Childhood abuse and suicidality in obstetrics patients in a hospital-based urban prenatal clinic

Farber, Eugene W.; Herbert, Sarah; Reviere, Susan L.

doi:10.1016/0163-8343(95)00098-4

Cited by 37 publications

(32 citation statements)

References 7 publications

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“…The results showing greater rates of victimization in women with suicidal ideation support previous studies linking a history of physical and sexual abuse with suicidal ideation during pregnancy (Farber, Herbert, & Reviere, 1996) and expands these findings to a substance abusing pregnant population and to include emotional abuse. The results of this study showing greater rates of PTSD in women with SI also supports previously reported findings between suicidal ideation and PTSD among pregnant drug dependent women (Tuten, Jones, Tran, & Svikis, 2004;Moylan, Jones, Haug, Kissin, & Svikis, 2001).…”

Section: Discussionsupporting

confidence: 79%

Suicidal Ideation Among Drug-Dependent Treatment-Seeking Inner-City Pregnant Women

Copersino

Jones

Tuten

et al. 2008

Journal of Maintenance in the Addictions

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The current retrospective study compared the psychiatric and lifestyle characteristics of two groups of treatment-seeking pregnant, opiate and/or cocaine dependent women admitted to the Center for Addiction and Pregnancy (CAP). Women reporting past and/or current suicidal ideation (SI) (46%; n = 35) were compared to women who did not report thoughts of suicidal ideation (NSI) (54%; n = 41). SI women were more likely to be homeless (p = .020), to report histories of emotional (p = .022), physical (p < 001), sexual abuse (p = .002) and psychiatric treatment (p < . 001), and less likely to be married (p = .024) than NSI women. Psychiatrically, SI women were more likely to have co-morbid current and lifetime disorders than NSI women. These findings highlight the need to identify women with histories of suicidal ideation, recognize the potential relapse risk imposed by emotional distress, and confront these issues in treatment.

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Section: Discussionsupporting

confidence: 79%

Suicidal Ideation Among Drug-Dependent Treatment-Seeking Inner-City Pregnant Women

Copersino

Jones

Tuten

et al. 2008

Journal of Maintenance in the Addictions

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“…Depression, especially when associated with intimate partner violence, has been proven to further increase the risk for unfavorable pregnancy outcome [7,27]. Farber et al [5] hypothesized that in women with CSA experiences pregnancy may reactivate feelings of helplessness and create fears to be unable to protect the child from similar experiences. In such situations, fantasies of the death of oneself and the unborn infant might be perceived as a solution.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

Leeners

Rath

Block³

et al. 2013

Journal of Perinatal Medicine

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Aims: To explore the association between childhood sexual abuse (CSA), physical abuse, as well as other adverse childhood experiences (ACE), and different obstetrical risk factors/behaviors. Methods: In this cohort study, obstetrical risk factors and perinatal outcome in 85 women exposed to CSA were compared to 170 matched unexposed women. CSA, physical abuse, and ACE were explored by face-to-face interviews and by questionnaire. Data on perinatal outcome were extracted from medical charts. Fisher's exact, χ 2 -test, and multiple logistic regression were used for statistical analysis. Results: During pregnancy women with CSA experiences were significantly more often smoking (31.7%/9.4%; P < 0.0001), had partners abusing drugs (10.6%/1.2%; P < 0.0005), experienced physical (16.5%/0; P < 0.0001), sexual (12.9%/0; P < 0.0001), and emotional abuse (44.7%/1.7%; P < 0.0001), reported depression (24.7%/1.8%; P < 0.0001), and suicidal ideation (10.6%/0; P < 0.0001) than women without CSA experiences. Differences in risk factors were more often correlated with physical than with sexual abuse during childhood. The probability for premature delivery was associated with CSA, physical abuse and ACE as well as with several of the risk factors investigated. Conclusion: Women with CSA, physical, and ACE present with a variety of abuse-associated obstetrical risk factors and an increased risk for premature delivery. Therefore, all types of abusive and other ACE should be considered in prenatal care.

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“…On the other hand, CSA had the greatest impact on HSB (OR = 3.71). Farber et al 1 also found that a history of CSA was related to suicidal ideation during pregnancy and to suicide attempts before pregnancy in a sample of psychiatric obstetric patients.…”

Section: Discussionmentioning

confidence: 97%

“…As a whole, this work has found that having a history of childhood physical abuse (CPA) and/or sexual abuse (CSA) is related to suicidal ideation and/or suicide attempts during pregnancy. 1,7 However, findings have been mixed regarding the relationship between childhood abuse and increased risk of prenatal depression or anxiety. Leeners et al 6 conducted a systematic literature review in 2006 and concluded that pregnant women with a history of CSA were more likely to experience depression and anxiety.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] Early adverse experiences, in concert with hereditable factors, alter brain and behavior (cognition, emotional regulation, social interaction styles) of children at a young age. 2 According to Grassi-Oliveira et al, 4 child abuse can be perceived as an agent for neurodevelopmental disruption and, depending on when it occurs, may cause serious neurological ''scars'' in certain structures, which may make some individuals vulnerable to certain types of psychopathology.…”

Section: Introductionmentioning

confidence: 99%

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Childhood abuse increases the risk of depressive and anxiety symptoms and history of suicidal behavior in Mexican pregnant women

Lara

Navarrete

Nieto

et al. 2015

Braz. J. Psychiatry

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Objective: To explore the relationship between individual and co-occurring childhood sexual, physical, and verbal abuse, prenatal depressive (PDS) and anxiety symptoms (PAS), and history of suicidal behavior (HSB) among Mexican pregnant women at risk of depression. Methods: A sample of 357 women screened for PDS was interviewed using the Childhood Experience of Care and Abuse Questionnaire (CECA-Q), the Beck Depression Inventory (BDI-II), the anxiety subscale of the Hopkins Symptoms Checklist (SCL-90), and specific questions on verbal abuse and HSB. Results: Logistic regression analyses showed that women who had experienced childhood sexual abuse (CSA) were 2.60 times more likely to develop PDS, 2.58 times more likely to develop PAS, and 3.71 times more likely to have HSB. Childhood physical abuse (CPA) increased the risk of PAS (odds ratio [OR] = 2.51) and HSB (OR = 2.62), while childhood verbal abuse (CVA) increased PDS (OR = 1.92). Experiencing multiple abuses increased the risk of PDS (OR = 3.01), PAS (OR = 3.73), and HSB (OR = 13.73). Conclusions: Childhood sexual, physical, and verbal abuse, especially when they co-occur, have an impact on PDS and PAS and lifetime HSB. These findings suggest that pregnant women at risk for depression should also be screened for trauma as a risk factor for perinatal psychopathology.

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Childhood abuse and suicidality in obstetrics patients in a hospital-based urban prenatal clinic

Cited by 37 publications

References 7 publications

Suicidal Ideation Among Drug-Dependent Treatment-Seeking Inner-City Pregnant Women

Suicidal Ideation Among Drug-Dependent Treatment-Seeking Inner-City Pregnant Women

Risk factors for unfavorable pregnancy outcome in women with adverse childhood experiences

Childhood abuse increases the risk of depressive and anxiety symptoms and history of suicidal behavior in Mexican pregnant women

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