SELECT extract(MONTH from created_at) AS month, extract(YEAR from created_at) AS year FROM users GROUP BY extract(MONTH from created_at), extract(YEAR from created_at) ORDER BY extract(MONTH from created_at), extract(YEAR from created_at)
Hier ist das aktuelle Handbuch
http://www.postgresql.org/docs/current/static/functions-datetime.html#FUNCTIONS-DATETIME-EXTRACT
Übrigens:Dies ist Standard (ANSI) SQL, das auch auf MySQL funktioniert.