Pregnancy-Associated Homicide and Suicide

Modest, Anna M.; Prater, Laura; Joseph, Naima T.

doi:10.1097/aog.0000000000004932

Cited by 19 publications

(6 citation statements)

References 29 publications

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“…According to the South African Depression and Anxiety Group (SADAG), as referred to by Miric and Ancer (2022), suicide is the second leading cause of death among young people aged 15 to 24 years in the country. This does not entirely seclude young adults and other age groups (Modest et al, 2022).…”

Section: Comprehending Suicide In the South African Contextmentioning

confidence: 98%

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Probing the Structuralist Analysis of a Selected isiXhosa Short Story, ‘Ukuzibulala Akusiso Isisombululo’ (Suicide Is Not the Solution), as a Literary Work

Diko

2023

The Thinker

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Mental health crises and suicide continue to plague young men and women in South Africa, and not irrefutably secluding otherage groups. While scholarly and non-scholarly dialogues pivot to address this conundrum, isiXhosa short stories as a literary art are no exception. As a result, this article aims to conceptualise how mental health crises and suicide are mirrored in ‘UkuzibulalaAkusiso Isisombululo’ (Suicide Is Not the Solution). The objective was to unravel the interplaying meanings in respect of the phenomenon of interest. This particular short story was further appreciated as a source of data while structuralism as a theorywas elicited as an instrument to enact reasonable and empirical debates. Ultimately, it became evident that mental health and suicidal thoughts and behaviours are acutely entrenched in the South African milieu, and that necessitates an extensive scholarly discourse beyond the limitations of this particular article.

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Section: Comprehending Suicide In the South African Contextmentioning

confidence: 98%

“…Frequently, suicide in South Africa is also linked to the country's high rates of violence and crime (Modest et al, 2022). People who have faced violence or trauma may be more probable to consider suicide as a way to circumvent their pain and suffering (Modest et al, 2022: 601).…”

Section: Comprehending Suicide In the South African Contextmentioning

confidence: 99%

Probing the Structuralist Analysis of a Selected isiXhosa Short Story, ‘Ukuzibulala Akusiso Isisombululo’ (Suicide Is Not the Solution), as a Literary Work

Diko

2023

The Thinker

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“…Research has also noted that pregnancy exacerbates the risk of IPH for Black women. For example, a study examining pregnancy associated homicides occurring between 2008 and 2019 found that Black women face a substantially higher risk of being killed by a current or former partner than women of other races (Modest et al, 2022). In another study of homicides occurring between 2003 and 2017, Kivisto et al (2022) found that IPH rates for pregnant Black women were three times higher than IPH rates for pregnant White and Hispanic women.…”

Section: Intimate Partner Violencementioning

confidence: 99%

Black Femicides Matter: Conceptualizing the Killings of Black Girls and Women as Structural and Cultural Violence

Posey

2023

Homicide Studies

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Although men of color are disproportionately the victims of violence in the United States, Black women face a substantial risk. This work presents a layered commentary on the growing epidemic of Black femicide. First, hypervisibility and invisibility within institutions is explored. Second, using feminist victimology and intersectionality frameworks, four forms of Black femicide are analyzed: gun violence, intimate partner violence, targeted violence, and institutional violence. Third, topics of missing and insufficient information on Black femicide are probed. Fourth, procedural limitations and recommendations for future works are proposed. This essay seeks to improve discussions surrounding Black femicide in research and practice.

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“…[1][2][3][4][5][6] It is associated with an increased risk for suicide and self-harm and is estimated to be responsible for 10% or more of all pregnancy-related deaths. [7][8][9] Compared to other causes of pregnancy-related deaths, those due to mental health conditions are considered preventable by many Maternal Mortality Review Committees. 7 In addition to the increased risk of self-harm, PPD also has a profound impact on a person's physical and mental health, ability to function, and relationships with their newborn and family during a period that can represent a challenge even in the absence of mood change.…”

Section: Introductionmentioning

confidence: 99%

Stratifying Risk for Postpartum Depression at Time of Hospital Discharge

Clapp,

Castro,

Verhaak

et al. 2024

Preprint

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Objective: Postpartum depression (PPD) represents a major contributor to postpartum morbidity and mortality. Beyond efforts at routine screening, risk stratification models could enable more targeted interventions in settings with limited resources. Thus, we aimed to develop and estimate the performance of a generalizable risk stratification model for PPD in patients without a history of depression using information collected as part of routine clinical care. Methods: We performed a retrospective cohort study of all individuals who delivered between 2017 and 2022 in one of two large academic medical centers and six community hospitals. An elastic net model was constructed and externally validated to predict PPD using sociodemographic factors, medical history, and prenatal depression screening information, all of which was known before discharge from the delivery hospitalization. Results: The cohort included 29,168 individuals; 2,703 (9.3%) met at least one criterion for postpartum depression in the 6 months following delivery. In the external validation data, the model had good discrimination and remained well-calibrated: area under the receiver operating characteristic curve 0.721 (95% CI: 0.707-0.734), Brier calibration score 0.088 (95% CI: 0.084-0.092). At a specificity of 90%, the positive predictive value was 28.0% (95% CI: 26.0-30.1%), and the negative predictive value was 92.2% (95% CI: 91.8-92.7%). Conclusions: These findings demonstrate that a simple machine-learning model can be used to stratify the risk for PPD before delivery hospitalization discharge. This tool could help identify patients within a practice at the highest risk and facilitate individualized postpartum care planning regarding the prevention of, screening for, and management of PPD at the start of the postpartum period and potentially the onset of symptoms.

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Pregnancy-Associated Homicide and Suicide

Abstract: Intimate partner violence and underlying mental health problems are implicated in a majority of pregnancy-associated violent deaths due to homicide and suicide.

Cited by 19 publications

References 29 publications

Probing the Structuralist Analysis of a Selected isiXhosa Short Story, ‘Ukuzibulala Akusiso Isisombululo’ (Suicide Is Not the Solution), as a Literary Work

Probing the Structuralist Analysis of a Selected isiXhosa Short Story, ‘Ukuzibulala Akusiso Isisombululo’ (Suicide Is Not the Solution), as a Literary Work

Black Femicides Matter: Conceptualizing the Killings of Black Girls and Women as Structural and Cultural Violence

Stratifying Risk for Postpartum Depression at Time of Hospital Discharge

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