. Suicidal behavior-related hospitalizations according to race among pregnant women

eTable 5a. Suicidal ideation-related hospitalizations according to race among pregnant women

eTable 5b. Suicide- and self-inflicted injury-related hospitalizations according to race among pregnant women

eTable6. Suicidal behavior-related hospitalizations according to median household income quartiles for patient zipcode among pregnant women

eTable6a. Suicidal ideation-related hospitalizations according to median household income quartiles for patient zipcode among pregnant women

eTable6b. Suicide- and self-inflicted injury-related hospitalizations according to median household income quartiles for patient zipcode among pregnant women

eTable 7. Suicidal behavior-related hospitalizations according to race and median household income quartiles for patient zip code among pregnant women

eTable 7a. Suicidal ideation-related hospitalizations according to race and median household income quartiles for patient zip code among pregnant women

eTable 7b. Suicide- and self-inflicted injury-related hospitalizations according to race and median household income quartiles for patient zip code among pregnant women

eTable 8. Suicidal behavior-related hospitalizations according to depression diagnoses among pregnant women

eTable 8a. Suicidal ideation-related hospitalizations according to depression status among pregnant women

eTable 8b. Suicide- and self-inflicted injury-related hospitalizations according to depression status among pregnant women

eFigure 1. National trends in annual numbers of suicidal-behavior related hospitalizations among pregnant women

eFigure 2. Suicidal behavior-related hospitalizations according to median household income quartiles for patient zipcode among pregnant women

eFigure 3. Suicidal behavior-related hospitalizations according to depression diagnoses among pregnant women

eTable 1. International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis and procedure codes, Diagnosis-Related Group (DRG) codes used to determine pregnancy- and delivery-related hospitalizations

ICD-9-CM Diagnosis codes:
630-639 / Ectopic and molar pregnancy and other pregnancy with abortive outcome
640-649 / Complications mainly related to pregnancy
650-659 / Normal delivery, and other indications for care in pregnancy, labor, and delivery
660-669 / Complications occurring mainly in the course of labor and delivery
670-677 / Complications of the puerperium
679.0 / Maternal complications from in utero procedures
V22 / Normal pregnancy
V23 / Supervision of high-risk pregnancy
V24 / Postpartum care and examination
V27 / Outcome of delivery
V28 / Encounter for antenatal screening of mother
796.5 / Abnormal finding on antenatal screening
792.3 / Nonspecific abnormal findings in amniotic fluid
768.1 / Fetal death from asphyxia or anoxia during labor
768.0 / Fetal death from asphyxia or anoxia before onset of labor or at unspecified time
ICD-9-CM Procedure codes:
72 / Forceps, vacuum, and breech delivery
73 / Other procedures inducing or assisting delivery
74 / Cesarean section and removal of fetus
75 / Other obstetric operations
66.62 / Salpingectomy with removal of tubal pregnancy
69.01 / Dilation and curettage for termination of pregnancy
69.02 / Dilation and curettage following delivery or abortion
69.51 / Aspiration curettage of uterus for termination of pregnancy
69.52 / Aspiration curettage following delivery or abortion
87.81 / X-ray of gravid uterus
92.17 / Placental scan
DRG codes:
370 / Cesarean section with complications, comorbidities
371 / Cesarean section without complications, comorbidities
372 / Vaginal delivery with complicating diagnoses
373 / Vaginal delivery without complicating diagnoses
374 / Vaginal delivery with sterilization&/or dilation & curettage
375 / Vaginal delivery with operating room procedure except sterilization &/or dilation& curettage
376 / Postpartum & post abortion diagnoses without operating room procedure
377 / Postpartum & post abortion diagnoses with operating room procedure
378 / Ectopic pregnancy
379 / Threatened abortion
380 / Abortion without dilation& curettage
381 / Abortion with dilation & curettage, aspiration curettage or hysterectomy
382 / False labor
383 / Other antepartum diagnoses with medical complications
384 / Other antepartum diagnoses without medical complications

eTable 2. International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes used to identify depression diagnoses

ICD-9-CM Diagnosis codes:
296.2 / Major depressive disorder, single episode
296.3 / Major depressive disorder, recurrent episode
296.82 / Atypical depressive disorder
300.4 / Dysthymic disorder
301.12 / Chronic depressive personality disorder
309.0 / Adjustment disorder with depressed mood
309.1 / Prolonged depressive reaction
309.28 / Adjustment disorder with mixed anxiety and depressed mood
311 / Depressive disorder, not elsewhere classified

1 | Page

eTable 3a. Characteristics of pregnant women with suicidal ideation-related hospitalizations, USA, 2006-2012

Characteristics / 2006 / 2007 / 2008 / 2009 / 2010 / 2011 / 2012 / P valuea
N / % / N / % / N / % / N / % / N / % / N / % / N / %
Suicidal ideation-related hospitalizations (n) / 2214 / 2642 / 3426 / 3941 / 4354 / 4602 / 4805
Age, mean±SE, year / 26.5±0.4 / 25.9±0.3 / 25.7±0.2 / 26.6±0.2 / 26.0±0.2 / 26.4±0.2 / 26.0±0.2 / 0.26
Age categories, year
12-18 / 224 / 10.1 / 219 / 8.3 / 309 / 9.0 / 310 / 7.9 / 458 / 10.5 / 358 / 7.8 / 445 / 9.3 / 0.05
19-24 / 716 / 32.3 / 1019 / 38.6 / 1241 / 36.2 / 1441 / 36.6 / 1703 / 39.1 / 1583 / 34.4 / 1760 / 36.6
25-29 / 560 / 25.3 / 705 / 26.7 / 966 / 28.2 / 957 / 24.3 / 893 / 20.5 / 1275 / 27.7 / 1195 / 24.9
30-34 / 414 / 18.7 / 416 / 15.7 / 619 / 18.1 / 664 / 16.8 / 785 / 18.0 / 897 / 19.5 / 1005 / 20.9
35-39 / 222 / 10.0 / 233 / 8.8 / 230 / 6.7 / 464 / 11.8 / 392 / 9.0 / 308 / 6.7 / 280 / 5.8
40-55 / 77 / 3.5 / 50 / 1.9 / 61 / 1.8 / 107 / 2.7 / 123 / 2.8 / 183 / 4.0 / 120 / 2.5
Race
White / 912 / 41.2 / 1095 / 41.5 / 1409 / 41.1 / 1519 / 38.5 / 1787 / 41.1 / 1968 / 42.8 / 2130 / 44.3 / <0.0001
Black / 443 / 20.0 / 458 / 17.3 / 649 / 19.0 / 861 / 21.8 / 1210 / 27.8 / 1139 / 24.8 / 1360 / 28.3
Hispanic / 207 / 9.4 / 261 / 9.9 / 262 / 7.6 / 513 / 13.0 / 471 / 10.8 / 473 / 10.3 / 620 / 12.9
Asian or Pacific Islander / 9 / 0.4 / 38 / 1.5 / 13 / 0.4 / 43 / 1.1 / 83 / 1.9 / 107 / 2.3 / 75 / 1.6
Native American / 14 / 0.6 / 9 / 0.3 / 28 / 0.8 / 10 / 0.2 / 30 / 0.7 / 39 / 0.8 / 35 / 0.7
Other / 93 / 4.2 / 123 / 4.7 / 49 / 1.4 / 74 / 1.9 / 142 / 3.3 / 240 / 5.2 / 250 / 5.2
Missing / 535 / 24.2 / 658 / 24.9 / 1016 / 29.7 / 921 / 23.4 / 632 / 14.5 / 637 / 13.8 / 335 / 7.0
Median household income quartiles for patient zip code
Quartile 1 (poorest) / 745 / 33.7 / 881 / 33.4 / 1192 / 34.8 / 1544 / 39.2 / 1734 / 39.8 / 1783 / 38.7 / 1895 / 39.4 / 0.20
Quartile 2 / 531 / 24.0 / 673 / 25.5 / 988 / 28.8 / 914 / 23.2 / 1163 / 26.7 / 1135 / 24.7 / 1155 / 24.0
Quartile 3 / 419 / 18.9 / 523 / 19.8 / 702 / 20.5 / 764 / 19.4 / 743 / 17.1 / 963 / 20.9 / 980 / 20.4
Quartile 4 (wealthiest) / 465 / 21.0 / 492 / 18.6 / 478 / 14.0 / 573 / 14.5 / 569 / 13.1 / 622 / 13.5 / 700 / 14.6
Missing / 54 / 2.4 / 73 / 2.8 / 65 / 1.9 / 146 / 3.7 / 146 / 3.4 / 99 / 2.2 / 75 / 1.6
Expected primary payer
Medicare / 144 / 6.5 / 156 / 5.9 / 147 / 4.3 / 222 / 5.6 / 208 / 4.8 / 363 / 7.9 / 315 / 6.6 / 0.21
Medicaid / 1179 / 53.3 / 1483 / 56.1 / 1868 / 54.5 / 2332 / 59.2 / 2634 / 60.5 / 2685 / 58.3 / 2865 / 59.6
Private insurance / 512 / 23.1 / 605 / 22.9 / 942 / 27.5 / 956 / 24.2 / 1028 / 23.6 / 1089 / 23.7 / 1120 / 23.3
Self-pay / 223 / 10.1 / 219 / 8.3 / 262 / 7.6 / 249 / 6.3 / 258 / 5.9 / 241 / 5.2 / 265 / 5.5
Otherb / 155 / 7.0 / 169 / 6.4 / 189 / 5.5 / 164 / 4.2 / 207 / 4.7 / 210 / 4.5 / 230 / 4.8
Missing / 0 / 0.0 / 10 / 0.4 / 17 / 0.5 / 19 / 0.5 / 20 / 0.4 / 14 / 0.3 / 10 / 0.2
Length of stay, mean±SE, day / 4.6±0.2 / 5.2±0.6 / 4.1±0.2 / 4.3±0.2 / 4.4±0.2 / 4.6±0.2 / 4.7±0.2 / 0.76
Total chargesc, mean±SE, dollar / 12231±1087 / 12279±1075 / 10587±603 / 14091±1331 / 13971±1091 / 14643±883 / 15482±1254 / 0.05
With depressiondiagnoses / 1533 / 69.2 / 1723 / 65.2 / 2183 / 63.7 / 2473 / 62.7 / 2848 / 65.4 / 2768 / 60.1 / 2985 / 62.1 / 0.03

