Suicide and Maternal Mortality.

Suicide and Maternal Mortality.
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DOI:
10.1007/s11920-022-01334-3
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发表时间:
2022-04
影响因子:
6.7
通讯作者:
Bhat A
Bhat A
中科院分区:
医学2区
文献类型:
--
作者:
Chin K;Wendt A;Bennett IM;Bhat A

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自杀是围产期(怀孕期和产后一年)死亡的主要原因。我们回顾了关于怀孕期间和产后第一年自杀的患病率、危险因素、结局以及预防和干预的最新研究结果。孕产妇死亡定义和确定的标准化改进了对围产期自杀死亡和围产期自杀危险因素的识别。关于怀孕和产后对自杀风险的保护作用的报告可能被夸大了。临床医生必须对围产期患者的自杀风险保持警惕,尤其是那些有心理健康诊断或有自杀企图的患者。怀孕和产后一年是许多人获得医疗保健机会增加的时期,为识别和干预自杀风险提供了许多机会。作为抑郁和焦虑评估的一部分,对自杀进行普遍筛查以及改善心理健康治疗的机会可以降低围产期自杀的风险。
Suicide is a leading cause of death in the perinatal period (pregnancy and 1 year postpartum). We review recent findings on prevalence, risk factors, outcomes, and prevention and intervention for suicide during pregnancy and the first year postpartum. Standardization of definitions and ascertainment of maternal deaths have improved identification of perinatal deaths by suicide and risk factors for perinatal suicide. Reports of a protective effect of pregnancy and postpartum on suicide risk may be inflated. Clinicians must be vigilant for risk of suicide among their perinatal patients, especially those with mental health diagnoses or prior suicide attempts. Pregnancy and the year postpartum are a time of increased access to healthcare for many, offering many opportunities to identify and intervene for suicide risk. Universal screening for suicide as part of assessment of depression and anxiety along with improved access to mental health treatments can reduce risk of perinatal suicide.
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