Today marks World Suicide Prevention Day, a day dedicated to raising awareness, breaking stigma, and reminding us that every life matters. While suicide affects people of all backgrounds, one group that often suffers silently is postpartum women.
The postpartum period, often romanticised as a time of joy and bonding, can also be one of the most vulnerable stages in a woman’s life. The reality is sobering: suicide is one of the leading causes of maternal death in the first year after giving birth. Yet it remains under-discussed and shrouded in stigma.
As a midwife, mother, and advocate for honest conversations around maternal mental health, I believe it’s time we shine a light on this hidden crisis.
Where to Find Help Today
If you are reading this and feel unsafe or overwhelmed, please know: you are not alone.
- In the UK: Call Samaritans at 116 123 (free, 24/7)
- Text “SHOUT” to 85258 for crisis support
- Speak to your GP, midwife, or health visitor, they can help
- If you are outside the UK, please check your local crisis helpline
Your life matters. You matter.
Understanding Postpartum Mental Health
Pregnancy and birth bring profound physical, emotional, and hormonal changes. While “baby blues” affect around 80% of new mothers, most recover within two weeks. But for some, these feelings deepen into more serious conditions, including:
- Postpartum depression (PPD) – persistent sadness, loss of interest, hopelessness, and overwhelming guilt
- Postpartum anxiety – constant worry, racing thoughts, panic attacks, and sleep disturbance
- Postpartum psychosis (rare but severe) – hallucinations, delusions, and disconnection from reality, requiring urgent medical help
These conditions, if untreated, can increase the risk of self-harm or suicide.
Why Postpartum Suicide Happens
Several factors intersect, making new mothers particularly vulnerable:
- Hormonal changes – a sudden drop in estrogen and progesterone can trigger mood disorders
- Isolation – many women feel cut off from their support networks
- Pressure of motherhood – the myth of the “perfect mum” creates guilt and shame when reality doesn’t match expectations
- Past trauma or mental health history – women with previous depression, anxiety, or abuse are at higher risk
- Lack of awareness and support – stigma often prevents mothers from speaking up until it’s too late
The Hidden Signs to Look Out For
While every woman’s experience is unique, there are red flags that partners, family, and healthcare providers should watch for:
- Expressions of hopelessness (“My baby would be better off without me”)
- Sudden withdrawal or detachment from the baby
- Changes in sleep or appetite beyond normal newborn exhaustion
- Intense anxiety, agitation, or panic attacks
- Talking about death, self-harm, or disappearing
It’s important to remember: asking someone if they’re suicidal does not put the idea in their head. It opens a door for them to seek help.
How We Can Prevent Postpartum Suicide
1. Break the Stigma
Conversations about maternal mental health need to be as normal as conversations about breastfeeding or sleep routines. Sharing real stories helps mothers feel less alone.
2. Early Screening
Healthcare providers must routinely screen women during pregnancy and after birth for depression, anxiety, and suicidal thoughts.
3. Build Support Networks
Practical help (meals, childcare, household tasks) and emotional support (listening without judgement) are lifesaving.
4. Professional Help
Encourage mothers to seek therapy, counselling, or medication if needed. Mental health care should be viewed as essential, not optional.
5. Partner and Family Involvement
Education for partners and families is key. Knowing the signs and how to respond can make the difference between crisis and recovery.
A Message of Hope
If you are a new mother struggling with dark thoughts: you are not alone, and you are not failing. Your life matters. Your baby needs you, but more importantly, you deserve to live, to heal, and to thrive.
Reach out to your GP, midwife, or a helpline today. In the UK, you can call Samaritans at 116 123 for free, 24/7.
On this World Suicide Prevention Day, let’s break the silence around maternal mental health. Supporting new mothers is not just about nappies and feeding, it’s about recognising that behind every baby is a woman who needs care, love, and understanding too.
If we normalise these conversations, more mothers will survive. Together, we can save lives.
You never know whose life you might touch. If you’ve been through this yourself and feel able, I’d love you to share your story in the comments. Your words might be the lifeline another mum needs. If you found this useful, please comment ‘awareness matters’ below.
The more voices we add, the louder this message becomes.