Weighted column percentages may not total 100 because of rounding.

Abbreviations: SE, standard error

a Significance test was performed to compare the distributions between 2006 and 2012. P value was calculated using the Wald Chi-square test for categorical variables and the t-test for continuous variables.

b Other includes no charges.

c Total charges were adjusted for inflation to reflect 2012 dollars.

eTable 3b. Characteristics of pregnant women with suicide- and self-inflicted injury-related hospitalizations, USA, 2006-2012

Characteristics / 2006 / 2007 / 2008 / 2009 / 2010 / 2011 / 2012 / P valuea
N / % / N / % / N / % / N / % / N / % / N / % / N / %
Suicide- and self-inflicted injury-related hospitalizations (n) / 1484 / 1596 / 1693 / 1471 / 1724 / 1335 / 1365
Age, mean±SE, year / 24.9±0.4 / 24.7±0.3 / 24.7±0.3 / 24.9±0.3 / 24.9±0.3 / 25.2±0.4 / 25.2±0.4 / 0.66
Age categories, year
12-18 / 239 / 16.1 / 215 / 13.5 / 214 / 12.7 / 180 / 12.2 / 199 / 11.5 / 153 / 11.4 / 165 / 12.1 / 0.25
19-24 / 551 / 37.1 / 663 / 41.6 / 699 / 41.3 / 597 / 40.6 / 740 / 42.9 / 555 / 41.6 / 530 / 38.8
25-29 / 318 / 21.4 / 365 / 22.9 / 427 / 25.2 / 356 / 24.2 / 389 / 22.6 / 285 / 21.3 / 325 / 23.8
30-34 / 262 / 17.6 / 246 / 15.4 / 234 / 13.8 / 247 / 16.8 / 279 / 16.2 / 228 / 17.0 / 255 / 18.7
35-39 / 62 / 4.2 / 84 / 5.3 / 91 / 5.4 / 63 / 4.3 / 63 / 3.7 / 95 / 7.2 / 80 / 5.9
40-55 / 52 / 3.5 / 22 / 1.4 / 28 / 1.7 / 28 / 1.9 / 54 / 3.1 / 19 / 1.4 / 10 / 0.7
Race
White / 581 / 39.2 / 602 / 37.7 / 747 / 44.1 / 562 / 38.2 / 786 / 45.6 / 582 / 43.6 / 650 / 47.6 / 0.0001
Black / 233 / 15.7 / 190 / 11.9 / 290 / 17.1 / 255 / 17.3 / 365 / 21.2 / 245 / 18.4 / 280 / 20.5
Hispanic / 226 / 15.2 / 245 / 15.4 / 188 / 11.1 / 244 / 16.6 / 232 / 13.4 / 219 / 16.4 / 240 / 17.6
Asian or Pacific Islander / 14 / 1.0 / 27 / 1.7 / 22 / 1.3 / 21 / 1.4 / 54 / 3.1 / 42 / 3.1 / 40 / 2.9
Native American / 43 / 2.9 / 10 / 0.6 / 10 / 0.6 / 14 / 0.9 / 16 / 0.9 / 21 / 1.6 / 30 / 2.2
Other / 48 / 3.3 / 60 / 3.8 / 71 / 4.2 / 50 / 3.4 / 66 / 3.8 / 50 / 3.8 / 50 / 3.7
Missing / 337 / 22.7 / 461 / 28.9 / 367 / 21.7 / 326 / 22.2 / 205 / 11.9 / 176 / 13.2 / 75 / 5.5
Median household income quartiles for patient zip code
Quartile 1 (poorest) / 486 / 32.8 / 494 / 31.0 / 572 / 33.8 / 630 / 42.9 / 608 / 35.2 / 471 / 35.3 / 555 / 40.7 / 0.39
Quartile 2 / 446 / 30.1 / 463 / 29.0 / 447 / 26.4 / 335 / 22.7 / 443 / 25.7 / 452 / 33.9 / 380 / 27.8
Quartile 3 / 328 / 22.1 / 328 / 20.5 / 322 / 19.0 / 280 / 19.0 / 417 / 24.2 / 234 / 17.5 / 250 / 18.3
Quartile 4 (wealthiest) / 176 / 11.8 / 283 / 17.7 / 319 / 18.9 / 179 / 12.1 / 216 / 12.5 / 159 / 11.9 / 155 / 11.4
Missing / 48 / 3.2 / 29 / 1.8 / 32 / 1.9 / 47 / 3.2 / 40 / 2.3 / 19 / 1.4 / 25 / 1.8
Expected primary payer
Medicare / 44 / 3.0 / 43 / 2.7 / 147 / 4.3 / 60 / 4.1 / 64 / 3.7 / 58 / 4.3 / 80 / 5.9 / 0.01
Medicaid / 750 / 50.6 / 755 / 47.3 / 1868 / 54.5 / 891 / 60.6 / 1020 / 59.2 / 766 / 57.4 / 835 / 61.2
Private insurance / 434 / 29.2 / 480 / 30.1 / 942 / 27.5 / 238 / 16.2 / 344 / 20.0 / 319 / 23.9 / 290 / 21.2
Self-pay / 179 / 12.0 / 253 / 15.9 / 262 / 7.6 / 192 / 13.1 / 148 / 8.6 / 126 / 9.5 / 125 / 9.2
Otherb / 77 / 5.2 / 55 / 3.5 / 189 / 5.5 / 79 / 5.4 / 142 / 8.3 / 66 / 4.9 / 35 / 2.6
Missing / 0 / 0 / 9 / 0.6 / 17 / 0.5 / 10 / 0.7 / 5 / 0.3 / 58 / 4.3 / 0 / 0
Length of stay, mean±SE, day / 2.9±0.2 / 3.3±0.2 / 3.5±0.2 / 3.0±0.2 / 2.7±0.2 / 3.1±0.3 / 3.2±0.3 / 0.44
Total chargesc, mean±SE, dollar / 12627±1201 / 16690±2179 / 15034±1099 / 16403±1766 / 14021±1076 / 18722±2294 / 18980±1654 / 0.002
With depressiondiagnoses / 1036 / 69.8 / 1004 / 62.9 / 1133 / 66.9 / 862 / 58.6 / 1068 / 61.9 / 819 / 61.4 / 815 / 59.7 / 0.01

Weighted column percentages may not total 100 because of rounding.

