The Relationship Between Mother–Child Bonding Impairment and Suicidal Ideation in São Paulo, Brazil

Faisal-Cury, Alexandre; Levy, Renata Bertazzi; Matijasevich, Alícia

doi:10.1007/s10995-020-03024-z

Cited by 11 publications

(9 citation statements)

References 36 publications

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“…Only three studies, with a total of 1,033 participants, examined the relationship between the nature of the mother-infant relationship and SIB in the perinatal period. A cross-sectional study conducted in Brazil among 358 low-income postpartum women found an association between mother-child bonding impairment and SI even after controlling for postpartum depression ( 56 ). In another longitudinal study among 243 perinatal women from Japan it was found that feelings of anger, lack of affection, and rejection toward the baby were associated with thoughts of self-harm ( 57 ).…”

Section: Resultsmentioning

confidence: 99%

Suicidal ideation and behavior among perinatal women and their association with sleep disturbances, medical conditions, and known risk factors

et al. 2023

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ObjectiveSuicide is considered one of the leading causes of maternal mortality, especially among women with postpartum depression. In the current systematic review, we conducted a qualitative data synthesis of recent studies exploring novel risk factors including sleep disturbances and medical conditions, alongside known and significant risk factors for perinatal suicidality.Evidence acquisitionWe conducted a systematic search of the literature according to PRISMA guidelines on PubMed, PsycNET, and Scopus databases. Search terms were “pregnancy” “OR” “postpartum” “OR” “peripartum” “OR” “perinatal” “OR” “postnatal” combined with the Boolean “AND” operator with “suicide” “OR” “suicidality” “OR” “suicidal ideation” “OR” “suicidal behavior.”Evidence synthesisThe initial search yielded 1,458 records, of which 51 research reports that met inclusion criteria were analyzed. These 51 studies sampled a total of 45,942 participants. Clinically, sleep disturbance, psychopathology, and social support have been identified as dominant risk factors for suicidal behavior among pregnant and postpartum women, as well as medical conditions and aversive life events.ConclusionMonitoring sleep disturbance, depression, and perceived social support is critical given that they are significant risk factors for suicide among perinatal women. Early identification of perinatal women who may be at risk of suicide, although not depressed, is crucial.LimitationsThe use of tools designed to identify depression to identify suicidal risk, fail to identify women who are at risk but who do not suffer from depression. Other methodological limitations are the lack of longitudinal studies and the complexity of examining suicidal behavior in sample studies.

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Section: Resultsmentioning

confidence: 99%

Suicidal ideation and behavior among perinatal women and their association with sleep disturbances, medical conditions, and known risk factors

et al. 2023

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“…Two cross-sectional studies that assessed suicidal ideation report evidence of impaired mother-infant bonding and interactions. Faisal-Cury et al ( 73 ) found bonding impairment was associated with almost five times increased odds of suicide ideation 6–9 months after birth, even when postpartum depressive symptoms were controlled for. Paris et al ( 64 ) rated mother-infant interactions in 32 women with postpartum depression.…”

Section: Resultsmentioning

confidence: 99%

Maternal Suicide Ideation and Behaviour During Pregnancy and the First Postpartum Year: A Systematic Review of Psychological and Psychosocial Risk Factors

et al. 2022

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Suicide is a leading cause of maternal death during pregnancy and up to a year after birth (perinatal period). Many psychological and psychosocial risk factors for maternal suicidal ideation and behaviour have been investigated. Despite this, there have been no attempts to systematically search the literature on these risk factors. Additionally, few studies have described how the risk factors for suicidal ideation, attempted suicides and suicide deaths differ, which is essential for the development of tools to detect and target suicidal ideation and behaviour. Seven databases were searched up to June 2021 for studies that investigated the association between suicidal ideation and/or suicidal behaviour and psychological/psychosocial risk factors in pregnant and postpartum women. The search identified 17,338 records, of which 59 were included. These 59 studies sampled a total of 49,929 participants and investigated 32 different risk factors. Associations between abuse, experienced recently or during childhood, and maternal suicide ideation, attempted suicide and death were consistently reported. Social support was found to be less associated with suicide ideation but more so with suicide attempts. Identifying women who have experienced domestic violence or childhood abuse and ensuring all women have adequate emotional and practical support during the perinatal period may help to reduce the likelihood of suicidal behaviour.

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“…Strengthening the mother-baby bond was deemed an important way of combatting a mother's feelings of inadequacy when experiencing suicidal ideation. Previous studies have identi ed that mothers who perceived having an impaired bond with their baby at six to nine months postpartum were more likely to have suicidal ideation (44) and mothers classed as 'highly suicidal' were observed as demonstrating less sensitivity and reciprocity during mother-infant interactions (45). The mechanism that links bonding and maternal suicidal ideation and behaviour is unclear and currently there is no research on whether interventions that improve bonding (perceived and observed) also reduce suicidal ideation and behaviour.…”

Section: Discussionmentioning

confidence: 99%

Perinatal mental health professionals’ experiences and perceptions of working with mothers who are suicidal during the perinatal period: A reflexive thematic analysis study

Reid

Edge

Pratt

et al. 2023

Preprint

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Background Suicide is the leading cause of death in mothers postpartum and one of the most common causes of death during pregnancy. As mental health professionals, who work with mothers experiencing suicidal thoughts and behaviour during pregnancy and postpartum, can offer insights into the characteristics of mothers most likely to experience suicidal ideation and behaviour, how they can support these mothers and improve current practices, we aimed to explore mental health professionals’ experiences and perceptions.Method As part of this qualitative study, semi-structured interviews were conducted face-to-face or via telephone with mental health professionals working in perinatal mental health inpatient or community services across England. Data were analysed using reflexive thematic analysis.Results Fifteen professionals took part in this study and two main themes were developed from their interview data. The first theme, identifying the problem(s), overarched three subthemes: 1.1) the mother’s context, 1.2) what the baby represents and what this means for the mother, and 1.3) types of suicidal ideation and attempts. These subthemes described factors that professionals assessed or deemed contributory in relation to suicidal ideation/behaviour when a mother was under their care. The second main theme, reducing suicidal ideation and behaviour, outlined how professionals understood and tried to treat the suicidal ideation/behaviour. This theme encapsulated two subthemes: 2.1) how to talk about suicide and 2.2) changing how a mother views her baby and herself.Conclusion Professionals highlighted many factors that should be considered when responding to a mother’s risk of suicide during the perinatal period, such as the support around her, whether the pregnancy was planned and what the baby represented for the mother. Professionals’ narratives highlighted the importance of adopting a tailored approach to discussing suicidal thoughts, plans and behaviours with mothers to encourage disclosure. Our findings also identified psychological factors that professionals perceived as being linked to suicidal outcomes for mothers, such as self-efficacy and the mother-infant bond; these factors should be investigated further to establish whether mechanisms exist.

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The Relationship Between Mother–Child Bonding Impairment and Suicidal Ideation in São Paulo, Brazil

Cited by 11 publications

References 36 publications

Suicidal ideation and behavior among perinatal women and their association with sleep disturbances, medical conditions, and known risk factors

Suicidal ideation and behavior among perinatal women and their association with sleep disturbances, medical conditions, and known risk factors

Maternal Suicide Ideation and Behaviour During Pregnancy and the First Postpartum Year: A Systematic Review of Psychological and Psychosocial Risk Factors

Perinatal mental health professionals’ experiences and perceptions of working with mothers who are suicidal during the perinatal period: A reflexive thematic analysis study

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