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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Diagnosis of peripartum depression disorder: A state-of-the-art approach from the COST Action Riseup-PPD

Comprehensive Psychiatry, Journal Year: 2024, Volume and Issue: 130, P. 152456 - 152456

Published: Jan. 29, 2024

Peripartum depression (PPD) is a major disorder (MDD) episode with onset during pregnancy or within four weeks after childbirth, as defined in DSM-5. However, research suggests that PPD may be distinct diagnosis. The goal of this study was to summarize the similarities and differences between MDD by synthesizing current on diagnosis concerning different clinical features give directions for improving practice. To lay groundwork narrative review, several databases were searched using general search phrases its components When compared MDD, peripartum exhibits characteristics. manifests variety symptoms, i.e., more anxiety, psychomotor obsessive thoughts, impaired concentration, fatigue loss energy, but less sad mood suicidal ideation, MDD. Although prevalence rates are comparable, there greater cross-cultural variances PPD. Additionally, has some risk factors mechanisms such ovarian tissue expression, premenstrual syndrome, unintended pregnancy, obstetric complications. There need in-depth comparing entire postpartum year. diagnostic criteria should modified, particularly (i) addition specific symptoms (i.e., anxiety), (ii) specifier extending first year following (iii) change either "pregnancy onset" "postpartum onset". Diagnostic further discussed.

Language: Английский

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A network analysis of postpartum depression and mother-to-infant bonding shows common and unique symptom-level connections across three postpartum periods

Communications Psychology, Journal Year: 2025, Volume and Issue: 3(1)

Published: Jan. 22, 2025

Postpartum depression and mother-to-infant bonding difficulties (MIBD), two issues crucial to maternal infant mental health, often coexist affect each other. Our study aims dissect their complex relationship through a graphical LASSO network analysis of individual symptoms in 5594 Japanese postpartum women, whose geographical distribution was nationally representative. We identified 'fear', 'enjoyment', 'overwhelm', 'insomnia' as common bridge linking MIBD across three distinct periods. Moreover, 'self-harm' emerged symptom the first 6 months 7–12 month period, while 'laugh' 13–24 period. Notably, 'self-blame' unique specific highlights complexities connectivity stages underscores critical need for interventions that address both stage-specific effectively support health strengthen bonding. A women From 0-24 postpartum, fear, lack enjoyment, overwhelm, insomnia were connecting symptoms.

Language: Английский

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Health Equity and Perinatal Mental Health

Current Psychiatry Reports, Journal Year: 2024, Volume and Issue: 26(9), P. 460 - 469

Published: July 15, 2024

Language: Английский

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Women with perinatal suicidal ideation–A scoping review of the biopsychosocial risk factors to inform health service provision and research

PLoS ONE, Journal Year: 2022, Volume and Issue: 17(9), P. e0274862 - e0274862

Published: Sept. 28, 2022

Objectives This review aims to map the existing evidence on perinatal suicidal ideation, identify biopsychosocial risk factors associated with ideation and make recommendations for service provision future research. Methods Scoping guided by Arskey’s O’Malley’s (2005) framework. Five academic databases (PsycINFO, MEDLINE, CINAHL, ASSIA Academic Search Complete) were searched from 1 st January 2009 April 2022. Studies screened title, abstract full text against inclusion exclusion criteria. Primary qualitative, quantitative mixed-methods studies, written in English pertaining included. Forty-one studies met eligibility criteria, data extracted narratively synthesised. Findings are reported accordance PRISMA-SR extension. Key conclusions mapped onto framework include sleep deprivation, maternal age, pregnancy complications, mood disorders, intimate partner violence, childhood maltreatment/abuse, low socioeconomic status, alcohol tobacco misuse, miscarriage/perinatal loss, birth trauma deprivation. The findings demonstrate that varied complex. Implications practice minimisation of women’s experiences may lead detrimental consequences there is a need increased knowledge mental health problems those working women period ensure safety planning conversations occur every woman meeting ‘at risk’

Language: Английский

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Insomnia, poor sleep quality and perinatal suicidal risk: A systematic review and meta‐analysis

Journal of Sleep Research, Journal Year: 2023, Volume and Issue: 33(2)

Published: July 13, 2023

Summary Suicidal risk in mothers is a public health priority. Risk factors include biological, psychological and psychosocial factors. Among the biological factors, role of sleep disturbances as potential contributors to increased suicidal during peripartum period becoming apparent. To explore this further, we conducted systematic review following PRISMA criteria. Currently, 10 studies have examined insomnia poor quality involved 807,760 women. The data showed that disturbed increase ideation both pregnant women with without perinatal depression. results meta‐analysis indicated odds by more than threefold (OR = 3.47; 95% CI: 2.63–4.57). Specifically, ratio (OR) for was 3.72 (95% 2.58–5.34; p < 0.001), symptoms, after taking into account depression, 4.76 1.83–12.34; 0.001). These findings emphasise importance assessing addressing mitigate their adverse effects on psychopathology risk.