Abbreviations: SE, standard error

a Significance test was performed to compare the distributions between 2006 and 2012. P value was calculated using the Wald Chi-square test for categorical variables and the t-test for continuous variables.

b Other includes no charges.

c Total charges were adjusted for inflation to reflect 2012 dollars.

eTable 4. Suicidal behavior-related hospitalizations per 100,000 hospitalizations according to age groups among pregnant women, USA, 2006-2012

Year / 12-18 / 19-24 / 25-29 / 30-34 / 35-39 / 40-55
N / Prevalencea / N / Prevalencea / N / Prevalencea / N / Prevalencea / N / Prevalencea / N / Prevalencea
Suicidal behavior
2006 / 458 / 158.8 / 1244 / 88.5 / 851 / 66.3 / 653 / 63.9 / 275 / 51.1 / 129 / 26.6
2007 / 425 / 139.9 / 1619 / 112.4 / 1048 / 78.1 / 662 / 60.2 / 317 / 53.7 / 72 / 52.4
2008 / 495 / 187.6 / 1868 / 144.6 / 1364 / 107.7 / 833 / 80.1 / 311 / 58.3 / 80 / 64.3
2009 / 465 / 180.6 / 1982 / 155.6 / 1242 / 101.7 / 892 / 88.1 / 511 / 98.9 / 121 / 95.2
2010 / 638 / 282.2 / 2354 / 198.3 / 1217 / 103.6 / 1036 / 105.6 / 455 / 95.9 / 173 / 144.2
2011 / 496 / 257.9 / 2073 / 185.3 / 1524 / 131.7 / 1098 / 108.2 / 390 / 81.0 / 198 / 162.5
2012 / 560 / 308.7 / 2235 / 195.6 / 1460 / 123.9 / 1205 / 114.2 / 350 / 70.5 / 130 / 105.6
Suicidal ideation
2006 / 224 / 77.7 / 716 / 51.0 / 560 / 43.7 / 414 / 40.6 / 222 / 41.3 / 77 / 62.4
2007 / 219 / 72.1 / 1019 / 70.8 / 705 / 52.5 / 416 / 37.8 / 233 / 39.4 / 50 / 36.1
2008 / 309 / 117.0 / 1241 / 96.1 / 966 / 76.3 / 619 / 59.5 / 230 / 43.1 / 61 / 49.0
2009 / 310 / 120.1 / 1441 / 113.1 / 957 / 78.3 / 664 / 65.6 / 464 / 89.7 / 107 / 83.9
2010 / 458 / 202.5 / 1703 / 143.5 / 893 / 76.0 / 785 / 80.1 / 392 / 82.6 / 123 / 102.6
2011 / 358 / 186.0 / 1583 / 141.4 / 1275 / 110.2 / 897 / 88.4 / 308 / 63.9 / 183 / 150.3
2012 / 445 / 245.3 / 1760 / 154.0 / 1195 / 101.5 / 1005 / 95.2 / 280 / 56.4 / 120 / 97.5
Suicide and self-inflicted injury
2006 / 239 / 82.9 / 551 / 39.2 / 318 / 24.8 / 262 / 25.6 / 62 / 11.6 / 52 / 42.0
2007 / 215 / 70.9 / 663 / 46.1 / 365 / 27.2 / 246 / 22.4 / 84 / 14.2 / 22 / 16.3
2008 / 214 / 81.2 / 699 / 54.1 / 427 / 33.7 / 234 / 22.5 / 91 / 17.1 / 28 / 22.7
2009 / 180 / 69.9 / 597 / 46.9 / 356 / 29.1 / 247 / 24.4 / 63 / 12.1 / 28 / 22.4
2010 / 199 / 88.0 / 740 / 62.3 / 389 / 33.1 / 279 / 28.4 / 63 / 13.4 / 54 / 44.9
2011 / 153 / 79.3 / 555 / 49.6 / 285 / 24.6 / 228 / 22.4 / 95 / 19.8 / 19 / 15.9
2012 / 165 / 91.0 / 530 / 46.4 / 325 / 27.6 / 255 / 24.2 / 80 / 16.1 / 10 / 8.1

aPer 100,000 hospitalizations

eTable 5. Suicidal behavior-related hospitalizations per 100,000 hospitalizations according to race among pregnant women,USA, 2006-2012

Race / Age-standardized prevalence / Crude prevalence
Per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit / Per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit
2006
White / 125.6 / 23.2 / 87.3 / 180.6 / 85.8 / 9.7 / 68.7 / 107.1
Black / 148.3 / 33.7 / 94.9 / 231.7 / 147.0 / 20.1 / 112.4 / 192.1
Hispanic / 60.1 / 17.1 / 34.4 / 105.1 / 46.1 / 6.1 / 35.6 / 59.8
Asian or Pacific Islander / 76.9 / 50.3 / 21.3 / 277.3 / 19.6 / 8.5 / 8.4 / 45.7
Native American / 120.8 / 41.1 / 61.9 / 235.6 / 181.1 / 50.9 / 104.2 / 314.3
Other / 103.9 / 38.8 / 49.9 / 216.3 / 83.3 / 20.4 / 51.6 / 134.7
2007
White / 78.4 / 10.4 / 60.4 / 101.7 / 96.5 / 9.4 / 79.8 / 116.7
Black / 134.2 / 43.3 / 71.3 / 252.7 / 119.1 / 18.2 / 88.2 / 160.9
Hispanic / 38.0 / 6.1 / 27.7 / 52.2 / 54.1 / 7.3 / 41.4 / 70.6
Asian or Pacific Islander / 45.4 / 23.7 / 16.3 / 126.3 / 37.1 / 11.0 / 20.7 / 66.3
Native American / 43.0 / 30.0 / 11.0 / 168.6 / 51.5 / 25.9 / 19.2 / 138.1
Other / 131.3 / 36.0 / 76.6 / 224.8 / 97.8 / 22.4 / 62.5 / 153.2
2008
White / 100.8 / 12.8 / 78.5 / 129.4 / 107.0 / 9.9 / 89.1 / 128.4
Black / 179.4 / 36.1 / 120.9 / 266.1 / 191.3 / 22.4 / 152.0 / 240.8
Hispanic / 40.0 / 6.9 / 28.5 / 56.2 / 56.0 / 8.6 / 41.4 / 75.7
Asian or Pacific Islander / 40.6 / 31.7 / 8.8 / 187.8 / 17.8 / 5.8 / 9.5 / 33.6
Native American / 51.7 / 19.0 / 25.2 / 106.2 / 129.2 / 45.8 / 64.4 / 259.0
Other / 33.0 / 6.9 / 21.9 / 49.7 / 69.2 / 14.1 / 46.4 / 103.1
2009
White / 97.9 / 12.4 / 76.4 / 125.5 / 103.9 / 9.2 / 87.4 / 123.6
Black / 160.6 / 28.2 / 113.8 / 226.5 / 196.1 / 24.3 / 153.7 / 250.1
Hispanic / 122.2 / 29.3 / 76.4 / 195.6 / 83.7 / 11.1 / 64.5 / 108.5
Asian or Pacific Islander / 26.7 / 10.4 / 12.4 / 57.5 / 33.9 / 11.7 / 17.2 / 66.9
Native American / 60.4 / 33.6 / 20.3 / 179.8 / 62.3 / 27.5 / 26.2 / 148.0
Other / 70.6 / 31.6 / 29.3 / 170.1 / 61.7 / 14.1 / 39.3 / 96.6
2010
White / 153.5 / 18.8 / 120.6 / 195.2 / 129.3 / 10.3 / 110.5 / 151.3
Black / 222.6 / 31.6 / 168.5 / 294.1 / 254.2 / 27.2 / 205.9 / 313.7
Hispanic / 117.4 / 29.3 / 72.0 / 191.4 / 82.3 / 11.7 / 62.4 / 108.7
Asian or Pacific Islander / 42.8 / 12.3 / 24.4 / 75.1 / 70.0 / 17.1 / 43.3 / 113.1
Native American / 73.2 / 41.5 / 24.0 / 222.8 / 117.6 / 50.8 / 50.4 / 274.2
Other / 154.9 / 47.1 / 85.3 / 281.2 / 127.4 / 28.1 / 82.5 / 196.5
2011
White / 155.9 / 21.3 / 119.3 / 203.8 / 131.7 / 12.0 / 110.1 / 157.5
Black / 281.8 / 49.4 / 199.7 / 397.4 / 245.2 / 28.5 / 195.2 / 307.9
Hispanic / 76.2 / 19.1 / 46.5 / 124.6 / 74.8 / 11.2 / 55.9 / 100.3
Asian or Pacific Islander / 112.7 / 59.8 / 39.8 / 318.7 / 79.3 / 21.7 / 46.3 / 135.7
Native American / 127.7 / 42.6 / 66.3 / 245.5 / 204.1 / 45.6 / 131.6 / 316.5
Other / 292.5 / 73.4 / 178.7 / 478.4 / 163.5 / 35.1 / 107.3 / 249.3
2012
White / 148.5 / 14.6 / 122.5 / 180.0 / 129.5 / 7.2 / 116.1 / 144.3
Black / 216.3 / 29.2 / 166.0 / 281.8 / 259.5 / 18.1 / 226.4 / 297.6
Hispanic / 93.2 / 14.5 / 68.7 / 126.6 / 101.7 / 9.7 / 84.4 / 122.5
Asian or Pacific Islander / 132.3 / 60.0 / 54.4 / 321.5 / 50.8 / 11.8 / 32.2 / 80.0
Native American / 131.5 / 53.6 / 59.1 / 292.2 / 167.9 / 51.1 / 92.4 / 304.7
Other / 184.9 / 48.5 / 110.5 / 309.0 / 143.0 / 24.8 / 101.8 / 200.8

