Intimate partner violence and suicidal ideation in pregnant women

Alhusen, Jeanne L.; Frohman, N.; Purcell, Genevieve

doi:10.1007/s00737-015-0515-2

Cited by 91 publications

(83 citation statements)

References 43 publications

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“…Similarly, da Silva et al (da Silva et al, 2012) conducted a multivariate logistic regression analysis and found that those women who had not finished elementary school had an increased risk of suicidal ideation compared to those who did (OR=2.84, 95% CI: 1.51–5.34). These findings have been corroborated by a number of other investigators (Asad et al, 2010, Coelho et al, 2014, Alhusen et al, 2015, Newport et al, 2007, Gandhi et al, 2006). …”

Section: Resultssupporting

confidence: 78%

“…Furthermore, the authors reported that maternal exposure to verbal abuse was associated with 4.20-fold increased odds (OR=4.20, 95% CI: 2.47–7.15) of suicidal ideation. Alhusen et al (Alhusen et al, 2015) also found a strong association between intimate partner violence and suicidal ideation among pregnant women in the U.S. Using multivariate logistic regression, the authors found that intimate partner violence during pregnancy was associated with 9.37-fold increased odds of suicidal ideation (OR=9.37, 95% CI: 3.41–25.75) (Alhusen et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

“…Alhusen et al (Alhusen et al, 2015) also found a strong association between intimate partner violence and suicidal ideation among pregnant women in the U.S. Using multivariate logistic regression, the authors found that intimate partner violence during pregnancy was associated with 9.37-fold increased odds of suicidal ideation (OR=9.37, 95% CI: 3.41–25.75) (Alhusen et al, 2015). Ely et al (Ely et al, 2011) and Fisher et al (Fisher et al, 2013) reported similar associations between intimate partner violence and suicidal ideation in their samples of pregnant women in the U.S. and Vietnam, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, the highest prevalence estimates of antepartum suicidal ideation (23–33%) have been reported from studies conducted in the U.S. (Alhusen et al, 2015, Newport et al, 2007). Furthermore, considerable variability in prevalence of antepartum suicidal ideation appears to exist across the U.S. with high reported prevalence estimates for pregnant women residing in urban communities (23–33%) compared to those residing in rural and suburban communities (3–4%) (Gavin et al, 2011, Melville et al, 2010, Kim et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

“…Several studies reported data showing that lower educational attainment is associated with an increased risk of suicidal ideation among pregnant women (Asad et al, 2010, da Silva et al, 2012, Coelho et al, 2014, Alhusen et al, 2015, Newport et al, 2007, Mauri et al, 2012, Gandhi et al, 2006). For example, in a prospective cohort study of pregnant women in Italy, Mauri et al (Mauri et al, 2012) found that low educational attainment (<12 years education) was associated with 2.90-fold increased odds of suicidality during pregnancy (OR=2.90, 95% CI: 1.59–5.30).…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Suicidal ideation in pregnancy: an epidemiologic review

Gelaye

Kajeepeta

Williams

2016

Arch Womens Ment Health

135

125

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Objective Suicidal behaviors are the leading causes of injury and death worldwide, and are leading causes of maternal deaths in some countries. One of the strongest risk factors, suicidal ideation, is considered a harbinger and distal predictor of later suicide attempt and completion, and also presents an opportunity for interventions prior to physical self-harm. The purpose of this systematic epidemiologic review is to synthesize available research on antepartum suicidal ideation. Data sources Original publications were identified through searches of the electronic databases using the search terms pregnancy, pregnant women, suicidal ideation, and pregnan* and suicid* as root searches. We also reviewed references of published articles. Study Selection We identified a total of 2,626 articles through the electronic database search. After irrelevant and redundant articles were excluded 57 articles were selected. The selected articles were original articles that focused on pregnancy and suicidal ideation. Results Of the 57 included articles, 20 reported prevalence, 26 reported risk factors, 21 reported consequences of antepartum suicidal ideation, and 5 reported on screening measures. Available evidence indicates that pregnant women are more likely than the general population to endorse suicidal ideation. Additionally, a number of risk factors for antepartum suicidal ideation were identified including intimate partner violence, <12 years education, and major depressive disorder. Conclusion There is a need for enhanced screening for antepartum suicidal ideation. The few screening instruments that exist are limited as they were primarily developed to measure antepartum and postpartum depression. Given a substantial proportion of women with suicidal ideation do not meet clinical thresholds of depression and given the stress–diathesis model that shows susceptibility to suicidal behavior independent of depressive disorders, innovative approaches to improve screening and detection of antepartum suicidal ideation are urgently needed.

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