Perinatal suicidal ideation and behaviour: psychiatry and adversity.
Perinatal suicidal ideation and behaviour: psychiatry and adversity.
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DOI：
10.1007/s00737-016-0706-5
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发表时间：
2017-04
期刊：
影响因子：
--
通讯作者：
Honikman S
中科院分区：
文献类型：
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作者：
Onah MN;Field S;Bantjes J;Honikman S
与一般人群相比，孕妇出现自杀意念和自杀行为（SIB）的风险更高。迄今为止，研究主要集中在 SIB 的精神相关性上，而较少关注相关的背景风险因素，特别是在低收入和中等收入国家。我们调查了生活在南非资源匮乏社区的孕妇中 SIB 的患病率以及相关的精神和社会经济背景因素。使用一系列工具对三百七十六名孕妇进行了评估，以收集有关社会经济和人口因素、社会支持、生活事件、人际暴力和心理健康诊断的数据。我们使用单变量、双变量和逻辑回归分析检查了 SIB 的显着风险因素 (p ≤ 0.05)。 SIB 的 1 个月患病率为 18%。 SIB 与精神疾病相关，特别是重度抑郁发作 (MDE) 和任何焦虑症。然而，67% 的 SIB 孕妇没有 MDE 诊断，65% 没有焦虑症，54% 既没有 MDE 也没有焦虑症诊断。与 SIB 相关的因素包括社会经济地位较低、粮食不安全、人际暴力、多产和终生自杀未遂。这些发现将注意力集中在社会经济和背景因素在 SIB 病因学中的重要性，并支持了这样的观点：孕妇的自杀风险应独立于抑郁和焦虑进行评估。
Pregnant women are at increased risk for suicidal ideation and behaviours (SIB) compared to the general population. To date, studies have focused on the psychiatric correlates of SIB with lesser attention given to the associated contextual risk factors, particularly in low- and middle-income countries. We investigated the prevalence and associated psychiatric and socio-economic contextual factors for SIB among pregnant women living in low resource communities in South Africa. Three hundred seventy-six pregnant women were evaluated using a range of tools to collect data on socio-economic and demographic factors, social support, life events, interpersonal violence and mental health diagnoses. We examined the significant risk factors for SIB using univariate, bivariate and logistic regression analyses (p ≤ 0.05). The 1-month prevalence of SIB was 18%. SIB was associated with psychiatric illness, notably major depressive episode (MDE) and any anxiety disorder. However, 67% of pregnant women with SIB had no MDE diagnosis, and 65% had no anxiety disorder, while 54% had neither MDE nor anxiety disorder diagnoses. Factors associated with SIB included lower socio-economic status, food insecurity, interpersonal violence, multiparousity, and lifetime suicide attempt. These findings focus attention on the importance of socio-economic and contextual factors in the aetiology of SIB and lend support to the idea that suicide risk should be assessed independently of depression and anxiety among pregnant women.