Abbreviations: SE, standard error

eTable 5a. Suicidal ideation-related hospitalizations per 100,000 hospitalizations according to race among pregnant women,USA, 2006-2012

Race / Age-standardized prevalence / Crude prevalence
Per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit / Per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit
2006
White / 78.0 / 21.2 / 45.7 / 133.0 / 53.4 / 8.5 / 39.0 / 73.1
Black / 103.7 / 28.9 / 60.0 / 179.1 / 100.3 / 18.2 / 70.3 / 143.2
Hispanic / 24.7 / 9.7 / 11.4 / 53.5 / 22.3 / 4.7 / 14.8 / 33.7
Asian or Pacific Islander / 4.9 / 3.9 / 1.0 / 23.2 / 7.6 / 5.3 / 1.9 / 30.2
Native American / 42.0 / 27.4 / 11.7 / 151.3 / 47.5 / 25.7 / 16.4 / 137.3
Other / 40.9 / 13.5 / 21.5 / 78.0 / 58.9 / 17.7 / 32.6 / 106.3
2007
White / 50.3 / 9.0 / 35.3 / 71.5 / 63.6 / 8.4 / 49.1 / 82.6
Black / 112.8 / 42.2 / 54.2 / 234.9 / 85.4 / 15.9 / 59.3 / 123.0
Hispanic / 22.6 / 5.3 / 14.3 / 35.9 / 29.2 / 5.7 / 20.0 / 42.8
Asian or Pacific Islander / 33.5 / 23.1 / 8.6 / 129.6 / 21.6 / 7.7 / 10.8 / 43.4
Native American / 10.0 / 6.9 / 2.6 / 38.5 / 25.1 / 17.4 / 6.4 / 97.9
Other / 91.9 / 35.9 / 42.7 / 197.6 / 69.5 / 21.0 / 38.4 / 125.7
2008
White / 70.7 / 11.2 / 51.7 / 96.5 / 73.3 / 8.6 / 58.2 / 92.3
Black / 147.8 / 35.3 / 92.4 / 236.2 / 135.8 / 19.6 / 102.2 / 180.3
Hispanic / 21.9 / 4.6 / 14.5 / 33.1 / 32.6 / 5.6 / 23.3 / 45.6
Asian or Pacific Islander / 2.3 / 1.3 / 0.8 / 7.2 / 6.5 / 3.8 / 2.1 / 20.2
Native American / 40.6 / 18.1 / 16.9 / 97.4 / 96.5 / 42.4 / 40.7 / 228.4
Other / 13.8 / 4.7 / 7.0 / 27.0 / 28.3 / 9.2 / 15.0 / 53.7
2009
White / 71.6 / 11.1 / 52.9 / 97.0 / 79.3 / 8.3 / 64.6 / 97.3
Black / 123.4 / 23.7 / 84.6 / 179.9 / 155.2 / 21.7 / 118.0 / 204.1
Hispanic / 105.4 / 28.8 / 61.7 / 180.2 / 58.6 / 9.5 / 42.6 / 80.5
Asian or Pacific Islander / 17.7 / 7.0 / 8.1 / 38.6 / 24.7 / 9.2 / 11.9 / 51.4
Native American / 21.8 / 16.7 / 4.9 / 97.6 / 25.9 / 17.3 / 7.0 / 96.1
Other / 54.2 / 30.3 / 18.1 / 162.3 / 36.9 / 9.9 / 21.8 / 62.5
2010
White / 102.0 / 15.1 / 76.2 / 136.4 / 93.7 / 8.8 / 78.0 / 112.7
Black / 189.1 / 30.6 / 137.5 / 259.8 / 198.9 / 23.1 / 158.3 / 249.9
Hispanic / 98.2 / 26.3 / 58.1 / 166.1 / 57.1 / 9.2 / 41.5 / 78.4
Asian or Pacific Islander / 26.6 / 9.7 / 13.1 / 54.3 / 44.1 / 14.1 / 23.5 / 82.6
Native American / 61.8 / 40.4 / 17.1 / 222.5 / 85.3 / 44.6 / 30.5 / 237.9
Other / 80.1 / 24.8 / 43.7 / 147.0 / 89.4 / 24.4 / 52.3 / 152.8
2011
White / 122.7 / 19.1 / 90.4 / 166.5 / 104.1 / 10.7 / 85.1 / 127.4
Black / 242.0 / 45.0 / 168.0 / 348.6 / 205.1 / 25.4 / 160.8 / 261.6
Hispanic / 62.9 / 18.9 / 34.9 / 113.4 / 54.3 / 10.7 / 36.9 / 79.9
Asian or Pacific Islander / 98.8 / 59.1 / 30.5 / 319.2 / 61.0 / 18.1 / 34.1 / 109.2
Native American / 97.4 / 44.1 / 40.0 / 237.0 / 132.8 / 48.0 / 65.3 / 269.8
Other / 252.5 / 71.1 / 145.3 / 438.6 / 135.1 / 33.0 / 83.7 / 218.2
2012
White / 121.4 / 13.5 / 97.6 / 151.1 / 102.7 / 6.3 / 91.1 / 115.7
Black / 195.9 / 28.9 / 146.7 / 261.6 / 224.8 / 16.9 / 194.0 / 260.5
Hispanic / 68.3 / 11.6 / 49.0 / 95.3 / 76.4 / 8.6 / 61.3 / 95.2
Asian or Pacific Islander / 56.6 / 35.1 / 16.8 / 190.9 / 36.3 / 9.5 / 21.7 / 60.7
Native American / 71.3 / 39.4 / 24.2 / 210.3 / 97.9 / 36.7 / 47.0 / 204.0
Other / 158.1 / 46.1 / 89.3 / 280.0 / 123.3 / 23.0 / 85.5 / 177.7

Abbreviations: SE, standard error

eTable 5b. Suicide- and self-inflicted injury-related hospitalizations per 100,000 hospitalizations according to race among pregnant women,USA, 2006-2012

