A prospective study of thoughts of self-harm and suicidal ideation during the postpartum period in women with mood disorders
Abstract
Individuals with mood disorders are at higher risk for self-harm and suicidal ideation than other psychiatric group. However, the risk of self-harm and suicidal ideation after pregnancy for women with mood disorders is unknown. This investigation assessed the prevalence of thoughts of self-harm and suicidal ideation during the 1-year postpartum period in women with major depressive disorder or bipolar II disorder. Data were collected between June 2005 and March 2010 from a convenience sample of women participating in a study on the course of mood disorders during pregnancy and postpartum. Participant diagnosis was confirmed using the Structured Clinical Interview for DSM-IV. Thoughts of self-harm were assessed using the Edinburgh Postnatal Depression Scale item 10 and suicidal ideation was assessed using the Hamilton Depression Rating Scale item 3. During the 1-year postpartum period, 16.97 % reported thoughts of self-harm while 6.16 % reported suicidal ideation. Further, those reporting thoughts of self-harm or suicidal ideation postpartum also reported higher levels of depression and hypomanic symptoms. We found that a number of women in our sample of women with a diagnosed mood disorder report experiencing thoughts of self-harm and suicidal ideation during the postpartum.
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Women who reported higher levels of depression were significantly more likely to report thoughts of self-harm than women with low levels of depression.
“One of the five studies also demonstrated that women who reported higher levels of depression were also significantly more likely to report thoughts of self-harm than women with low levels of depression.30”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [30]
Higher levels of depressive symptoms were associated with an increased prevalence of suicidal ideation.
“Five studies showed that higher levels of depressive symptoms were associated with an increased prevalence of suicidal ideation30,33,76,81,85 (Table 5).”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [30]
Depressed mothers seemed to have more risky behaviors, including the risk of starting smoking again after pregnancy and an increased prevalence of suicidal ideations.
“Depressed mothers seemed to have more risky behaviors (including the risk of start smoking again after pregnancy55,84 and an increased prevalence of suicidal ideations).30,33,76,81,85”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [30]
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Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes
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Carter, T., Bastounis, A., Guo, B., & Jane Morrell, C. (2019) · Archives of Women's Mental Health · doi:10.1007/s00737-018-0869-3 · Cited by 92 · see citing works
- Authors
- Pope, C. J., Xie, B., Sharma, V., & Campbell, M. K.
- Affiliations
- University of British Columbia (CA)
- Western University (CA)
- Corresponding author
- Sharma, Verinder
- Venue
- Archives of Women's Mental Health
- Published
- 2013-06-20
- Volume
- 16
- Issue
- 6
- Pages
- 483-488
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- OpenAlex
- W2081657146
- Cited by
- 113
- References
- 28
- Citations by year
- 2026: 5 · 2025: 15 · 2024: 12 · 2023: 18 · 2022: 13 · 2021: 9 · 2020: 6 · 2019: 10 · 2018: 9 · 2017: 1 · 2016: 5 · 2015: 6 · 2014: 3 · 2013: 1
- FWCI
- 5.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Women s Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- self-harm, suicidal ideation, postpartum period, mood disorders, major depressive disorder, bipolar II disorder, postpartum depression, hypomania, pregnancy, women's mental health
- MeSH terms
- Adolescent, Adult, Bipolar Disorder, Major Depressive Disorder, Female, Humans, Mass Screening, Mothers, Ontario, Pregnancy, Prospective Studies, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Prevalence, Self-Injurious Behavior, Depression, Postpartum, Diagnostic and Statistical Manual of Mental Disorders, Postpartum Period, Young Adult, Suicidal Ideation
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