Risk factors for suicide attempt in pregnancy and the post-partum period in women with serious mental illnesses
| Autor: | Virginie Guillard, Nine M.-C. Glangeaud-Freudenthal, Odile Cazas, Anne-Laure Sutter-Dallay, Florence Gressier, Bruno Falissard |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Databases Factual Poison control Suicide Attempted Suicide prevention Miscarriage 03 medical and health sciences 0302 clinical medicine Belgium Pregnancy Risk Factors Odds Ratio medicine Humans 030212 general & internal medicine Risk factor Major depressive episode Biological Psychiatry Suicide attempt business.industry Adult Survivors of Child Abuse Mental Disorders Postpartum Period Infant Newborn Infant medicine.disease 030227 psychiatry Pregnancy Complications Psychiatry and Mental health Logistic Models Socioeconomic Factors Female France medicine.symptom business Postpartum period |
| Zdroj: | Journal of Psychiatric Research. 84:284-291 |
| ISSN: | 0022-3956 |
| DOI: | 10.1016/j.jpsychires.2016.10.009 |
| Popis: | Suicide is a major public health concern worldwide, and mental disorders have been identified as a main risk factor. Suicide is also one of the leading causes of perinatal maternal mortality, but very few studies have focused on suicide attempts (SA) in the perinatal period. This work aims to assess risk factors associated with SA in pregnancy and in the post-partum period in women with mental health disorders. Women (n = 1439) with psychiatric disorders jointly admitted with their infant to 16 psychiatric Mother-Baby Units over 10 years (2001-2010) were assessed retrospectively for the occurrence of SA in pregnancy or the postpartum period. Multinomial logistic regression was used to explore the independent impact of maternal sociodemographic characteristics, history of childhood maltreatment and abuse, current mental illness and pregnancy data on SA in pregnancy and/or postpartum. One hundred and fifty-four women (11.68%) attempted suicide: 49 in pregnancy (3.71%) and 105 (7.97%) in the post-partum period. SA in pregnancy was related to alcohol use (OR = 2.37[1.02-5.53]; p = 0.04) and smoking during pregnancy (OR = 1.87[1.01-3.49]; p = 0.04) and also to a history of miscarriage (OR = 2.29[1.18-4.41]; p = 0.01). SA in the post-partum period was associated with major depressive episode (OR = 2.72[1.40-5.26]; p = 0.003) or recurrent depression (OR = 4.12[2.25-7.51], p |
| Databáze: | OpenAIRE |
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