Race / Age-standardized prevalence / Crude prevalence
Per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit / Per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit
2006
White / 48.3 / 8.8 / 33.8 / 69.0 / 34.0 / 3.6 / 27.6 / 42.0
Black / 50.5 / 16.8 / 26.2 / 97.2 / 52.8 / 7.8 / 39.5 / 70.7
Hispanic / 35.6 / 14.9 / 15.7 / 80.7 / 24.3 / 4.3 / 17.2 / 34.4
Asian or Pacific Islander / 72.0 / 50.1 / 18.3 / 282.2 / 12.0 / 6.8 / 3.9 / 36.5
Native American / 89.1 / 32.4 / 43.6 / 182.0 / 150.1 / 43.9 / 84.6 / 266.3
Other / 67.7 / 36.9 / 23.2 / 197.0 / 30.4 / 9.2 / 16.8 / 54.9
2007
White / 29.9 / 5.2 / 21.2 / 42.2 / 35.0 / 3.4 / 28.9 / 42.3
Black / 22.0 / 4.7 / 14.5 / 33.5 / 35.6 / 6.1 / 25.4 / 49.8
Hispanic / 17.2 / 3.0 / 12.2 / 24.2 / 27.5 / 4.7 / 19.7 / 38.4
Asian or Pacific Islander / 11.9 / 5.4 / 4.9 / 29.0 / 15.4 / 6.4 / 6.9 / 34.7
Native American / 33.0 / 29.2 / 5.8 / 187.5 / 26.4 / 19.4 / 6.3 / 111.7
Other / 42.0 / 16.4 / 19.6 / 90.3 / 34.0 / 9.5 / 19.6 / 58.9
2008
White / 41.4 / 7.1 / 29.5 / 58.0 / 38.8 / 3.9 / 31.9 / 47.3
Black / 33.4 / 5.4 / 24.3 / 45.9 / 60.6 / 8.1 / 46.5 / 78.8
Hispanic / 18.1 / 4.2 / 11.5 / 28.5 / 23.4 / 4.9 / 15.5 / 35.2
Asian or Pacific Islander / 38.3 / 31.7 / 7.6 / 194.0 / 11.3 / 4.9 / 4.8 / 26.7
Native American / 11.1 / 7.8 / 2.8 / 44.4 / 32.8 / 22.7 / 8.4 / 127.7
Other / 19.2 / 4.8 / 11.7 / 31.5 / 40.8 / 10.2 / 25.0 / 66.7
2009
White / 38.1 / 7.5 / 25.9 / 56.0 / 29.3 / 3.0 / 24.0 / 35.9
Black / 40.5 / 13.7 / 20.9 / 78.6 / 45.9 / 7.1 / 33.9 / 62.2
Hispanic / 18.5 / 3.6 / 12.6 / 27.1 / 27.8 / 4.9 / 19.7 / 39.3
Asian or Pacific Islander / 10.7 / 5.8 / 3.7 / 31.2 / 12.1 / 6.3 / 4.3 / 33.5
Native American / 38.6 / 28.9 / 8.9 / 167.8 / 36.4 / 22.0 / 11.1 / 119.0
Other / 16.4 / 8.1 / 6.2 / 43.2 / 24.7 / 8.5 / 12.6 / 48.4
2010
White / 53.9 / 9.0 / 38.8 / 74.8 / 41.2 / 4.1 / 33.9 / 50.1
Black / 35.3 / 5.8 / 25.7 / 48.7 / 60.1 / 8.5 / 45.6 / 79.3
Hispanic / 29.8 / 8.2 / 17.4 / 51.0 / 28.1 / 5.0 / 19.8 / 39.7
Asian or Pacific Islander / 18.8 / 6.9 / 9.2 / 38.7 / 28.7 / 9.2 / 15.3 / 53.8
Native American / 48.2 / 38.6 / 10.0 / 231.4 / 46.8 / 28.7 / 14.0 / 155.8
Other / 76.3 / 40.4 / 27.0 / 215.3 / 41.3 / 12.2 / 23.1 / 73.7
2011
White / 38.4 / 8.2 / 25.2 / 58.4 / 30.8 / 3.4 / 24.8 / 38.3
Black / 41.3 / 13.0 / 22.2 / 76.5 / 44.1 / 6.9 / 32.4 / 60.0
Hispanic / 17.3 / 3.3 / 11.8 / 25.2 / 25.2 / 3.8 / 18.8 / 33.7
Asian or Pacific Islander / 60.8 / 47.1 / 13.3 / 277.5 / 23.9 / 12.2 / 8.8 / 65.0
Native American / 30.2 / 14.6 / 11.7 / 78.0 / 71.4 / 35.7 / 26.7 / 190.5
Other / 39.9 / 17.0 / 17.3 / 91.9 / 28.4 / 9.1 / 15.1 / 53.4
2012
White / 32.6 / 5.4 / 23.5 / 45.1 / 31.3 / 3.0 / 26.0 / 37.8
Black / 26.7 / 4.7 / 18.9 / 37.8 / 46.3 / 6.3 / 35.5 / 60.3
Hispanic / 32.0 / 9.4 / 18.0 / 57.0 / 29.6 / 4.5 / 21.9 / 39.9
Asian or Pacific Islander / 81.5 / 48.5 / 25.3 / 261.7 / 19.4 / 6.9 / 9.6 / 39.0
Native American / 96.9 / 51.6 / 34.1 / 275.0 / 83.9 / 33.8 / 38.1 / 185.0
Other / 37.5 / 17.3 / 15.2 / 92.4 / 24.7 / 8.3 / 12.8 / 47.6

Abbreviations: SE, standard error

eTable6. Suicidal behavior-related hospitalizations per 100,000 hospitalizations according to median household income quartiles for patient zipcode among pregnant women, USA, 2006-2012

Median household income quartiles for patient zip code / Prevalence per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit
2006
Quartile 1 (poorest) / 94.3 / 8.6 / 78.9 / 112.7
Quartile 2 / 81.2 / 7.7 / 67.4 / 97.9
Quartile 3 / 66.1 / 7.4 / 53.1 / 82.4
Quartile 4 (wealthiest) / 62.1 / 10.4 / 44.7 / 86.1
2007
Quartile 1 (poorest) / 96.9 / 9.1 / 80.5 / 116.5
Quartile 2 / 92.4 / 9.2 / 76.0 / 112.3
Quartile 3 / 75.2 / 8.2 / 60.6 / 93.2
Quartile 4 (wealthiest) / 68.4 / 8.2 / 54.0 / 86.5
2008
Quartile 1 (poorest) / 141.2 / 12.5 / 118.6 / 168.1
Quartile 2 / 117.2 / 10.5 / 98.4 / 139.7
Quartile 3 / 92.3 / 9.9 / 74.7 / 114.0
Quartile 4 (wealthiest) / 77.1 / 9.6 / 60.3 / 98.4
2009
Quartile 1 (poorest) / 181.1 / 16.2 / 152.0 / 215.8
Quartile 2 / 108.9 / 9.4 / 91.9 / 128.9
Quartile 3 / 96.4 / 10.3 / 78.2 / 118.8
Quartile 4 (wealthiest) / 74.1 / 13.1 / 52.4 / 104.9
2010
Quartile 1 (poorest) / 195.9 / 18.8 / 162.2 / 236.5
Quartile 2 / 156.9 / 12.9 / 133.6 / 184.3
Quartile 3 / 109.7 / 11.4 / 89.5 / 134.5
Quartile 4 (wealthiest) / 83.1 / 11.2 / 63.8 / 108.3
2011
Quartile 1 (poorest) / 199.9 / 18.6 / 166.6 / 239.9
Quartile 2 / 158.4 / 14.9 / 131.7 / 190.5
Quartile 3 / 109.1 / 11.1 / 89.3 / 133.3
Quartile 4 (wealthiest) / 85.0 / 11.6 / 65.0 / 111.1
2012
Quartile 1 (poorest) / 193.3 / 11.9 / 171.4 / 218.1
Quartile 2 / 147.8 / 9.8 / 129.7 / 168.3
Quartile 3 / 119.5 / 8.9 / 103.3 / 138.3
Quartile 4 (wealthiest) / 93.0 / 8.1 / 78.4 / 110.2

Abbreviations: SE, standard error

eTable6a. Suicidal ideation-related hospitalizations per 100,000 hospitalizations according to median household income quartiles for patient zipcode among pregnant women, USA, 2006-2012

