Hospital Mental Health Admissions in XXXX after Unsuccessful Infertility Treatment and In Vitro Fertilization: An Australian Population-Based Cohort Study.

@entity52 @entity1 @entity249
OBJECTIVE: To examine the association between @entity52 ( @entity52 ) and later admission to hospital with a mental health diagnosis in @entity1 who remained childless after @entity249 treatment. METHODS: This was a population-based cohort study using linked administrative hospital and registry data. The study population included all @entity1 commencing hospital treatment for @entity249 in Western Australia between the years 1982 and 2002 aged 20-44 years at treatment commencement who did not have a recorded birth by the end of follow-up (15 August 2010) and did not have a hospital mental health admission prior to the first @entity249 admission (n=6,567). Of these, 2,623 @entity1 had @entity52 and 3,944 did not. We used multivariate Cox regression modeling of mental health admissions and compared @entity1 undergoing @entity52 treatment with @entity1 having @entity249 treatment but not @entity52 . RESULTS: Over an average of 17 years of follow-up, 411 @entity1 in the cohort were admitted to hospital with a mental health diagnosis; 93 who had @entity52 and 318 who did not. The unadjusted hazard ratio (HR) for a hospital mental health admission comparing @entity1 who had @entity52 with those receiving other @entity249 treatment was 0.50 (95% confidence interval [CI] 0.40-0.63). After adjustment for age, calendar year and socio-economic status the HR was 0.56 (95% CI 0.44-0.71). CONCLUSIONS: @entity52 treatment is associated with a reduced risk of hospital mental health admissions in @entity1 after unsuccessful @entity249 treatment. This may be explained by the healthy cohort effect.
