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Cited by 77Maternal Mental Health During Pregnancy and PostpartumSuicide and Self-Harm StudiesHomicide, Infanticide, and Child Abuse

Prevalence of suicide risk and comorbidities in postpartum women in Pelotas

Open access
Tavares, Daniele, Quevedo, Luciana, Jansen, Karen, Souza, Luciano, Pinheiro, Ricardo, Silva, Ricardo·2012·Revista Brasileira de Psiquiatria
DOI 10.1016/j.rbp.2011.12.001
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Abstract

To evaluate the prevalence of suicide risk and comorbidities in postpartum women. This is a cross-sectional study of postpartum women. The sample comprised mothers who have received prenatal care from the Brazilian National System of Public Heath in the city of Pelotas. Suicide risk and other mental disorders were evaluated using the Mini International Neuropsychiatric Interview (MINI). A yes answer on one of the six interview questions was considered a sign of suicide risk. The sample consisted of 919 postpartum women. The 11.5% suicide prevalence was 4.62 (CI 2.45, 8.73) times higher in women with low educational levels. Women with comorbid depression or an anxiety disorder showed a 17.04 (CI 2.27; 19.96) times greater risk of suicide than those who did not suffer from any mood disorder. Lower education levels and psychiatric disorders are associated with suicide risk. Bipolar disorder is the psychiatric disorder with the highest impact on suicide risk. Objetivos: Avaliar a prevalência do risco de suicídio e de comorbidades em mulheres pós-parto. Métodos: Este foi um estudo em corte transversal com mulheres pós-parto. A amostra foi constituída de mães que receberam cuidados pré-natais prestados pelo Sistema Nacional de Saúde Pública do Brasil na cidade de Pelotas. O risco de suicídio e outros transtornos mentais foram avaliados pela Mini International Neuropsychiatric Interview (MINI). Uma resposta afirmativa a qualquer das seis perguntas é considerada um risco de suicídio. Resultados: A amostra consistiu de 919 mulheres pós-parto. A prevalência do risco de suicídio foi de 11,5%. Ela foi 4,62 vezes mais alta (IC de 95% 2,45; 8,73) em mulheres de baixo nível educacional. Mulheres apresentando qualquer comorbidade para depressão e transtornos ansiosos tiveram uma chance 17,04 vezes maior (IC 95% 2,27; 19,96) àquelas que não apresentaram nenhum transtorno afetivo. Conclusão: Um nível educacional mais baixo e a presença de um transtorno psiquiátrico se associam ao risco de suicídio. O transtorno bipolar é o diagnóstico psiquiátrico com maior impacto sobre o risco de suicídio.

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  • 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 [76]

    The Results report that postpartum women with depressive episodes had more signs of suicide risk than those without them. However, the study compares diagnoses rather than levels of depressive symptoms, and the Method defines suicide risk using questions about both suicidal thoughts and attempts, not suicidal ideation alone. No page numbers are available in our copy. (LLM, conf=0.85)

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  • 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 [76]

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Research works printed but not linked: 7

  1. Kessing LV, Agerbo E, Mortensen PB. Major stressful life events Disord. 2004;6:122-9.
  2. Alvarado R, Rojas M, Monardes J, Neves G, Olea E, Perucca Páez E et al. Cuadros depresivos en el posparto en una cohorte de embarazadas: construcción de um modelo causal. Rev Chil Neuropsiquiatr. 2000;38(2):84-93.
  3. Moraes IGS, Pinheiro RT, Silva RA, Horta BL, Sousa PL, Faria AD. Saúde Pública. 2006;40(1):65-70.
  4. into Maternal Deaths in the United Kingdom. Ch. 11A: Deaths from suicide and other psychiatric causes. London: RCOG Press, 2004.
  5. the Baltimore Epidemiologic Catchment area follow-up study. Depress Anxiety. 2008;25(6):477-81.
  6. Khalsa HMK, Salvatore P, Hennen J, Baethge C, Tohen M, bipolar I disorder patients: Predictive factors. J Affect Disord. 2008;106:179-84.
  7. Hawton K, Heeringen K. Suicide. Lancet. 2009;373:1372-81.

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Authors
Tavares, D., Quevedo, L., Jansen, K., Souza, L., Pinheiro, R., & Silva, R.
Affiliations
Universidade Católica de Pelotas (BR)
Corresponding author
Quevedo, Luciana
ORCID
Venue
Revista Brasileira de Psiquiatria
Publisher
Elsevier BV
Published
2012-09
Volume
34
Issue
3
Pages
270-276
ISSN
1516-4446 (ISSN-L)
DOI
10.1016/j.rbp.2011.12.001
OpenAlex
W2150973759
Cited by
77
References
52
Citations by year
2026: 7 · 2025: 3 · 2024: 4 · 2023: 6 · 2022: 5 · 2021: 9 · 2020: 4 · 2019: 6 · 2018: 8 · 2017: 9 · 2016: 11 · 2015: 1 · 2014: 2 · 2012: 2
FWCI
1.55
Type
journal article
Language
en
Open access
Licence
Locations
  • Brazilian Journal of Psychiatry (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
  • Americanae (AECID Library) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
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
suicide risk, postpartum women, maternal mental health, comorbidities, depression, anxiety disorders, bipolar disorder, educational attainment, prevalence, Pelotas, prenatal care, MINI interview
MeSH terms
Adolescent, Adult, Anxiety Disorders, Mental Disorders, Brazil, Cross-Sectional Studies, Depressive Disorder, Female, Humans, Middle Aged, Pregnancy, Risk Factors, Socioeconomic Factors, Suicide, Suicide, Attempted, Comorbidity, Prevalence, Depression, Postpartum, Postpartum Period, Young Adult, Suicidal Ideation

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