Median household income quartiles for patient zipcode / Prevalence per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit
2006
Quartile 1 (poorest) / 58.1 / 7.8 / 44.6 / 75.7
Quartile 2 / 45.5 / 6.5 / 34.4 / 60.1
Quartile 3 / 38.0 / 5.8 / 28.1 / 51.4
Quartile 4 (wealthiest) / 46.1 / 9.5 / 30.8 / 69.0
2007
Quartile 1 (poorest) / 63.8 / 7.8 / 50.2 / 81.0
Quartile 2 / 56.1 / 7.8 / 42.7 / 73.7
Quartile 3 / 47.0 / 7.1 / 34.9 / 63.1
Quartile 4 (wealthiest) / 44.5 / 6.8 / 32.9 / 60.0
2008
Quartile 1 (poorest) / 98.4 / 10.6 / 79.7 / 121.5
Quartile 2 / 82.9 / 8.9 / 67.3 / 102.3
Quartile 3 / 66.6 / 8.3 / 52.2 / 85.1
Quartile 4 (wealthiest) / 47.6 / 7.1 / 35.5 / 63.9
2009
Quartile 1 (poorest) / 133.8 / 14.0 / 108.9 / 164.4
Quartile 2 / 81.9 / 8.3 / 67.1 / 100.0
Quartile 3 / 73.8 / 9.3 / 57.7 / 94.4
Quartile 4 (wealthiest) / 58.4 / 10.9 / 40.4 / 84.3
2010
Quartile 1 (poorest) / 149.3 / 15.4 / 121.9 / 182.9
Quartile 2 / 117.1 / 11.3 / 96.9 / 141.6
Quartile 3 / 73.4 / 9.5 / 56.9 / 94.6
Quartile 4 (wealthiest) / 62.6 / 10.7 / 44.7 / 87.6
2011
Quartile 1 (poorest) / 162.1 / 16.5 / 132.8 / 197.8
Quartile 2 / 116.2 / 13.0 / 93.4 / 144.6
Quartile 3 / 89.8 / 10.3 / 71.7 / 112.5
Quartile 4 (wealthiest) / 71.1 / 10.3 / 53.6 / 94.4
2012
Quartile 1 (poorest) / 157.6 / 10.6 / 138.1 / 179.7
Quartile 2 / 114.9 / 8.8 / 98.8 / 133.6
Quartile 3 / 97.6 / 7.9 / 83.2 / 114.5
Quartile 4 (wealthiest) / 78.4 / 7.6 / 64.8 / 94.8

Abbreviations: SE, standard error

eTable6b. Suicide- and self-inflicted injury-related hospitalizations per 100,000 hospitalizations according to median household income quartiles for patient zipcode among pregnant women, USA, 2006-2012

Median household income quartiles for patient zipcode / Prevalence per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit
2006
Quartile 1 (poorest) / 37.9 / 4.1 / 30.6 / 47.0
Quartile 2 / 38.2 / 4.2 / 30.7 / 47.5
Quartile 3 / 29.7 / 4.0 / 22.8 / 38.8
Quartile 4 (wealthiest) / 17.4 / 3.0 / 12.4 / 24.5
2007
Quartile 1 (poorest) / 35.7 / 3.8 / 29.1 / 44.0
Quartile 2 / 38.6 / 4.6 / 30.6 / 48.7
Quartile 3 / 29.4 / 3.7 / 22.9 / 37.8
Quartile 4 (wealthiest) / 25.6 / 3.8 / 19.2 / 34.2
2008
Quartile 1 (poorest) / 47.2 / 5.0 / 38.3 / 58.1
Quartile 2 / 37.5 / 4.2 / 30.2 / 46.7
Quartile 3 / 30.6 / 3.9 / 23.8 / 39.4
Quartile 4 (wealthiest) / 31.8 / 4.7 / 23.8 / 42.6
2009
Quartile 1 (poorest) / 54.6 / 5.9 / 44.2 / 67.6
Quartile 2 / 30.0 / 4.3 / 22.6 / 39.8
Quartile 3 / 27.0 / 3.9 / 20.4 / 35.8
Quartile 4 (wealthiest) / 18.2 / 3.6 / 12.4 / 26.7
2010
Quartile 1 (poorest) / 52.3 / 6.5 / 41.0 / 66.8
Quartile 2 / 44.7 / 5.1 / 35.7 / 55.9
Quartile 3 / 41.2 / 4.8 / 32.7 / 51.8
Quartile 4 (wealthiest) / 23.8 / 3.9 / 17.2 / 32.8
2011
Quartile 1 (poorest) / 42.8 / 5.3 / 33.5 / 54.7
Quartile 2 / 46.3 / 5.4 / 36.8 / 58.1
Quartile 3 / 21.8 / 3.1 / 16.5 / 29.0
Quartile 4 (wealthiest) / 18.2 / 3.4 / 12.6 / 26.4
2012
Quartile 1 (poorest) / 46.1 / 4.9 / 37.5 / 56.7
Quartile 2 / 37.8 / 4.3 / 30.3 / 47.2
Quartile 3 / 24.9 / 3.6 / 18.8 / 33.1
Quartile 4 (wealthiest) / 17.4 / 3.1 / 12.2 / 24.7

Abbreviations: SE, standard error

eTable 7. Suicidal behavior-related hospitalizations per 100,000 hospitalizations according to race and median household income quartiles for patient zip code among pregnant women,USA, 2006-2012

Race and median household income quartiles for patient zip code / Age-standardized prevalence / Crude prevalence
Per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit / Per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit
2006
White,Quartile 1 (poorest) / 204.0 / 62.7 / 111.6 / 372.8 / 125.2 / 15.8 / 97.6 / 160.4
White,Quartile 4 (wealthiest) / 158.1 / 43.5 / 92.1 / 271.0 / 74.2 / 17.6 / 46.5 / 118.3
Black,Quartile 1 (poorest) / 193.1 / 71.6 / 93.2 / 399.4 / 152.4 / 24.4 / 111.3 / 208.6
Black, Quartile 4 (wealthiest) / 103.8 / 38.6 / 50.0 / 215.4 / 125.5 / 35.6 / 72.0 / 218.8
2007
White,Quartile 1 (poorest) / 57.1 / 9.2 / 41.6 / 78.4 / 104.6 / 15.9 / 77.7 / 141.0
White,Quartile 4 (wealthiest) / 67.7 / 18.7 / 39.4 / 116.3 / 73.4 / 12.3 / 52.8 / 102.0
Black,Quartile 1 (poorest) / 164.3 / 70.8 / 70.5 / 382.5 / 118.6 / 24.3 / 79.3 / 177.4
Black, Quartile 4 (wealthiest) / 84.9 / 30.6 / 41.8 / 172.3 / 123.0 / 37.1 / 68.0 / 222.2
2008
White,Quartile 1 (poorest) / 187.9 / 49.4 / 112.2 / 314.5 / 142.8 / 19.7 / 108.9 / 187.1
White,Quartile 4 (wealthiest) / 98.0 / 21.5 / 63.7 / 150.7 / 79.3 / 12.2 / 58.7 / 107.2
Black,Quartile 1 (poorest) / 258.6 / 80.9 / 139.9 / 477.7 / 222.5 / 33.0 / 166.3 / 297.7
Black, Quartile 4 (wealthiest) / 86.5 / 21.0 / 53.8 / 139.2 / 173.0 / 42.7 / 106.5 / 280.8
2009
White,Quartile 1 (poorest) / 205.9 / 66.4 / 109.3 / 387.3 / 149.6 / 18.4 / 117.5 / 190.4
White,Quartile 4 (wealthiest) / 78.4 / 20.5 / 46.9 / 130.8 / 73.4 / 12.2 / 52.9 / 101.6
Black,Quartile 1 (poorest) / 235.4 / 52.8 / 151.6 / 365.5 / 272.8 / 37.8 / 207.8 / 358.0
Black, Quartile 4 (wealthiest) / 133.6 / 76.3 / 43.6 / 409.0 / 138.2 / 60.2 / 58.7 / 324.8
2010
White,Quartile 1 (poorest) / 211.3 / 51.8 / 130.5 / 341.8 / 179.0 / 21.4 / 141.5 / 226.4
White,Quartile 4 (wealthiest) / 118.2 / 26.4 / 76.2 / 183.3 / 72.2 / 10.9 / 53.7 / 97.0
Black,Quartile 1 (poorest) / 279.2 / 51.3 / 194.6 / 400.3 / 305.8 / 44.3 / 230.1 / 406.4
Black, Quartile 4 (wealthiest) / 149.3 / 63.6 / 64.7 / 344.0 / 155.9 / 51.7 / 81.3 / 298.9
2011
White,Quartile 1 (poorest) / 295.3 / 81.0 / 172.3 / 505.6 / 172.5 / 25.1 / 129.7 / 229.6
White,Quartile 4 (wealthiest) / 125.9 / 34.6 / 73.4 / 215.9 / 79.2 / 13.0 / 57.4 / 109.2
Black,Quartile 1 (poorest) / 532.3 / 119.4 / 342.6 / 826.1 / 301.0 / 38.7 / 233.8 / 387.4
Black, Quartile 4 (wealthiest) / 102.3 / 27.0 / 61.0 / 171.8 / 154.0 / 31.3 / 103.3 / 229.6
2012
White,Quartile 1 (poorest) / 191.3 / 45.0 / 120.7 / 303.3 / 177.7 / 16.7 / 147.8 / 147.8
White,Quartile 4 (wealthiest) / 205.9 / 47.8 / 130.5 / 324.5 / 88.5 / 10.2 / 70.6 / 110.9
Black,Quartile 1 (poorest) / 300.6 / 66.0 / 195.4 / 462.2 / 318.7 / 28.1 / 268.0 / 378.8
Black, Quartile 4 (wealthiest) / 188.2 / 65.3 / 95.3 / 371.4 / 221.6 / 41.4 / 153.7 / 319.5

