September 29, 2011

Abortion Suicide Link Fails a Court Test

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(WOMENSENEWS)--The appeal of South Dakota's 2005 "informed consent" law on abortion gave pro-choice advocates a sliver of victory earlier this month.

A doctor is still required to tell a woman that an abortion "ends a human life" 24 hours ahead of the procedure, to give her time to reconsider. The court upheld that essential part of the script citing a previous ruling on First Amendment freedom of speech grounds.

But the Eighth Circuit Court of Appeals in St. Louis said a section requiring doctors to describe "all known medical risks" of abortion -- including an increased risk "of suicide ideation and suicide"-- must be removed. That frees doctors to use professional judgment when informing patients of the potential risks.

"We are very happy to have the Eighth Circuit confirm what reliable medical professionals have been saying for years," said Mimi Liu, who represented the case as the staff attorney of the Planned Parenthood national office, in Washington, D.C. "It has been a long road."

She said the quashing of the suicide advisory could affect other states considering advisories on a linkage between abortion and psychological distress. "No other state has tried to pass a similar provision since this law was passed in 2005, I suppose in part because of waiting to see what happened here," said Liu.

Planned Parenthood brought the suit against South Dakota Gov. Mike Rounds, Attorney General Marty Jackley, representatives from "pro-life" medical groups and two crisis pregnancy centers, run by Christian organizations in the United States and around the world, that encourage women to avoid abortions and carry through with all pregnancies.

The issue, however, has not been completely put to rest in South Dakota.

A re-hearing petition is now making the rounds with Priscilla Coleman, professor of human development and family studies at Bowling Green University in Bowling Green, Ohio, who is on board to provide expert testimony.

Study Finds Risks

In a recent analysis of 22 studies conducted between 1995 and 2009, published by The British Journal of Psychiatry, Coleman found "a moderate to highly increased risk" of mental health problems after abortion, including suicidal behavior.

"I'm hoping that the research will get attention from professional organizations and that evidence-based counseling will make its way into the abortion services available," said Coleman.

The court is expected to make a decision in October on hearing the appeal, which is being brought by Alpha Center and Black Hills, two crisis pregnancy centers. Also, the state may be petitioning for further review, says Planned Parenthood. Petitions are due today.

Meanwhile, much of the script was either upheld or modified.

"We are very pleased that more of the informed consent law was found constitutional," said Valerie Johnson, board member of South Dakota Right to Life. "South Dakotans know that when a woman is given more information about her developing unborn child, she is more likely to choose life for that child."

South Dakota was the first, and only, state to include the risk of suicide in an abortion-specific informed consent law.

But, some states have found other ways to suggest a mental health risk.

"It gets murky when you get into what states have included in their written abortion counseling materials," said Elizabeth Nash, a public policy associate at Guttmacher Institute, the New York-based provider of reproductive health research. "In some states abortion counseling includes a section in the written materials that says something along the lines of 'abortion can be difficult emotionally, some women feel relief while others have negative feelings. If those feelings continue a woman should seek the help of a mental health professional.'"

34 States Require Counseling

Today, three of the 34 states that require counseling before an abortion mandate a warning of negative emotional responses. They are Michigan, Nebraska and West Virginia, says a report from the Guttmacher Institute, though only West Virginia mentions the risk of "suicidal thought or acts."

Three other states--Kansas, Texas and Utah--include mental health risks in their state-funded material, and both Texas and Utah include suicide and thoughts of suicide as a risk.

"We've seen the idea that mental health disorders are a risk of having an abortion over and over again in state legislation," said Nash. "Many times the debates are put to an end when legislators see that the research is not bearing out."

The possibility of a link between abortion and mental health disorders entered high-profile politics in 1987, when President Ronald Reagan asked then Surgeon General, C. Everett Koop--an outspoken opponent to abortion--to prepare a report on the psychological effects of the procedure. After reviewing 250 articles from the Atlanta-based Centers for Disease Control and Prevention, Koop in 1989 declared an insufficiency of scientific evidence to make a comprehensive conclusion and would not publish the findings.