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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Working with suicidal mothers during the perinatal period: a reflexive thematic analysis study with mental health professionals

BMC Psychiatry, Journal Year: 2024, Volume and Issue: 24(1)

Published: Feb. 7, 2024

Abstract Background Suicide is the leading cause of death in mothers postpartum and one most common causes during pregnancy. Mental health professionals who work perinatal services can offer insights into factors they perceive as being linked to mothers’ suicidal ideation behaviour, support offered improvements current practices. We aimed explore experiences perceptions mental have worked with period. Method Semi-structured interviews were conducted face-to-face or via telephone working inpatient community across England. Data analysed using reflexive thematic analysis. Results From professionals’ ( n = 15) accounts three main themes developed from their interview data. The first, behaviour , overarched two sub-themes: (1.1) mother’s context (1.2) what baby represents this means for mother . These sub-themes described that assessed deemed contributory relation when a was under care. second theme, communicating about identifying which outlined how enquired about, perceived, different experiences, encapsulated (2.1) talk suicide (2.2) types attempts. third reducing through changing views her herself focused on supported reframe ways viewed babies turn themselves reduce ideation. Conclusion Professionals highlighted many should be considered responding risk period, such around her, whether pregnancy planned represented mother. Professionals’ narratives stressed importance adopting tailored approach discussing encourage disclosure. Our findings also identified psychological perceived outcomes mothers, self-efficacy; these investigated further.

Language: Английский

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What makes a perinatal woman suicidal? A grounded theory study

BMC Psychiatry, Journal Year: 2022, Volume and Issue: 22(1)

Published: June 7, 2022

Suicide is a leading cause of maternal death during pregnancy and up to year after birth. Psychological psychosocial risk factors for suicide ideation behaviour have been identified but do not account why mothers begin experience suicidal thoughts. Qualitative research offers way identifying what might drive initially consider then go on act such thoughts; crucial the development assessments identify, interventions target, behaviour. We aimed develop grounded theory outlining makes women think about and/or engage in first 12 months following birth?Semi-structured interviews were conducted with UK who had thoughts A constructivist approach was adopted which guided data collection analysis processes.We developed model theorised process psychological that culminates experiencing making attempt perinatal period. The initiated when felt attacked by motherhood led feeling like failure, self-identifying as "bad mother" subsequent appraisals entrapment defeat. When nothing resolved distress collated reasons they perceived needed die, became viable appealing option. make entered state intense "darkness" brought trigger, followed temporary lapse conflict between desire live die an opportunity attempt.Participants stressed rapid onset suggest healthcare professionals enquire mother's feelings towards baby isolation, how she views herself mother, defeat routine contacts aid identification prevention ideation/behaviour. Suggested prevent include helping manage their expectations postpartum

Language: Английский

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Initial Impact of Perinatal Loss on Mothers and Their Partners

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(2), P. 1304 - 1304

Published: Jan. 11, 2023

(1) Background: Perinatal Loss affects one in ten women worldwide. It is known to have a deep impact on the physical and psychological wellbeing of mother. Moreover, there lack information regard gender differences. The role culture, environment, personal characteristics, yet be determined most reports; (2) Objective Methods: Our aim study initial perinatal losses an unselected sample couples, focusing We conducted longitudinal prospective with 29 mothers 17 fathers. Upon discharge from hospital, they filled out Edinburgh Postnatal Depression Scale (EPDS), among others. After one-month post-loss, performed EPDS Short Version Grief Scale. used descriptive statistics for non-parametric tests comparison gender; (3) Results: found no differences depressive symptoms, nor grief or level (total scores complicated grief) month after loss; (4) Conclusions: we need better understand evolution couples cases loss without falling into preconceived ideas about influence gender.

Language: Английский

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