Abbreviations: SE, standard error

eTable 7a. Suicidal ideation-related hospitalizations per 100,000 hospitalizations according to race and median household income quartiles for patient zip code among pregnant women,USA, 2006-2012

Race and median household income quartiles for patient zip code / Age-standardized prevalence / Crude prevalence
Per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit / Per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit
2006
White,Quartile 1 (poorest) / 136.3 / 54.1 / 62.5 / 297.0 / 77.2 / 14.3 / 53.7 / 111.1
White,Quartile 4 (wealthiest) / 95.7 / 38.0 / 43.9 / 208.5 / 55.9 / 16.5 / 31.4 / 99.6
Black,Quartile 1 (poorest) / 167.5 / 71.0 / 72.9 / 384.7 / 108.6 / 22.2 / 72.8 / 162.1
Black, Quartile 4 (wealthiest) / 60.2 / 26.7 / 25.2 / 143.7 / 85.8 / 32.2 / 41.1 / 179.0
2007
White,Quartile 1 (poorest) / 36.7 / 7.5 / 24.5 / 54.9 / 71.6 / 12.8 / 50.4 / 101.6
White,Quartile 4 (wealthiest) / 41.8 / 15.0 / 20.7 / 84.5 / 45.2 / 10.2 / 29.0 / 70.5
Black,Quartile 1 (poorest) / 138.6 / 68.0 / 52.9 / 362.5 / 86.6 / 20.5 / 54.4 / 137.8
Black, Quartile 4 (wealthiest) / 76.0 / 29.3 / 35.7 / 161.8 / 106.1 / 31.1 / 59.7 / 188.5
2008
White,Quartile 1 (poorest) / 127.7 / 41.3 / 67.7 / 240.6 / 94.5 / 18.0 / 65.0 / 137.2
White,Quartile 4 (wealthiest) / 48.2 / 15.4 / 25.8 / 90.1 / 48.5 / 9.3 / 33.4 / 70.6
Black,Quartile 1 (poorest) / 225.7 / 80.7 / 111.9 / 454.8 / 160.6 / 27.0 / 115.5 / 223.3
Black, Quartile 4 (wealthiest) / 52.7 / 16.5 / 28.6 / 97.3 / 101.6 / 31.2 / 55.6 / 185.6
2009
White,Quartile 1 (poorest) / 147.3 / 58.8 / 67.3 / 322.3 / 106.7 / 15.5 / 80.2 / 141.8
White,Quartile 4 (wealthiest) / 61.6 / 16.3 / 36.6 / 103.4 / 62.1 / 11.0 / 43.8 / 88.0
Black,Quartile 1 (poorest) / 201.6 / 51.3 / 122.4 / 332.0 / 209.8 / 33.2 / 153.8 / 286.1
Black, Quartile 4 (wealthiest) / 123.5 / 73.1 / 38.6 / 394.1 / 116.6 / 53.4 / 47.5 / 286.3
2010
White,Quartile 1 (poorest) / 136.7 / 35.4 / 82.2 / 227.1 / 141.6 / 19.2 / 108.5 / 184.7
White,Quartile 4 (wealthiest) / 80.2 / 22.5 / 46.3 / 139.2 / 47.1 / 9.0 / 32.4 / 68.6
Black,Quartile 1 (poorest) / 235.4 / 50.2 / 154.9 / 357.5 / 235.4 / 35.8 / 174.6 / 317.3
Black, Quartile 4 (wealthiest) / 138.7 / 61.3 / 58.3 / 329.9 / 134.9 / 47.5 / 67.5 / 269.1
2011
White,Quartile 1 (poorest) / 232.1 / 72.8 / 125.4 / 429.3 / 137.9 / 22.0 / 22.0 / 188.6
White,Quartile 4 (wealthiest) / 112.9 / 33.8 / 62.7 / 203.1 / 67.4 / 12.1 / 47.4 / 95.8
Black,Quartile 1 (poorest) / 460.8 / 111.7 / 286.3 / 741.0 / 244.3 / 34.1 / 185.7 / 321.2
Black, Quartile 4 (wealthiest) / 89.6 / 27.7 / 48.8 / 164.2 / 127.8 / 27.6 / 83.7 / 195.1
2012
White,Quartile 1 (poorest) / 173.3 / 44.7 / 104.5 / 287.3 / 142.8 / 14.3 / 117.4 / 173.8
White,Quartile 4 (wealthiest) / 197.9 / 47.8 / 123.2 / 317.6 / 78.8 / 9.8 / 61.8 / 100.4
Black,Quartile 1 (poorest) / 280.3 / 65.7 / 177.0 / 443.7 / 283.4 / 26.3 / 236.3 / 340.0
Black, Quartile 4 (wealthiest) / 169.2 / 65.2 / 79.5 / 359.9 / 183.4 / 39.2 / 120.6 / 278.8

Abbreviations: SE, standard error

eTable 7b. Suicide- and self-inflicted injury-related hospitalizations per 100,000 hospitalizations according to race and median household income quartiles for patient zip code among pregnant women,USA, 2006-2012

Race and median household income quartiles for patient zip code / Age-standardized prevalence / Crude prevalence
Per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit / Per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit
2006
White,Quartile 1 (poorest) / 68.2 / 32.0 / 27.1 / 171.2 / 49.2 / 8.4 / 35.2 / 68.8
White,Quartile 4 (wealthiest) / 62.4 / 22.8 / 30.5 / 127.8 / 18.3 / 4.2 / 11.6 / 28.8
Black,Quartile 1 (poorest) / 30.0 / 6.9 / 19.1 / 47.2 / 50.1 / 9.9 / 33.9 / 74.0
Black, Quartile 4 (wealthiest) / 43.6 / 29.4 / 11.6 / 163.6 / 39.7 / 17.7 / 16.6 / 95.4
2007
White,Quartile 1 (poorest) / 20.4 / 5.4 / 12.2 / 34.2 / 33.0 / 6.6 / 22.3 / 48.9
White,Quartile 4 (wealthiest) / 28.4 / 11.5 / 12.9 / 62.7 / 31.3 / 6.3 / 21.1 / 46.4
Black,Quartile 1 (poorest) / 26.9 / 7.9 / 15.2 / 47.7 / 35.9 / 8.6 / 22.4 / 57.6
Black, Quartile 4 (wealthiest) / 8.9 / 5.9 / 2.4 / 33.0 / 16.9 / 11.4 / 4.5 / 63.8
2008
White,Quartile 1 (poorest) / 85.7 / 35.8 / 37.8 / 194.3 / 54.5 / 8.2 / 40.5 / 73.3
White,Quartile 4 (wealthiest) / 60.7 / 18.1 / 33.8 / 109.0 / 34.4 / 6.4 / 23.8 / 49.6
Black,Quartile 1 (poorest) / 35.1 / 7.6 / 23.0 / 53.7 / 68.3 / 12.8 / 47.3 / 98.7
Black, Quartile 4 (wealthiest) / 33.8 / 12.4 / 16.5 / 69.3 / 71.3 / 26.3 / 34.5 / 147.2
2009
White,Quartile 1 (poorest) / 115.9 / 49.0 / 50.5 / 265.6 / 53.0 / 9.1 / 37.9 / 74.2
White,Quartile 4 (wealthiest) / 22.6 / 12.2 / 7.8 / 65.2 / 13.0 / 3.5 / 7.7 / 21.8
Black,Quartile 1 (poorest) / 40.2 / 8.8 / 26.1 / 61.7 / 72.6 / 12.8 / 51.4 / 102.6
Black, Quartile 4 (wealthiest) / 10.2 / 5.7 / 3.4 / 30.5 / 21.5 / 12.2 / 7.1 / 65.5
2010
White,Quartile 1 (poorest) / 77.2 / 36.7 / 30.4 / 196.2 / 45.0 / 8.3 / 31.3 / 64.7
White,Quartile 4 (wealthiest) / 39.8 / 14.0 / 20.0 / 79.2 / 27.0 / 5.9 / 17.6 / 41.3
Black,Quartile 1 (poorest) / 45.6 / 8.6 / 31.5 / 66.2 / 75.7 / 14.3 / 52.2 / 109.6
Black, Quartile 4 (wealthiest) / 10.5 / 6.1 / 3.4 / 32.7 / 21.1 / 12.4 / 6.7 / 66.8
2011
White,Quartile 1 (poorest) / 64.7 / 32.5 / 24.2 / 173.1 / 38.3 / 8.4 / 24.9 / 58.8
White,Quartile 4 (wealthiest) / 22.2 / 9.4 / 9.7 / 50.8 / 16.5 / 4.4 / 9.9 / 27.7
Black,Quartile 1 (poorest) / 72.5 / 37.0 / 26.6 / 197.5 / 60.3 / 12.5 / 40.1 / 90.7
Black, Quartile 4 (wealthiest) / 19.3 / 6.9 / 9.6 / 38.8 / 39.5 / 14.4 / 19.3 / 80.8
2012
White,Quartile 1 (poorest) / 27.2 / 6.0 / 17.7 / 41.8 / 45.5 / 8.0 / 32.2 / 64.2
White,Quartile 4 (wealthiest) / 21.6 / 13.5 / 6.3 / 73.8 / 11.7 / 3.4 / 6.6 / 20.5
Black,Quartile 1 (poorest) / 26.5 / 6.5 / 16.3 / 42.9 / 49.3 / 9.5 / 33.8 / 71.9
Black, Quartile 4 (wealthiest) / 30.6 / 11.9 / 14.2 / 65.7 / 61.1 / 23.3 / 29.0 / 129.0