Seeking a more clear-cut statement, the American Psychological Association in 1990 commissioned a report by the journal Science, which concluded that women who have voluntary abortions do experience severe distress, but the majority of that occurs before, not after, an abortion.

"The weight of the evidence from scientific studies indicates that legal abortion of an unwanted pregnancy in the first trimester does not pose a psychological hazard for most women," the study said.

No Evidence

In 2008 a task force commissioned by the American Psychological Association again found no credible evidence "that a single elective abortion of an unwanted pregnancy in and of itself causes mental health problems."

Proponents of the South Dakota bill--the state and crisis pregnancy centers--relied heavily on studies by anti-choice researchers Coleman and David Reardon, said Jennifer Aulwes, media relations director of Planned Parenthood Minnesota, North Dakota and South Dakota, based in Minneapolis, in an e-mail.

"Their research has been discredited by leading professionals and organizations in the field," said Aulwes.

The connection between abortion and suicide crept into public education during the era of abstinence-only sexual education under President George W. Bush.

One curriculum, "Me, My World, My Future," taught teens: "Following abortion, according to some studies, women are more prone to suicide," according to the 2004 Waxman Report, commissioned by then California Rep. Henry Waxman.

"What's happened is that the anti-abortion movement has found people to put out methodologically flawed studies that allege that there is a problem with mental health after having an abortion," said Jessica Arons, director of the Women's Health and Rights Program at the Center for American Progress, a progressive think tank based in Washington, D.C.

Pregnancy crisis centers, where women are often encouraged or required to seek counseling before an abortion, may also warn women about the negative mental-health consequences. Because the centers aren't medical facilities, the information is often not regulated.

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Maura Ewing is an editorial intern for Women's eNews. She is currently pursuing an M.A. in liberal studies at The New School in New York City.

For more information:

Court Ruling on the appeal:
http://www.keloland.com/ClassLibrary/Page/News/files/Abortion%20Ruling.pdf

  • Theresa

    What always amazes me when I read these articles is that they fail to mention the “research” done by the APA was done by Brenda Major, PhD, a major pro abort.

    They also fail to contact organizations like Lumina, Silent No More, Operation Outcry and others who have thousands of post abortive women who would beg to differ with their finding through personal experience with abortion.

    Stacy Zallie left her parents a note saying she committed suicide due to an abortion. How many others have taken their life without anyone knowing of a prior abortion? Abortion hurts countless women. It is time people began listening to us who have had them.

    • Janet

      Well said, Theresa! The research upon which this change was made was inadequate, and once again not asking the people who themselves have had an abortion, or families of women who have suicided after an abortion. I hope no other states follow this unless and until more thorough attention is given to those actually involved.
      There really does need to be more attention paid to the dilemma of women who feel an abortion is their only option due to impossible life circumstances if they had a child. Few are actually helping these women and girls, leaving them with little choice. Sometimes, a pregnancy is an enforcement of keeping a woman at home or in some other way at the mercy of a very humbling situation where the idea of personal empowerment is not possible for her.

  • user28559

    Does this mean that pregnant women must be told by their doctors that 13% of them will get post-partum depression? Or that 80% of new mothers experience the “lesser” form, often called “baby blues,” as the realities of child rearing take hold? Shall women with more than one child, especially women without partners or without jobs outside the home, be informed that their chance of serious, incapacitating depression increases exponentially as the children grow?

    How about the physical effects of pregnancy? In addition to the obvious physical changes in the body and the scarring from episiotomies or c-sections, 35% of mothers become incontinent after giving birth. 50% of mothers experience later stage consequences including unresolvable incontinence after 55. We won’t even discuss how the pressure on women to look wonderful after giving birth makes all this even more stressful.

    Will doctors be forced to tell mothers that their chances of financial security are hobbled by having children? That their relationships will become strained by the responsibilities of child rearing? That being a mother can be considered as part of their work evaluation?