Induced abortion and adolescent mental health

Stotland, Nada L.

doi:10.1097/gco.0b013e32834a93ac

Cited by 14 publications

(14 citation statements)

References 18 publications

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“…These laws stem from the idea that parental involvement will protect young people and protect parents' rights. However, there is a lack of evidence that parental consent improves mental health outcome and it may lead to violence or family exclusion (Stotland, 2011b). In a brief challenging an Illinois law, the American Psychiatric Association and others argued that such laws have not been demonstrated to change abortion or birth rates among teens, that abortion has less physical risk compared to delivery, and that abortion does not increase mental health risks (Guldin, 2011).…”

mentioning

confidence: 98%

“…Abortion in minors is even more emotionally charged, and additional controversy exists regarding post-abortion mental health outcomes (Stotland, 2011b). Teenagers procure approximately 17% of American abortions (Guttmacher Institute, 2014).…”

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confidence: 99%

“…Warren and colleagues (2010) found that adolescents did not appear to have increased depression or low self-esteem either in the short term or up to 5 years post-abortion. Rather than abortion leading to psychosocial problems, psychosocial problems often themselves have a role in unwanted pregnancies, and pre-abortion mental health best predicts post-abortion mental health (Munk-Olsen et al, 2011;Stotland, 2011b).…”

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confidence: 99%

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Judicial Bypass of Parental Consent for Abortion

Friedman¹,

Hendrix²,

Haberman³

et al. 2015

Journal of Nervous &Amp; Mental Disease

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Pregnant minors can obtain an abortion without parental consent through a judicial bypass procedure in 38 states. To grant such a petition in Ohio, the Court must determine that the young woman is either "sufficiently mature and well enough informed to intelligently decide whether to have an abortion," or that notification of her parents is "not in her best interest," usually due to abuse. For the sake of anonymity in these emotionally and politically charged cases, the evaluee is referred to as "Jane Doe." This project sought to describe characteristics of teenagers seeking judicial bypass for abortion, which have not been well described in the scientific literature. Data were collected from Jane Doe evaluations completed at a metropolitan juvenile court psychiatric clinic, over 3 years. The mean age of the evaluees (N = 55) was 16.4 years. The vast majority (95%) were granted a judicial bypass. They usually had long-term boyfriends of comparable age. They had often told trusted adults about their pregnancy, though not their parents, due to concerns of violence or being excluded from the family. This study presents the first comprehensive description of characteristics of minors seeking judicial bypasses for abortion. Psychiatrists may apply general principles of informed consent in such evaluations, including ascertaining whether the decision is being made voluntarily, knowingly, and with sufficient decision-making capacity.

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confidence: 98%

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confidence: 99%

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Judicial Bypass of Parental Consent for Abortion

Friedman¹,

Hendrix²,

Haberman³

et al. 2015

Journal of Nervous &Amp; Mental Disease

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“…Miscarriage happens involuntarily and suddenly to women who were expecting to give birth, whereas abortion is a planned and known event [8][9], however connected with feeling of guilty because decision is taken herself. The broader aim is to identify characteristics of women who cope well, or badly, after miscarriage to inform interventions to assist women dealing with this significant event [10][11][12].…”

Section: Associations Of Pregnancy Loss and Psychological State Daniementioning

confidence: 99%

Associations of Pregnancy Loss and Psychological State

Serapinas

2015

Sveikatos Mokslai

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SummaryMiscarriage and induced abortion are life events that can potentially cause mental distress. The objective of this study was literature review and to perform case study to determine whether there are any differences in the patterns of psychological symptoms after these two events and to point the importance of informed consent. In our study 20 women who experienced miscarriages and 20 women who underwent induced abortions were interviewed in Vilnius out patients clinics. We found that women who had pregnancy termination had more mental distress than women who experienced a miscarriage (guilty, anxiety, anger, episodes of crying etc). Women undergoing abortion had significantly more conflicts in their partnerships. Separation occurred in about one-quarter of all couples. In conclusion women who had undergone an abortion exhibited higher frequency of psychological symptoms than after miscarriage. Although an answer to the causal question is not readily discerned based on the data available, as more prospective studies with numerous controls are being published, indirect evidence for a causal connection is beginning to emerge. So we may consider that it is necessary still before induced abortion procedure to inform the couples about an increasing possibility of mental distress.

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“…Psychiatric disorders, when found, have been attributed to preexisting psychiatric illness, undergoing abortion under coercion or pressure, or concomitant highly stressful life circumstances, including abandonment. 103,104 A national study that used data from the National Longitudinal Study of Adolescent Health examined whether abortion in adolescence was associated with subsequent depression and low self-esteem within 1 year of the pregnancy and ∼5 years later. 106 Abortion was not associated with depression or low self-esteem at either time point.…”

Section: Adverse Psychological and Social Impactmentioning

confidence: 99%

The Adolescent’s Right to Confidential Care When Considering Abortion

Braverman¹,

Adelman²,

Alderman³

et al. 2017

Pediatrics

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In this statement, the American Academy of Pediatrics reaffirms its position that the rights of adolescents to confidential care when considering abortion should be protected. Adolescents should be encouraged to involve their parents and other trusted adults in decisions regarding pregnancy termination, and most do so voluntarily. The majority of states require that minors have parental consent for an abortion. However, legislation mandating parental involvement does not achieve the intended benefit of promoting family communication, and it increases the risk of harm to the adolescent by delaying access to appropriate medical care. This statement presents a summary of pertinent current information related to the benefits and risks of legislation requiring mandatory parental involvement in an adolescent’s decision to obtain an abortion.

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Induced abortion and adolescent mental health

Abstract: Clinicians may have to reassure patients making decisions about their pregnancies that abortion does not cause psychiatric illness. They can do so on the basis of recent analyses substantiating that finding.

Cited by 14 publications

References 18 publications

Judicial Bypass of Parental Consent for Abortion

Judicial Bypass of Parental Consent for Abortion

Associations of Pregnancy Loss and Psychological State

The Adolescent’s Right to Confidential Care When Considering Abortion

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