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Psychiatric aspects of abortion

Published online by Cambridge University Press:  13 June 2014

Anthony W Clare  and
Janette Tyrrell
Anthony W Clare
Affiliation:
St. Patrick's Hospital Trinity College Dublin, Ireland
Janette Tyrrell
Affiliation:
St. Patrick's Hospital, Dublin, Ireland
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Abstract

Objective: To examine the evidence concerning the psychological consequences of abortion, the risk of suicide in pregnancy and the psychological consequences for the mother and the child in cases of refused abortion. Method: An extensive literature search was undertaken and key relevant papers were examined and analysed. Results: Legal abortion has become more widely available throughout the western world and the actual reported incidence of cases of refused abortion is low. The majority of studies indicate that the psychological consequences of abortion itself are in the main mild and transient but there is evidence that women who have strong religious or cultural attitudes negative to abortion do experience high levels of psychological stress following abortion. The risk of suicide is low in pregnancy and suicide is a rare outcome of refused abortion. There is evidence of psychological and social difficulties experienced by mothers of unwanted pregnancies forced to proceed to term and by many offspring of such unwanted pregnancies. Conclusions: Definitive conclusions are difficult to draw from the published studies of refused abortion and many studies are over thirty years old.

Keywords

AbortionSuicidePregnancyPsychological and social consequences
Type
Review
Information
Irish Journal of Psychological Medicine , Volume 11 , Issue 2 , June 1994 , pp. 92 - 98
Copyright
Copyright © Cambridge University Press 1994

