Risk of suicide and postpartum depression in women who feel they were treated inadequately during childbirth

Women and Birth, Journal Year: 2025, Volume and Issue: 38(1), P. 101858 - 101858

Published: Jan. 1, 2025

Postpartum depression and suicide are two of the most frequent mental health disorders in perinatal period have an increasing trend.. An number women report receiving inadequate treatment during childbirth care. There no studies that relate to any these disorders; those exist very limited not used validated instruments. We proposed determine if there is association between and/or abuse care with risk postpartum (PPD) suicidality stage.

Language: Английский

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Acceptability and content validity of suicidality screening items: a qualitative study with perinatal women

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 15

Published: April 11, 2024

Background Suicide is a leading cause of death for perinatal women. It estimated that up to 50% women with mental health issues during pregnancy and/or after birth are not identified, despite regular contact healthcare services. Screening items one way in which needing support could be identified. However, research examining the content validity and acceptability suicide-related screening limited. Aims This study sought to: (i) assess 16 have been administered validated populations; (ii) explore potential barriers facilitators may affect how respond these when birth. Methods Twenty-one cognitive semi-structured interviews were conducted pregnant postnatal UK. The sample included who had experienced self-reported problems suicidality period, those not. Interviews transcribed verbatim, coding framework based on Theoretical Framework Acceptability was applied data using deductive inductive approaches. Results Findings indicated largely unacceptable their current form. Women found terms such as ‘better off dead’ or ‘killing myself’ uncomfortable. Most preferred phrase ‘ending your life’ this felt less confronting. Comprehensibility also problematic. Many did interpret ‘harming include suicidality, nor they feel abstract language ‘leave world’ direct enough relation suicide. Stigma, fear, shame central non-disclosure. Response options recall periods further affected items, created additional identifying support. Conclusions Existing acceptable Maternity practitioners researchers should consider phrasing, clarity, context, framing discussing ensure being reinforced. development specific measures acceptable, appropriate, relevant warranted.

Language: Английский

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Social life impact for mother scale at first trimester predicts postpartum suicide risk: A prospective study

Suicide and Life-Threatening Behavior, Journal Year: 2025, Volume and Issue: 55(1)

Published: Jan. 20, 2025

Abstract Objective To examine whether the Social Life Impact for Mother (SLIM) scale in first trimester predicts postpartum suicide risk. Methods We used part of hospital‐based prospective study conducted obstetric clinics and hospitals four populous prefectures Japan (N = 7,462). Participants completed SLIM scale, including nine risk factors trimester, was assessed as item‐10 Edinburgh Postnatal Depression Scale, self‐harm ideation, at one month after delivery 5,697). Results The weighted total score which calculated using results odds ratio predicted with moderate accuracy. Pregnant women 6+ scores new were 4.26 (95%CI 3.12–5.01) times more likely to have original also showed higher accuracy than score. Conclusion prenatal checkups may be useful obstetricians predict start provide support expecting mothers. Both could utilized according purpose implementing institutions.

Language: Английский

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Attitudes, experiences, and implications of asking about suicide during the perinatal period: A qualitative study with maternity healthcare practitioners

Midwifery, Journal Year: 2025, Volume and Issue: 142, P. 104309 - 104309

Published: Jan. 27, 2025

Language: Английский

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A Systematic Review of Interventions for Perinatal Suicidal Behaviour in Women

Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown

Published: March 26, 2025

Introduction Suicidal behaviour is a leading cause of morbidity and mortality for women during the perinatal period, yet synthesis evidence on interventions lacking. Question This review set out to answer two questions, i) what have been conducted reduce suicidal in period? ii) are perceived as effective, acceptable feasible by women? Method systematic followed Preferred Standards Systematic Reviews Meta-Analysis (PRISMA), protocol was prospectively registered with PROSPERO (CRD42024524681). Six databases were searched from their respective inception dates until April 2, 2024.The search string comprised keywords relating intervention approaches, suicide. Results The searches yielded five eligible studies. studies used variety designs, including one non-randomised controlled trial, cross-sectional studies, cohort study, case-series. Discussion results this indicate that research urgently needed using more robust consistent, validated measures behaviour, both at baseline follow-up. Implications Practice Interventions would ideally measure effectiveness, acceptability feasibility utilise trauma-informed framework.

