Suicidal ideation: Prevalence and risk factors during pregnancy

Legazpi, Pilar Carolina Castelao; Rodríguez-Muñoz, María de la Fe; Le, Huynh-Nhu; Balbuena, Cristina Soto; Olivares, María Eugenia; Méndez, Nuria

doi:10.1016/j.midw.2021.103226

Cited by 23 publications

(30 citation statements)

References 23 publications

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“…As the author knows, this was the first study to consider attachment as a predictor of suicidal ideation in pregnant women in China. We found that 6.71% of women in the third trimester had suicidal ideation, which was similar to a previous research result [ 42 ] and another study on Chinese pregnant women [ 30 ], but higher than that in Spain(2.6%) [ 43 ]. There may be some reasons for the higher suicidal ideation in our study.…”

Section: Discussionsupporting

confidence: 91%

The prevalence of suicide ideation and predictive factors among pregnant women in the third trimester

Zhang

Yang

et al. 2022

BMC Pregnancy Childbirth

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Background Pregnancy is a period for women undergo major physical and psychological changes. Suicide is a cause of maternal death and suicidal ideation is a key factor in suicidal behavior. The purpose of this study was to investigate the prevalence of suicidal ideation in the third trimester and associated predictors including psychological factors such as attachment. Methods A cross-sectional study included 432 pregnant women in the third trimester of pregnancy was conducted in a tertiary hospital. The Edinburgh Postpartum Depression Scale (EPDS) was used to assess prenatal depression and suicidal ideation. The Zung Self-Rating Anxiety Scale (SAS) and Experience of Close Relationship (ECR) scale were used to assess anxiety and attachment respectively. Results The results showed that the EPDS scale screened 6.71% of pregnant women with suicidal ideation. Compared with those without suicidal ideation, pregnant women with suicidal ideation had a higher prevalence of insecure attachment, higher scores on the two dimensions of attachment (attachment avoidance and attachment anxiety), and higher prevalence of prenatal depression and anxiety. Binary logistic regression showed that marital satisfaction was a protective factor for suicidal ideation, while prenatal depression, prenatal anxiety and attachment anxiety were risk factors for suicidal ideation. Conclusions The suicidal ideation among pregnant women was high, which should be given more attention. In the process of preventing and intervening suicidal ideation, in addition to the emotional state of pregnant women, their psychological factors such as attachment anxiety should also be considered.

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Section: Discussionsupporting

confidence: 91%

The prevalence of suicide ideation and predictive factors among pregnant women in the third trimester

Zhang

Yang

et al. 2022

BMC Pregnancy Childbirth

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“…15 16 17 The association of employment status with suicide risk shown in our study is similar to the multicentric study done among 1524 pregnant female in Spain. 18 Though the literature support the association of low socioeconomic status, single parenting status, low education, unwanted and unplanned pregnancy, family history of suicide, poor social support, intimate partner violence, and use of psychoactive substances with the suicide risk; the present study had no significant associations. One of the main reason could be the small sample size.…”

Section: Variablescontrasting

confidence: 75%

Prevalence of suicide risk and its associated factors in patients presenting in antenatal clinic

Shrestha

Sharma

et al. 2022

J Patan Acad Health Sci

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Introduction: Suicide during the antenatal period is one of the major indirect causes of maternal death. This study aims to determine the prevalence of suicidal risk and its related factors among the patients attending the antenatal clinic of a tertiary care center. Method: This is a cross-sectional study conducted in the antenatal clinic Patan Hospital, Lalitpur, Nepal among 124 pregnant patients using purposive sampling and face-to-face interviews applying a semi-structured proforma and P4 suicide screener. Ethical approval was obtained. The percentage of patients with suicide risk was calculated and stratified into minimal, lower, and higher risk of suicide. The association between suicide risk and different sociodemographic and clinical variables was done using the Chi-square test. A p-values ≤0.05 was considered statistically significant. Result: The prevalence of suicide risk was 32 out of 124 patients (25.8%). When risk stratification was done a maximum of 22(17.7%) had a higher risk for suicide. The risk was associated the employment status (p=0.039), history of previous suicide attempts (p=0.04), and diagnosed mental disorder (p=0.027). Conclusion: Our study shows the suicide risk among antenatal females was 25.8% reaffirming the need for proper screening and referral.

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“…Even in non-war conditions, the perinatal period (from pregnancy to the first year after the baby is born) is a vulnerable time per se . It is estimated that 1 in 5 women will develop a perinatal mental disorder, which implies that the onset and recurrence of mental health disorders during this period is very high ( Andersen et al, 2012 ; Soto-Balbuena et al, 2018 , 2021 ; Fawcett et al, 2019 ; Legazpi et al, 2022a , b ). Depression, posttraumatic stress disorder (PTSD), and anxiety are shown on the literature as the most recurrent diagnoses ( Chrzan-Dętkoś et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

The impact of the war in Ukraine on the perinatal period: Perinatal mental health for refugee women (pmh-rw) protocol

et al. 2023

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BackgroundThe aim of the Perinatal Mental Health for Refugee Women (PMH-RW) Project is to investigate the impact of the war on perinatal mental health: anxiety, post-traumatic stress, depression, and birth trauma symptoms. It will also evaluate the factors that serve as protective elements for the development of these potential diagnoses (such as personality traits, social support, sociodemographic characteristics, and access to medical/mental health services).MethodAn international observational cohort study with baseline data is being assessed in Ukraine (for internal refugees) and several European Countries (for external refugees). The study includes as participants both pregnant women and those who have recently given birth (with babies up to 1 year old). The assessment includes measures on depression (EPDS), anxiety (GAD-7), experiences during birth (City Birth Questionnaire), post-traumatic stress symptoms [Impact of events scale—revised (PTSD-R)], Personality (10-Item Personality Inventory-TIPI), and a questionnaire for socio-demographic data which also such social support.ConclusionThis study will provide needed information for determining the impact of the Ukrainian Crisis on perinatal mental health by studying potential risk and protective factors. The data collected will be used to inform policymakers with useful information that can be used in the development of plans to protect and promote the mental health of the perinatal refugees impacted by this event. Also, it is our hope that data collected from this study will serve to plant the seeds for further research regarding the impact of the crisis in Ukraine on the offspring and to analyze how these events are affecting further generations.Clinical Trial RegistrationClinicalTrials.gov, Identifier: NCT05654987.

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Suicidal ideation: Prevalence and risk factors during pregnancy

Cited by 23 publications

References 23 publications

The prevalence of suicide ideation and predictive factors among pregnant women in the third trimester

The prevalence of suicide ideation and predictive factors among pregnant women in the third trimester

Prevalence of suicide risk and its associated factors in patients presenting in antenatal clinic

The impact of the war in Ukraine on the perinatal period: Perinatal mental health for refugee women (pmh-rw) protocol

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