Abbreviations: SE, standard error

1 | Page

eTable 8. Suicidal behavior-related hospitalizations per 100,000 hospitalizations according to depression diagnoses among pregnant women, USA, 2006-2012

Depression status / Prevalence per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit
2006
All participants / 77.5 / 5.6 / 67.3 / 89.2
With depression diagnoses / 3151.0 / 257.7 / 2682.6 / 3698.0
Without depression diagnoses / 23.9 / 2.1 / 20.1 / 28.5
2007
All participants / 84.3 / 6.1 / 73.2 / 97.1
With depression diagnoses / 2915.9 / 228.7 / 2499.1 / 3399.8
Without depression diagnoses / 30.5 / 2.5 / 26.0 / 35.9
2008
All participants / 109.5 / 7.7 / 95.5 / 125.7
With depression diagnoses / 3308.8 / 239.4 / 2869.9 / 3812.3
Without depression diagnoses / 39.7 / 3.4 / 33.6 / 46.9
2009
All participants / 118.3 / 8.7 / 102.4 / 136.6
With depression diagnoses / 3462.7 / 244.7 / 3013.2 / 3976.5
Without depression diagnoses / 46.5 / 4.3 / 38.8 / 55.8
2010
All participants / 141.1 / 9.5 / 123.6 / 160.9
With depression diagnoses / 3527.2 / 244.1 / 3078.2 / 4039.0
Without depression diagnoses / 51.7 / 4.3 / 43.9 / 61.0
2011
All participants / 141.4 / 10.6 / 122.1 / 163.8
With depression diagnoses / 3310.4 / 236.8 / 2876.0 / 3807.9
Without depression diagnoses / 57.9 / 5.0 / 48.9 / 68.6
2012
All participants / 142.2 / 6.1 / 130.7 / 154.7
With depression diagnoses / 3465.1 / 167.6 / 3151.1 / 3809.3
Without depression diagnoses / 56.2 / 3.4 / 49.9 / 63.4

Abbreviations: SE, standard error

eTable 8a. Suicidal ideation-related hospitalizations per 100,000 hospitalizations according to depression status among pregnant women, USA, 2006-2012

Depression status / Prevalence per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit
2006
All participants / 47.5 / 5.1 / 38.5 / 58.6
With depression diagnoses / 1921.7 / 224.7 / 1526.9 / 2416.0
Without depression diagnoses / 14.9 / 1.9 / 11.6 / 19.0
2007
All participants / 53.8 / 5.3 / 44.3 / 65.3
With depression diagnoses / 1882.3 / 196.9 / 1532.4 / 2310.2
Without depression diagnoses / 19.1 / 2.1 / 15.4 / 23.6
2008
All participants / 75.8 / 6.5 / 64.1 / 89.6
With depression diagnoses / 2260.3 / 198.2 / 1902.4 / 2683.6
Without depression diagnoses / 28.1 / 2.9 / 23.0 / 34.3
2009
All participants / 89.4 / 7.7 / 75.5 / 105.8
With depression diagnoses / 2670.3 / 215.0 / 2279.3 / 3126.3
Without depression diagnoses / 34.0 / 3.9 / 27.2 / 42.5
2010
All participants / 104.6 / 8.1 / 89.9 / 121.7
With depression diagnoses / 2661.3 / 208.6 / 2281.1 / 3102.7
Without depression diagnoses / 37.1 / 3.7 / 30.6 / 45.0
2011
All participants / 112.7 / 9.5 / 95.5 / 132.9
With depression diagnoses / 2638.5 / 214.3 / 2249.0 / 3093.4
Without depression diagnoses / 46.1 / 4.4 / 38.3 / 55.5
2012
All participants / 115.0 / 5.5 / 104.8 / 126.3
With depression diagnoses / 2833.8 / 151.3 / 2551.8 / 3146.0
Without depression diagnoses / 44.7 / 3.1 / 39.1 / 51.1

Abbreviations: SE, standard error

eTable 8b. Suicide- and self-inflicted injury-related hospitalizations per 100,000 hospitalizations according to depression status among pregnant women, USA, 2006-2012

Depression status / Prevalence per 100,000 hospitalizations / SE / Lower 95% limit / Upper 95% limit
2006
All participants / 31.8 / 2.1 / 28.0 / 36.2
With depression diagnoses / 1299.1 / 105.5 / 1107.6 / 1523.3
Without depression diagnoses / 9.8 / 1.0 / 7.9 / 12.0
2007
All participants / 32.5 / 2.2 / 28.4 / 37.2
With depression diagnoses / 1097.2 / 95.7 / 924.5 / 1301.8
Without depression diagnoses / 12.3 / 1.2 / 10.1 / 14.9
2008
All participants / 37.5 / 2.7 / 32.6 / 43.0
With depression diagnoses / 1172.9 / 96.5 / 997.9 / 1378.1
Without depression diagnoses / 12.7 / 1.3 / 10.3 / 15.6
2009
All participants / 33.4 / 2.7 / 28.4 / 39.2
With depression diagnoses / 931.0 / 85.7 / 777.1 / 1115.1
Without depression diagnoses / 14.1 / 1.6 / 11.3 / 17.5
2010
All participants / 41.4 / 3.0 / 35.9 / 47.8
With depression diagnoses / 997.8 / 88.4 / 838.5 / 1187.0
Without depression diagnoses / 16.2 / 1.6 / 13.3 / 19.6
2011
All participants / 32.7 / 2.5 / 28.1 / 38.1
With depression diagnoses / 780.8 / 71.6 / 652.2 / 934.5
Without depression diagnoses / 13.0 / 1.5 / 10.4 / 16.2
2012
All participants / 32.7 / 2.1 / 28.8 / 37.1
With depression diagnoses / 773.7 / 64.3 / 657.3 / 910.6
Without depression diagnoses / 13.5 / 1.3 / 11.2 / 16.4

Abbreviations: SE, standard error

eFigure 1. National trends in annual numbers of suicidal-behavior related hospitalizations among pregnant women, USA, 2006-2012

Error bars stand for standard deviations

eFigure 2. Suicidal behavior-related hospitalizations per 100,000 hospitalizations according to median household income quartiles for patient zipcode among pregnant women, USA, 2006-2012

eFigure 3. Suicidal behavior-related hospitalizations per 100,000 hospitalizations according to depression diagnoses among pregnant women, USA, 2006-2012

1 | Page