Language: Английский

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Preventing Perinatal Suicide and Overdose

Advances in Psychiatry and Behavioral Health, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Language: Английский

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Racial Discrimination Experiences During Pregnancy Are Associated with Suicidal Ideation in Depressed Postpartum Women

Archives of Suicide Research, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 16

Published: April 15, 2025

Self-directed violence with suicidal intent is one of the main causes maternal mortality. We aimed to evaluate impact several predictors on ideation (SI) in postpartum women. A cohort 1,822 women, over 18 years old, was assessed two Brazilian cities contrasting sociodemographic profiles. Participants were followed from pregnancy (22nd-25th weeks) until (mean = 116.8 days, SD 81.5 after delivery). The outcome SI using item-10 Edinburgh Postpartum Depression Scale. Potential allocated into seven different domains: characteristics, environmental stressors and social support during pregnancy, mental health postpartum, substance use obstetric data, newborn characteristics. prevalence 3.1%. In univariate analysis, having more children, lower family income, education, history depression, (perceived stress, hopelessness, anxiety, alcohol use, smoking violence, greater number stressful events, support, racially discriminatory experience), low APGAR first minute, non-breastfeeding, positively associated SI. multiple model (X2 136,502; df 6; p < 0.001), only racial discrimination (PR: 1.13; 95% CI 1.01-1.27) depression 1.23; 1.20-1.27) remained Although not such experiences seem contribute an increased risk among depressed This underscores importance addressing disparities fostering inclusive supportive environment safeguard health.

Language: Английский

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Women’s awareness of perinatal mental health conditions and the acceptability of being asked about mental health in two regions in India: a qualitative study

BMC Psychiatry, Journal Year: 2023, Volume and Issue: 23(1)

Published: Nov. 13, 2023

Mental health conditions are common during pregnancy and the first year after childbirth. Early detection allows timely support treatment to be offered, but identifying perinatal mental may challenging due stigma under-recognition of symptoms. Asking about symptoms routine antenatal postnatal appointments can help identify women at risk. This study explores women's awareness conditions, their views on acceptability being asked any preference for specific assessment tools in two regions India.Focus group discussions (FGDs) were conducted with pregnant, post-partum non-perinatal Kangra, Himachal Pradesh (northern India) Bengaluru, Karnataka (southern India). Settings included a hospital clinic obstetric ward, Anganwadi Centres Primary Health Centres. FGDs facilitated, audio-recorded transcribed. Narratives coded emerging themes analysed using thematic analysis.Seven including 36 participants conducted. Emerging were: manifestations contributors conditions; challenges talking health; health. Difficult familial relationships, prioritising needs others pressure have male infant cited as key stressors. Being was generally reported acceptable, though some felt uncomfortable questions suicidality. No tool reported.Women face many stressors period difficult relationships societal bear infant. considered relating suicidality community setting, requiring sensitivity by interviewer. Future studies should assess assessments 'real world' clinics explore ways overcoming associated resource-constrained settings.

Language: Английский

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The prevalence of suicidal behavior and ideation during pregnancy and postpartum period, its variation in the COVID-19 pandemic, and the related factors: A systematic review and meta-analysis of observational studies

The European Journal of Psychiatry, Journal Year: 2024, Volume and Issue: 38(2), P. 100248 - 100248

Published: Feb. 12, 2024

Language: Английский

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“Prevalence and Associated Factors of Perinatal Suicide Risk in Spanish Women”

Archives of Suicide Research, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 16

Published: May 15, 2024

Suicide is one of the leading causes death worldwide, and in perinatal period, trend increasing, even up to 100 times US. No studies have been carried out with validated instruments despite abundant recommendations do so. This study aims determine prevalence suicide risk Spanish women, as well factors associated it. A cross-sectional was 908 women stage. Sociodemographic obstetric variables, anxiety level (GAD-7), social support (DUKE-UNC), intimate violence (WAST), suicidal ideation (Paykel) were collected. Crude (OR) adjusted odds ratios (aOR) calculated using logistic regression for main ideation. The 19.3% (175), attempt 2.4% (22). In stage, [aOR 1.08 (95% CI: 1.04-1.31)], experiencing a possible situation partner 1.59 1.04-2.43)], PPD 3.00 1.86-4.81)]. Perceived appears protective factor 0.97 0.95-0.99)], along skin-to-skin contact baby during childbirth 0.50 0.28-0.88)]. Conclusions: Presenting or depression, little support, living are greater

Language: Английский

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