Prevalence and correlates of suicidal behaviors during pregnancy: evidence from the National Survey on Drug Use and Health
Autor: | Panagiota Kitsantas, Amy R. Adams, Edward J. Booth, Salman M. Aljoudi |
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Rok vydání: | 2020 |
Předmět: |
Pregnancy
business.industry Obstetrics and Gynecology Alcohol abuse Poison control medicine.disease Suicide prevention 030227 psychiatry Substance abuse 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Mood disorders Injury prevention medicine 030212 general & internal medicine medicine.symptom business Major depressive episode Demography |
Zdroj: | Archives of Women's Mental Health. 24:473-481 |
ISSN: | 1435-1102 1434-1816 |
Popis: | Suicidal behaviors during pregnancy are prevalent and have the potential to adversely affect a woman's health and her developing infant. The purpose of this study was to examine prevalence and correlates of suicidal behaviors in a national sample of pregnant women. Using data from the 2009-2018 National Survey on Drug Use and Health, a sample of 7479 pregnant women was analyzed. Multiple logistic regression was used to examine associations between sample characteristics and suicidal behaviors overall and by pregnancy trimester. In this sample, 3.4% of women exhibited suicidal behaviors such as ideation, planning, and attempt. Suicidal behaviors were more prevalent at 4.4% among women in the first trimester compared to the second/third trimesters (2.9%). Of those exhibiting suicidal behavior, 63.0% were ideators, 18.9% planned suicide, and 18.1% attempted suicide. Logistic regression analyses revealed that all racial/ethnic groups of women in the third trimester were less likely to be suicidal relative to black non-Hispanic women. Alcohol abuse (OR 3.70, 95% CI 1.97, 6.81) and major depressive episode (OR 4.91, 95% CI 3.10, 7.84) in the past year significantly increased the odds of suicidality for all pregnant women. Perceived unmet need for treatment increased the likelihood (OR 5.64, 95% CI 3.55, 8.97) of suicidal behavior regardless of trimester. These findings underscore the importance of screening for suicidal behaviors in the first trimester, especially among those with existing mood disorders and substance abuse. Racial/ethnic differences should be considered in targeted interventions for suicide prevention. |
Databáze: | OpenAIRE |
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