Suicide risk among perinatal women who report thoughts of self-harm on depression screens

Obstetrics and Gynecology
J Jo KimRichard K Silver

Abstract

To estimate the incidence and clinical significance of suicidal ideation revealed during perinatal depression screening and estimate the associated suicide risk. Retrospective cohort study of women completing the Edinburgh Postnatal Depression Scale at 24-28 weeks of gestation and 6 weeks postpartum through a suburban integrated health system with approximately 5,000 annual deliveries on two hospital campuses. Suicidal ideation on the Edinburgh Postnatal Depression Scale and prediction of suicide risk were examined through multivariable modeling and qualitative analysis of clinical assessments. Among 22,118 Edinburgh Postnatal Depression Scale questionnaires studied, suicidal ideation was reported on 842 (3.8%, 95% confidence interval [CI] 3.5-4.1%) and was positively associated with younger maternal age (antepartum mean age 30.9 compared with 31.9 years, P=.001), unpartnered relationship status (antepartum 29.5% compared with 16.5%, P<.001 and postpartum 25.0% compared with 17.5%, P<.01), non-Caucasian race (antepartum 62.1% compared with 43.8%, P<.001 and postpartum 62.4% compared with 45.2%, P<.001), non-English language (antepartum 11.0% compared with 6.6%, P<.001 and postpartum 12.4% compared with 7.7%, P<.01), public insu...Continue Reading

References

Jun 1, 1987·The British Journal of Psychiatry : the Journal of Mental Science·J L CoxR Sagovsky
Jul 13, 1999·Archives of General Psychiatry·R C KesslerE E Walters
Jun 4, 2002·The American Journal of Psychiatry·Jason B LuomaJane L Pearson
Oct 2, 2003·The British Journal of Psychiatry : the Journal of Mental Science·Margaret Oates
Aug 30, 2007·Archives of Women's Mental Health·D J NewportZ N Stowe
Dec 2, 2009·Annals of Internal Medicine·UNKNOWN U.S. Preventive Services Task Force
Jan 23, 2010·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists. Committee on Obstetric Practice
Jan 26, 2010·American Journal of Obstetrics and Gynecology·Christie A LancasterMatthew M Davis
May 11, 2010·American Journal of Obstetrics and Gynecology·Roger K Freeman, Michael P Nageotte
Oct 27, 2010·Pediatrics·Marian F Earls, UNKNOWN Committee on Psychosocial Aspects of Child and Family Health American Academy of Pediatrics
Feb 18, 2011·Archives of Women's Mental Health·Amelia R GavinWayne Katon
Oct 22, 2011·Obstetrics and Gynecology·Christie Lancaster PalladinoKatherine J Gold
Jul 11, 2012·Annals of Family Medicine·Barbara P YawnUNKNOWN TRIPPD practices
Mar 7, 2013·Archives of Women's Mental Health·Christine HealeyPeter Kinderman
Jun 7, 2013·Archives of Women's Mental Health·Ann M Rhodes, Lisa S Segre

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Citations

Jun 22, 2016·Archives of Women's Mental Health·Bizu GelayeMichelle A Williams
Aug 30, 2016·Frontiers in Psychiatry·Laura OrsoliniCesario Bellantuono
Nov 24, 2018·Current Medical Research and Opinion·Tiffany A Moore SimasAdi Eldar-Lissai
Sep 9, 2017·Journal of Psychosomatic Obstetrics and Gynaecology·Amritha BhatJürgen Unützer
Feb 7, 2018·BMC Psychiatry·Steve Kyende MutisoAbraham Mwaniki Mukaindo
Aug 2, 2019·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Anil ErturkZafer Selcuk Tuncer
Mar 3, 2020·Journal of Psychosomatic Obstetrics and Gynaecology·Ileana EnătescuVirgil Radu Enătescu
Oct 18, 2019·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Jonathan S ZipurskyMargaret Thompson
Aug 5, 2015·Obstetrics and Gynecology·J Jo KimRichard K Silver
Aug 5, 2015·Obstetrics and Gynecology·Cemil CelikTaner Oznur
Oct 1, 2020·Journal of Reproductive and Infant Psychology·Anna Maria Della VedovaStephen Matthey
Jun 6, 2020·Frontiers in Psychiatry·Chika KubotaNorio Ozaki
Jan 13, 2017·Archives of Women's Mental Health·Stephen Matthey, Francesca Agostini
Nov 17, 2020·Social Psychiatry and Psychiatric Epidemiology·Wen-Wang RaoYu-Tao Xiang
Apr 2, 2021·Archives of Women's Mental Health·Karen T MaréDan J Stein
Jun 13, 2021·The American Journal of Nursing·Barbara Marie Alba
Jul 9, 2021·Women's Health Reports·Iván A de la RosaJill A McDonald
Aug 4, 2021·Journal of Public Health·G FellmethR McGready

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