Mental health, substance use and intimate partner problems among pregnant and postpartum suicide victims in the National Violent Death Reporting System.
Mental health, substance use and intimate partner problems among pregnant and postpartum suicide victims in the National Violent Death Reporting System.
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DOI：
10.1016/j.genhosppsych.2011.09.017
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发表时间：
2012-03
影响因子：
7
通讯作者：
Palladino CL
中科院分区：
文献类型：
--
作者：
Gold KJ;Singh V;Marcus SM;Palladino CL
怀孕期间和产后自杀对受害者来说是一个悲惨的事件，对婴儿、家庭和社区都有深远的影响。此前研究与怀孕有关的自杀风险的努力因缺乏捕获受害者怀孕和分娩状况的数据来源而受到阻碍。美国国家暴力死亡报告系统（NVDRS）的引入通过链接多个数据来源和更好地检查心理社会风险因素，为暴力死亡提供了新的见解。该分析使用了2003年至2007年向NVDRS报告的17个州的数据，以评估怀孕，产后和非怀孕或产后妇女的自杀模式。人口统计学因素，心理健康状况，物质使用，沉淀的情况下，亲密伴侣的问题，自杀方法进行了比较。2083例育龄期女性自杀者表现出较高的患病率，现有的精神健康诊断和当前的抑郁情绪，抑郁情绪显着高于产后妇女。物质使用和其他诱发因素的存在是高的，组间相似。怀孕和产后受害者的亲密伴侣问题更高。与中毒或枪支相比，产后妇女更有可能死于窒息。这些发现描述了与妊娠相关的自杀中重要的心理健康、物质使用和亲密伴侣问题。该研究强调了心理健康风险因素，这些因素可能是针对这一弱势群体进行干预的目标。
Suicide during pregnancy and the postpartum is a tragic event for the victim and profoundly impacts the baby, the family, and the community. Prior efforts to study risks for pregnancy-associated suicide have been hampered by the lack of data sources which capture pregnancy and delivery status of victims. Introduction of the United States National Violent Death Reporting System (NVDRS) offers new insights into violent deaths by linking multiple data sources and allowing better examination of psychosocial risk factors. The analysis used data from 17 states reporting to the NVDRS from 2003–2007 to evaluate suicide patterns among pregnant, postpartum, and non-pregnant or postpartum women. Demographic factors, mental health status, substance use, precipitating circumstances, intimate partner problems, and suicide methods were compared among groups. The 2083 female suicide victims of reproductive age demonstrated high prevalence of existing mental health diagnosis and current depressed mood with depressed mood significantly higher among postpartum women. Substance use and presence of other precipitating factors were high and similar among groups. Intimate partner problems were higher among pregnant and postpartum victims. Postpartum women were more likely die via asphyxia as cause of death compared to poisoning or firearms These findings describe important mental health, substance use, and intimate partner problems seen with pregnancy-associated suicide. The study highlights mental health risk factors which could potentially be targeted for intervention in this vulnerable population.
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影响因子：
7.2
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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