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13-16 Studies of maternal deaths in Australia (1994-2002) have suggested that maternal psychiatric illness was a leading cause of maternal death; the majority of suicides occurred violently.17 The Office for National Statistics (ONS), a record linkage study in the U.K. identified over 40 additional maternal deaths in the triennium from 1997 to 1999 from suicide or violent causes; this discovery made suicide the leading cause of indirect maternal deaths after these cases were added to the National Institute for Health and Clinical Excellence (NICE) report statistics.
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