SUICIDALITY in the perinatal period: comparison of two self-report instruments. Results from PND-ReScU

Mauri, Mauro; Oppo, Annalisa; Borri, C.; Banti, S.

doi:10.1007/s00737-011-0246-y

Cited by 58 publications

(50 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Moreover, this risk might vary by evaluation time. Studies employing the EDPS found decreasing rates from the third (5.4 %) to the sixth (4.1 %) to the eighth (3 %) month of pregnancy (Mauri et al 2012) and from the third (10.2 %) to the eighth (6.8 %) month (Evans et al 2001). We found that AD increases CSR by 5.60 times [95 % confidence intervals (CIs)=2.…”

Section: Discussionmentioning

confidence: 83%

Suicidality among pregnant women in Brazil: prevalence and risk factors

Couto

Brancaglion

Cardoso

et al. 2015

Arch Womens Ment Health

View full text Add to dashboard Cite

Suicide is one of the major causes of preventable death. We evaluated suicidality among pregnant women who participated in prenatal care in Brazil. A total of 255 patients were assessed using semi-structured interviews as well as the Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory (BDI), and Mini-International Neuropsychiatric Interview (MINI) Plus. Thereafter, Stata 12 was used to identify the significant predictors of current suicide risk (CSR) among participants using univariate and multivariate analyses (p < 0.05). According to MINI Plus module C, the lifetime suicide attempt rate was 12.55%. The overall CSR was 23.53%, distributed across risk levels of low (12.55%), moderate (1.18%), and high (9.80%). Our rates approximate those found in another Brazilian study (18.4%). Antenatal depression (AD), lifetime bipolar disorder, and any current anxiety disorder (as measured using the MINI) as well as BDI scores ≥15 and EPDS scores ≥11 were identified as positive risk factors in a univariate analysis (p < 0.001). These factors changed after a multivariate analysis was employed, and only years of education [odds ratio (OR) = 0.45; 95% confidence intervals (CIs) = 0.21-0.99], AD (OR = 3.42; 95% CIs = 1.37-8.53), and EPDS scores ≥11 (OR = 4.44; 95% CIs = 1.97-9.97) remained independent risk factors. AD and other psychiatric disorders were the primary risk factors for suicidality, although only the former remained an independent factor after a multivariate analysis. More than 10 years of education and EPDS scores ≥11 were also independent factors; the latter can be used as a screening tool for suicide risk.

show abstract

Section: Discussionmentioning

confidence: 83%

Suicidality among pregnant women in Brazil: prevalence and risk factors

Couto

Brancaglion

Cardoso

et al. 2015

Arch Womens Ment Health

View full text Add to dashboard Cite

show abstract

“…In a small sample of non-pregnant IPV survivors residing in a shelter, reports of intimate partner rape were associated with suicidal ideation though this relation was mediated by depression and post-traumatic stress disorder (Weaver et al 2007). In an Italian non-clinical sample of perinatal women, unemployment, low educational level, lifetime suicidality, previous suicide attempts and major depression during pregnancy were significantly associated with suicidality during pregnancy (Mauri et al 2012). …”

Section: Introductionmentioning

confidence: 99%

Intimate partner violence and suicidal ideation in pregnant women

Alhusen

Frohman

Purcell

2015

Arch Womens Ment Health

View full text Add to dashboard Cite

Intimate partner violence (IPV) during pregnancy is a major public health issue with significant implications for maternal mental health. Less studied is the association between IPV during pregnancy and suicidal ideation. This study reports the prevalence and correlates of suicidal ideation among low-income pregnant women receiving prenatal care at a university obstetrical clinic from February 2009 to March 2010. We performed a cross-sectional analysis of 166 women surveyed between 24 – 28 weeks gestation using the Edinburgh Postnatal Depression Scale (EPDS) and the Abuse Assessment Screen (AAS). Multiple logistic regression identified factors associated with antenatal suicidal ideation. The prevalence of suicidal ideation was 22.89%. In the fully adjusted model antenatal depressive symptomatology (OR = 17.04; 95% CI 2.10 – 38.27) and experiencing IPV (OR = 9.37; 95% CI 3.41 – 25.75) were significantly associated with an increased risk of antenatal suicidal ideation. The prevalence of antenatal suicidal ideation in the current study was higher than other population-based samples though this sample was predominantly single, low-income, and 19% experienced IPV during pregnancy. Given the strong association of antenatal suicidal ideation, depressive symptomatology, and IPV, health care providers are urged to identify those women at risk so that antenatal care can be tailored to best support optimal maternal and neonatal outcomes.

show abstract

“…The sequelae of completed suicide among new mothers are life altering and often debilitating for children and families. However, emerging evidence suggests that even postpartum suicidal ideation (SI), which occurs between 4%–8% in non-clinical (Mauri et al, 2012), 19%–30% in depressed clinical samples (Mauri et al, 2012; Wisner et al, 2013), and 9% in a primary care setting (Howard et al, 2011) is correlated with objectively-assessed disturbances across a variety of domains, including amplified parenting stress (Mauri et al, 2012). …”

Section: Introductionmentioning

confidence: 99%

“…For example, peripartum depressive symptoms and disorders, and a lifetime history of suicidal behavior were identified as strong psychiatric factors associated with postpartum SI (Mauri et al, 2012; Pope et al, 2013). In regards to contextual factors, SI shows great variability across postpartum.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal suicidal ideation across 18-months postpartum in mothers with childhood maltreatment histories

Muzik

Brier

Menke

et al. 2016

Journal of Affective Disorders

View full text Add to dashboard Cite

Objective The current study extends our understanding of postpartum suicidal ideation (SI) in the context of childhood maltreatment (CM). The study longitudinally examines the prevalence and severity of maternal SI. We further examined risk and protective factors’ associations with postpartum SI. Methods SI was assessed at 4, 6, 12, 15, and 18-months postpartum in a non-clinical sample of mothers with CM histories (N = 116). For the first aim, frequency, longitudinal percentage counts, and ANOVAs were conducted. For the second aim, logistic and linear regressions were completed to examine associations between risk and protective factors and the presence and severity of SI, respectively. Results Endorsement of SI was highest at 4-months (37%) and remained at approximately 25% for the duration of the study. While the severity of CM was not significant, our sample of women with CM histories evidenced markedly higher rates of SI than other postpartum investigations. Resilience, marital status, maltreatment-related shame, and family support were associated with suicidal ideation or severity at some assessments; however, these relationships were highly variable over time. Limitations Limitations of this study include the use of self-report measures and generalizability to mothers without CM histories. Conclusion Mothers with histories of CM are at risk for postpartum SI. Our findings elucidate the importance of understanding the interplay and variability of risk and protective factors during postpartum. These results aid clinicians in identifying women at risk for suicidal ideation during postpartum.

show abstract

SUICIDALITY in the perinatal period: comparison of two self-report instruments. Results from PND-ReScU

Cited by 58 publications

References 36 publications

Suicidality among pregnant women in Brazil: prevalence and risk factors

Suicidality among pregnant women in Brazil: prevalence and risk factors

Intimate partner violence and suicidal ideation in pregnant women

Longitudinal suicidal ideation across 18-months postpartum in mothers with childhood maltreatment histories

Contact Info

Product

Resources

About