A Systematic Review of Postpartum Psychosis Resulting in Infanticide: Missed Opportunities in Screening, Diagnosis, and Treatment
Alford, A.Y., Riggins, A.D., Chopak-Foss, J., Cowan, L.T., Nwaonumah, E.C., Oloyede, T.F., Sejoro, S.T., & Kutten, W.S. (2024). A systematic review of postpartum psychosis resulting in infanticide: missed opportunities in screening, diagnosis, and treatment. *Archives of Women's Mental Health*, 28(2
A Systematic Review of Postpartum Psychosis Resulting in Infanticide: Missed Opportunities in Screening, Diagnosis, and Treatment
Citation
Alford, A.Y., Riggins, A.D., Chopak-Foss, J., Cowan, L.T., Nwaonumah, E.C., Oloyede, T.F., Sejoro, S.T., & Kutten, W.S. (2024). A systematic review of postpartum psychosis resulting in infanticide: missed opportunities in screening, diagnosis, and treatment. Archives of Women's Mental Health, 28(2), 297-308. https://doi.org/10.1007/s00737-024-01508-3
Published
September 2, 2024 (Volume 28, pages 297-308, 2025)
Journal
Archives of Women's Mental Health (Springer Nature)
Authors & Affiliations
Purpose
Impacting 1 in 1000 women, untreated postpartum psychosis is associated with a 4% infanticide rate. This systematic review aims to identify factors that are associated with infanticide resulting from psychosis in the puerperal period and pinpoint areas of missed opportunity for intervention.
Methods
A systematic literature review was conducted in accordance with PRISMA guidelines to identify and synthesize cases of maternal infanticide among perinatal females with evidence of postpartum psychosis. Four independent reviewers screened 231 articles identified in searches of three databases (PsycInfo, PubMed, and Web of Science) for studies conducted from 2013 to 2023.
Results
Twelve studies were included in the final review. Findings indicate that those experiencing puerperal psychosis have increased incidence of infanticide suggesting missed opportunities for intervention and treatment. Common factors in mothers who committed infanticide as a result of delusions and/or hallucinations associated with PMADs were identified, including:
Conclusion
The current body of evidence supports developing and evaluating clinical interventions aimed at improving maternal mental health outcomes and infant outcomes in perinatal women experiencing puerperal psychosis.
Keywords
Perinatal mood and anxiety disorders, Psychotic disorders, Infanticide, Women's health
Metrics
Funding
The authors received no funding related to the completion of this article.
Relevance to Clancy Case
This study directly addresses the intersection of postpartum psychosis and infanticide, identifying systemic failures in screening, diagnosis, and treatment that may contribute to tragic outcomes. The finding that untreated PP carries a 4% infanticide rate underscores the clinical significance of this condition.