Prevalence of antenatal suicidal ideation among racially and ethnically diverse WIC enrolled women receiving care in a Midwestern public health clinic

Tabb, Karen M.; Gavin, Amelia R.; Faisal-Cury, Alexandre; Nidey, Nichole; Chan, Ya Fen; Malinga, Tumani; Meline, Brandon; Huang, Hsiang

doi:10.1016/j.jad.2019.06.012

Cited by 15 publications

(23 citation statements)

References 23 publications

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“…This result was comparable with other findings done in Brazil 10.3% [ 43 ], Pakistani 11% [ 44 ], South Africa (12%) [ 10 ], and Southern Brazil 13.3% [ 45 ]. On the other hand, this study finding was higher when compared with a study done in Brazil 8.1% [ 46 ], Peru 8.8% [ 47 ], Brazil 6.3% [ 48 ], the USA 4.6% [ 49 ], and India 7.6% [ 50 ]. The discrepancy might be due to the study setting and inclusion criteria.…”

Section: Discussioncontrasting

confidence: 76%

Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia

et al. 2021

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Background Suicidal ideation (SI) among pregnant women is a major public health concern worldwide and is associated with a higher risk of completed suicide. However, there are limited studies that determined the prevalence and the potential determinants of suicidal ideation in Sub-Saharan Africa, including Ethiopia. Therefore, this study aimed to explore the prevalence of suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma, Ethiopia. Methods An institutional-based cross-sectional study was conducted among 423 pregnant women attending Jimma medical center in Southwest, Ethiopia. A systematic random sampling technique was used to select the study participants. Suicidal ideation assessed using the Suicidality Module of the World Mental Health survey initiative version of the World Health Organization Composite International Diagnostic Interview (CIDI). Other tools used are EPDS, Abuse Assessment Scale (AAS), DASS -21, PSS, Maternity Social Support Scale (MSSS), and Pittsburgh Sleep Quality Index (PSQI). A multivariable logistic regression analysis was used to explore the potential determinants of suicidal ideation among the participants. Result The prevalence of SI among women who are on antenatal care was found to be 13.3% (95% CI (10.1,16.4). In multivariable analysis, marital status with lack of cohabiting partners (AOR = 2.80,95%CI:1.23,6.37), history of abortion (AOR = 2.45,95% CI:1.03,5.93), having depression (AOR = 4.28,95% CI:1.75,10.44),anxiety(AOR = 2.99,95% CI:1.24,7.20), poor sleep quality (AOR = 2.85,95% CI:1.19,6.79), stress (AOR = 2.50, 95% CI:1.01,5.67), and intimate partner violence (AOR = 2.43, 95% CI:1.07,5.47) were found to be significant predictors of suicidal ideation. Conclusion The prevalence of SI among pregnant women was found to be huge. Lack of cohabiting partners, previous history of abortion, depression, anxiety, intimate partner violence, poor sleep quality, and stress were variables that are independent predictors of suicidal ideation. Screening and interventions of antenatal SI are needed.

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Section: Discussioncontrasting

confidence: 76%

Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia

et al. 2021

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“…Overall, 2.7% of the sample reported antenatal SI. Tabb et al ( 17 ) used EPDS and found a prevalence of SI of 4.6% among a sample of 736 low-income US pregnant women. Kim et al ( 29 ) evaluated 22,118 pregnant women from two US hospital of suburban integrated health systems with the EPDS and found an overall prevalence of SI of 3.8% during the perinatal period (4.1% antepartum and 3.5% postpartum).…”

Section: Discussionmentioning

confidence: 99%

“…Depression is one of the most important ameriolable risk factors for SI that can be treated if detected early ( 5 , 9 , 15 , 16 ). Antenatal depressive (AD) symptoms have been associated with a 13- to 17-fold increase in odds of SI even after adjusting for covariates ( 15 , 17 ). Nevertheless, not all women with SI report elevated depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Associated Risk Factors of Suicidal Ideation Among Brazilian Pregnant Women: A Population-Based Study

