Suicidal Ideation During the Postpartum Period
| Autor: | Susan Bodnar-Deren, Kimberly Klipstein, Eyal Shemesh, Madeleine Fersh, Elizabeth A. Howell |
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| Rok vydání: | 2016 |
| Předmět: |
Postpartum depression
Adult medicine.medical_specialty Time Factors Adolescent Poison control Mothers Suicidal Ideation Depression Postpartum 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors Surveys and Questionnaires medicine Humans Mass Screening 030212 general & internal medicine Psychiatry Suicidal ideation Mass screening Randomized Controlled Trials as Topic Psychiatric Status Rating Scales Obstetrics business.industry Depression Postpartum Period General Medicine Original Articles medicine.disease 030227 psychiatry Patient Health Questionnaire Pregnancy Complications Edinburgh Postnatal Depression Scale Anxiety Female New York City Pregnant Women medicine.symptom business Postpartum period |
| Zdroj: | Journal of women's health (2002). 25(12) |
| ISSN: | 1931-843X |
| Popis: | To examine the association between suicidal ideation (SI), 3 weeks, 3 months, and 6 months postpartum with demographic, psychosocial, clinical factors, and depressive/anxiety symptoms (measured 24-48 hours after delivery), among a cohort of postpartum women.This study included 1,073 mothers who gave birth in a large tertiary New York City hospital (2009-2010). Later, self-report SI was assessed using the suicide measure from the Edinburgh Postnatal Depression Scale and from the Patient Health Questionnaire.Two percent of participants presented with SI during the first 6 months postpartum. In bivariate analyses, race/ethnicity, nativity, insurance, and language were significantly correlated with SI 3 weeks, 3 months, and 6 months postpartum. Screening positive for depression (p = 0.0245) and anxiety (0.0454), assessed 1-2 days postpartum, was significantly correlated with later SI in bivariate analyses, as were antepartum complications (p = 0.001), depressive history (0.001), and self-efficacy (0.045). In adjusted models, antepartum complications (OR = 4.681, 95% CI = 1.99-10.99) and depressive history (OR-3.780, 95% CI = 1.514-9.441) were significantly associated with later postpartum SI. Heightened self-efficacy reduced the odds of later SI (p = 0.050).Findings suggest that SI among a relatively healthy group of new mothers occurs with some frequency. Mothers with a history of depression and antepartum complications may be at increased risk. |
| Databáze: | OpenAIRE |
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