Suicidal behaviour in postnatal mothers in northwestern Ethiopia: a cross-sectional study
Suicidal behaviour in postnatal mothers in northwestern Ethiopia: a cross-sectional study
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DOI：
10.1136/bmjopen-2018-027449
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发表时间：
2019-09-01
期刊：
影响因子：
2.9
通讯作者：
Misgan, Eyaya
中科院分区：
文献类型：
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作者：
Belete, Habte;Misgan, Eyaya
目的探讨产后母亲自杀行为(自杀意念、自杀计划或自杀企图)的发生率及其相关因素。方法于2017年3月至4月在埃塞俄比亚西北部设立两个初级卫生中心和一个转诊医院，共纳入1065名在常规产后护理中年龄<18岁的母亲，其中988人完成了研究。那些因病而无法交流的人不包括在内。出生率衡量标准是使用自杀筛查工具对前来寻求常规产后护理的母亲进行自杀行为评估。结果产后母亲自杀意念、计划或企图自杀的发生率为14.0%(138/988)，95%可信区间为12.00~16.00。母亲贫困(AOR=2.80，95%CI为1.18~6.84)、当期子女意外怀孕(AOR=2.28，95%CI为1.48~3.54)、强奸史(AOR=2.26，95%CI为1.42~3.61)和新生儿患病(AOR=1.68，95%CI为1.12~2.52)与母亲自杀行为显著相关。建议在常规产后护理期间对母亲进行可能的自杀行为筛查。
Aim To assess the prevalence and associated factors of suicidal behaviour (suicidal ideation, plan or suicide attempt) in postpartum mothers.Method An institutional cross-sectional study was employed from March to April 2017.Setting Two primary health centres and one referral hospital in northwestern Ethiopia.Participants A total of 1065 mothers aged >= 18 years during routine postnatal care were included and 988 of them completed the study. Those who were unable to communicate due to illness were not included.Outcome measure Mothers who visit for routine postnatal care were assessed for suicidal behaviour using a suicidal screening tool. Logistic analysis was employed with adjusted OR (AOR) and 95% CI, and with p value less than 0.05 as the level of significance.Results The prevalence of suicidal behaviour (suicidal ideation, plan or suicide attempt) was found at 14.0% (138/988) (95%CI 12.00 to 16.00) in postpartum mothers. Poor wealth of the mother (AOR=2.80, 95%CI 1.18 to 6.84), unplanned pregnancy of the current child (AOR=2.28, 95%CI 1.48 to 3.54), history of rape (AOR=2.26, 95%CI 1.42 to 3.61) and sickness of the new child (AOR=1.68, 95%CI 1.12 to 2.52) were significantly associated with suicidal behaviours.Conclusion Suicidal behaviour was found pretty high among postpartum mothers and was associated with poor wealth, unplanned pregnancy, history of rape and sickness of the new infant. It is recommended to screen mothers for possible suicidal behaviour during routine postnatal care.