et al. 2022

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BackgroundSuicide is a leading cause of death during the perinatal period in high-income countries (HIC). There remains a lack of population-based studies about suicidal ideation (SI) during pregnancy among low and middle income countries (LMIC).Objective(s)Using the case of Brazil, we aim to estimate the prevalence of SI during pregnancy and its association with antenatal depression (AD) and sociodemographic factors in a LMIC.MethodWe used data from the Brazilian National Survey (PNS-2019), a population-based study, with a complex and probabilistic sampling method. Of the 27,136 women of reproductive age (15 to 49 years old) who participated in the PNS, a total of 769 women reported being pregnant at the time of the interview. All PNS participants answered the Patient Health Questionnaire-9 (PHQ-9) and a questionnaire with sociodemographic data. SI was defined as any answer to the PHQ-9 item 9 other than 0 (not at all). Logistic regression models were performed to obtain crude and adjusted odds ratios (aOR) and 95% confidence intervals (95% CI) for the association between explanatory variables and SI during pregnancy.ResultsAmong 769 women, 33 (3.9%, 95% CI: 3.0–5.1%) reported SI during pregnancy. In the adjusted analysis, higher odds of SI were associated with being 20 to 34 years old (aOR:0.24, 95% CI: 0.08–0.74) or 35 to 49 years old (aOR:0.15; 95% CI: 0.04–0.50), having 9 to 11 years of education (aOR 0.23, 95% CI: 0.61–0.86), acheiving the highest family income category (aOR:0.08, 95% CI: 0.01–0.58), not living in the South/Southeast regions of Brazil (aOR:5.52, 95% CI: 2.36–12.9), and having probable mild AD (aOR:10.5 95% CI: 2.3–47.9) or moderate AD (aOR:241.3, 95% CI: 58.4–996.7).Conclusion(s)In Brazil, SI affects almost 4% of pregnant women and is associated with sociodemographic vulnerability. Clinically, women with mild symptoms of depression may also experience SI during pregnancy. These findings are important for designing effective perinatal mental health interventions in LMICs.

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“…A prospective study of 202 women attending prenatal care found that rates of SI decreased from 13.9% in the antenatal period to 6% in the postnatal period [ 38 ]. Among racially and ethnically diverse women enrolled in a Women Infant and Children (WIC) clinic, the prevalence of suicidal ideation was almost 5% and 13 times higher among women with depression [ 39 ]. In a town along the US-Mexico border, among women living in poverty with depressive symptoms, women > 35 years had higher odds of reporting thoughts of self-harm than younger women [ 40 ].…”

Section: Prevalence Of Perinatal Suicide and Perinatal Suicidalitymentioning

confidence: 99%

“…Depression and post-traumatic stress symptoms neared 30% during pregnancy. There was no correlation with current SI and depressive symptoms or post-traumatic stress symptoms Tabb et al [ 39 ] Prevalence of antenatal suicidal ideation among racially and ethnically diverse WIC enrolled women receiving care in a Midwestern public health clinic Cross- sectional Low-income pregnant women in WIC program 736 EPDS SI The prevalence of SI was 4.6%. After adjusting for smoking, women with depression were 13 × more likely to report SI Tabb et al [ 98 ] Intimate Partner Violence Is Associated with Suicidality Among Low-Income Postpartum Women Cross- sectional Postpartum women in Brazil 701 Clinical interview schedule SI The prevalence of postpartum SI was 4%.…”

Section: Introductionmentioning

confidence: 99%

Suicide and Maternal Mortality

Chin

Wendt

Bennett

et al. 2022

Curr Psychiatry Rep

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Purpose of Review Suicide is a leading cause of death in the perinatal period (pregnancy and 1 year postpartum). We review recent findings on prevalence, risk factors, outcomes, and prevention and intervention for suicide during pregnancy and the first year postpartum. Recent Findings Standardization of definitions and ascertainment of maternal deaths have improved identification of perinatal deaths by suicide and risk factors for perinatal suicide. Reports of a protective effect of pregnancy and postpartum on suicide risk may be inflated. Clinicians must be vigilant for risk of suicide among their perinatal patients, especially those with mental health diagnoses or prior suicide attempts. Summary Pregnancy and the year postpartum are a time of increased access to healthcare for many, offering many opportunities to identify and intervene for suicide risk. Universal screening for suicide as part of assessment of depression and anxiety along with improved access to mental health treatments can reduce risk of perinatal suicide.

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Prevalence of antenatal suicidal ideation among racially and ethnically diverse WIC enrolled women receiving care in a Midwestern public health clinic

Cited by 15 publications

References 23 publications

Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia

Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, Ethiopia

Prevalence and Associated Risk Factors of Suicidal Ideation Among Brazilian Pregnant Women: A Population-Based Study

Suicide and Maternal Mortality

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