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References

1.Hannon, P. Church state morality & law. Dublin: Gill & Macmillan, 1992.Google Scholar
2.Adler, NE, David, HP, Major, BN, Roth, SK, Russo, NF, Wyatt, GE. Psychological responses after abortion. Science 1990; 248: 41–4.CrossRefGoogle ScholarPubMed
3.Athanasiou, R, Oppel, L, Michaelson, L, Unger, T, Yager, M. Psychiatric sequelae to term birth and induced early and late abortion Fam Plann Perspect 1973; 5: 227–31.CrossRefGoogle ScholarPubMed
4.Zabin, LS, Hirsch, MB, Emerson, MR. When urban adolescents choose abortion: effects on education, psychological status and subsequent pregnancy. Fam Plann Perspect 1989; 21: 248–55.CrossRefGoogle ScholarPubMed
5.Illsley, R, Hall, HM. Psychological aspects of abortion: a review of issues and needed research. Bull World Health Organ 1976; 53: 83–106.Google ScholarPubMed
6.Romans-Clarkson, SE. Psychological sequelae of therapeutic abortion. Aust N Z J Psychiatry 1989; 23: 555–65.CrossRefGoogle Scholar
7.Zolese, G, Blacker, R. The psychological consequences of therapeutic abortion. Br J Psychiatry 1992; 160: 742–9.CrossRefGoogle Scholar
8.Brewer, C. Incidence of post-abortion psychosis: a prospective study BMJ 1977; 1: 476–7.CrossRefGoogle ScholarPubMed
9.Frank, PI, Kay, CR, Wingave, SJ, et al.Induced abortion operations and their early sequelae. J R Coll of Gen Pract 1985; 35: 175–80.Google Scholar
10.David, HP, Dytrych, Z, Metejcek, Z, Schuller, Z. Born unwanted. New York: Springer, 1988.Google Scholar
11.Greer, MS, Lai, S, Lewis, SC, et al.Psychological consequences of therapeutic abortion: King's termination study 111. Br J Psychiatry 1976; 128: 74–9.CrossRefGoogle Scholar
12.Kumar, R, Robson, K. A prospective study of emotional disorders in childbearing women Br J Psychiatry 1984; 1444: 34–47.Google Scholar
13.Payne, EC, Klavitz, AR, Notman, MT, Anderson, JV. Outcome following therapeutic abortion. Arch Gen Psychiatry 1976; 33: 725–33.CrossRefGoogle ScholarPubMed
14.Cox, JL, Connor, Y, Kendell, RE. Prospective study of the psychiatric disorders of childbirth by personal interview. Br J Psychiatry 1982; 140: 111–7.CrossRefGoogle Scholar
15.Robin, AA. Psychological changes of normal parturition. Psychiatr Q 1962; 36: 129–50.CrossRefGoogle ScholarPubMed
16.Cox, JL. Psychiatric morbidity and pregnancy: a controlled study of 263 rural Ugandan women. Br J Psychiatry 1976; 134: 401–5.CrossRefGoogle Scholar
17.Appleby, L. Suicide during pregnancy and the first postnatal year. BMJ 1991; 302: 137–40.CrossRefGoogle ScholarPubMed
18.Kleiner, GJ, Greston, WM. Suicide in pregnancy. Littleton MA: John Wright, 1984.Google Scholar
19.Kendell, RE. Suicide in pregnancy and in the Puerperium. BMJ 1991; 302: 126–7.CrossRefGoogle ScholarPubMed
20.Weir, JG. Suicide during pregnancy in London: 1943-62 In: Kleiner, GJ, Greston, WM, editors. Suicide in pregnancy. Littleton MA: John Wright, 1984.Google Scholar
21.Otto, U. Suicidal attempts made by pregnant women under 21 years. Acta Paedopsychiatr 1965; 32: 276–88.Google Scholar
22.Lester, D, Beck, AT. Attempted suicide and pregnancy. Am J Obstet Gynaecol 1988; 158: 1084–5.CrossRefGoogle ScholarPubMed
23.Czelzel, A, Lendvay, A. Attempted suicide and pregnancy. Am J Obstet Gynaecol 1989; 161: 497.CrossRefGoogle Scholar
24.Gabrielson, IW, Klerman, LV, Currie, JB, Tyler, NC, Jekel, JF. Suicide attempts in a population pregnant as teenagers. Am J Public Health 1970; 60: 2289–301.CrossRefGoogle Scholar
25.Lindberg, BJ. The medical stand on abortion. Svensdka Lakartichingen 1954; 51: 2968–81.Google ScholarPubMed
26.Hultgren, E. Refusal on request for legal abortion: statistical study on 4274 women whose applications for abortion were rejected by the Swedish Medical Board. Nord Med 1959; 62: 1182–5.Google ScholarPubMed
27.Pare, CMB, Raven, H. Psychiatric sequelae to therapeutic abortion: follow-up of patients referred for termination of pregnancy. Lancet 1970; 1: 635–8.CrossRefGoogle Scholar
28.Hook, K. Refused abortion Acta Psychiatr Scand 1963; (Suppl. 39) 168: 1–156.Google Scholar
29.Clark, M, Furstner, I, Pond, DA, Tredgold, RF. Sequels of unwanted pregnancy. Lancet 1968; ii: 501–3.CrossRefGoogle Scholar
30.Brody, H, Meikle, S, Gerritse, R. Therapeutic abortion: a prospective study. Am J Obstet Gynaecol 1971; 109: 347–53.CrossRefGoogle ScholarPubMed
31.McCance, C, Olley, PC, Edward, V. Long-term psychiatric follow-up. In: Horrobin, G, editor. Experience with abortion. Cambridge: Cambridge University Press, 1973.Google Scholar
32.Dytrych, Z, Schuller, V, Matejcek, Z. The wantedness-unwantedness continuum and responsible parenthood. In: David, HP, Dytrych, Z, Matejcek, Z, Schuller, V, editors. Born unwanted. New York: Springer, 1988.Google Scholar
33.Watters, WW. Mental health consequences of abortion and refused abortion. Can J Psychiatry 1980; 25: 68–73.CrossRefGoogle Scholar
34.Forssman, H, Thuwe, I. The Goteborg cohort 1939-1977. In: David, HP, et al, editors. Born unwanted. New York: Springer, 1988.Google Scholar
35.Metejcek, Z, Dytrych, Z, Schuller, V. The Prague cohort through age 9. In: David, HP, et al, editors. Born unwanted. New York: Springer, 1988.Google Scholar
36.Rantakillo, P, Myhrman, A. The child and family eight years after unwanted conception. Scand J Soc Med 1980; 8: 81–7.CrossRefGoogle Scholar
37.Myhrman, A. The northern Finland cohort 1966-1982. In: David, HP, et al, editors. Born unwanted. New York: Springer, 1988.Google Scholar
38.Dagg, PKB. The psychological sequelae of therapeutic abortion - denied and completed. Am J Psychiatry 1991; 148: 578–85.Google ScholarPubMed
39.Lee, S. Abortion Law: the tragic choices. Doctrine and Life 1992; 42: 282–97.Google Scholar
40.Hultin, M, Ottosson, JO. Perinatal conditions of unwanted children. Acta Psychiatr Scand 1971; 221: 59–77.CrossRefGoogle Scholar
41.Meyerowitz, S, Satloff, A, Romano, J. Induced abortion for psychiatric indications. Am J Psychiatry 1971; 127: 73–80.CrossRefGoogle Scholar