Association of Migraine Headaches With Suicidal Ideation Among Pregnant Women in Lima, Peru

Friedman, Lauren E.; Gelaye, Bizu; Rondón, Marta B.; Sanchez, Sixto E.; Peterlin, B. Lee; Williams, Michelle A.

doi:10.1111/head.12793

Cited by 18 publications

(36 citation statements)

References 55 publications

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“…The phenomenon of suicidal ideation and association with migraine headache was also explored in this review. A seminal study by Friedman et al (2016) found participants with migraines were at greater risk of experiencing suicidal ideation compared to those diagnosed with probable migraines. Authors acknowledged further research into this subject is warranted, however it should be an important consideration for midwives when caring for women who suffer from migraines during pregnancy or have a history of migraines.…”

Section: Summary Of Findingsmentioning

confidence: 99%

Suicidal ideation in the perinatal period: A systematic review

O'Connor

Geraghty

Doleman

et al. 2018

Mental Health & Prevention

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Objective: To examine literature surrounding suicidal ideation and suicidality in the perinatal period Design: Systematic Literature Review of published 15 research studies Findings: There is a scarcity of prospective studies conducted in suicidal ideation during the perinatal period. More research is needed to ensure childbearing women at risk of suicidal ideation during pregnancy receive the appropriate care and maternity services required to support them throughout this period. Key conclusions: Midwives play an important role in screening women for possible emotional distress and mood disorders during pregnancy. Therefore, midwives need to have knowledge of risk factors so vulnerable women are monitored and supportive maternity services can be implemented if indicated. Implications for practice: Suicidal ideation can have serious consequences for the women and the product if left untreated. Screening for suicidal ideation, antenatal and postnatal depression is imperative. Women with a pre-existing mental health disorders are a particularly vulnerable population group and should be monitored closely for suicidal ideation. Women who experience intimate partner violence or are from low socioeconomic backgrounds also present a risk of suicidal ideation, all of which require complex mental-health care.

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Section: Summary Of Findingsmentioning

confidence: 99%

Suicidal ideation in the perinatal period: A systematic review

O'Connor

Geraghty

Doleman

et al. 2018

Mental Health & Prevention

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“…Its manifestations range from inability to lead a productive life due to loss of work/school days to withdrawal from social and leisure activities which ultimately affect the quality of life [ 9 , 10 ]. Additionally, migraine disorders have been associated with psychiatric comorbidities including substance abuse, mood and anxiety disorders, depression, and suicidal behaviors [ 11 – 20 ]. Suicidal thoughts and behaviors (hereafter referred to as suicidal behaviors) which include suicidal ideation, plans, and attempts are predictors of completed suicide [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

“…Annually more than half a million people die due to suicide; while three-fourth of this deaths are in low and middle income countries (LAMICs) [ 23 ].Despite the profound personal, societal, and economic consequences both these problems have; knowledge pertaining to their association remain limited, particularly in LAMICs. Though previous research have shown the association between migraine and suicidal behaviors [ 16 , 19 , 20 , 24 ]; no studies in sub-Saharan Africa have investigated this association. Due to the high burden of migraine in sub-Saharan Africa and the existing knowledge gap, we sought to evaluate the extent to which migraine headaches are associated with suicidal behaviors, including suicidal ideation, plan, and attempts, in a well-characterized study of urban dwelling Ethiopian adults.…”

Section: Introductionmentioning

confidence: 99%

Association between migraine and suicidal behavior among Ethiopian adults

et al. 2018

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BackgroundDespite the significant impact of migraine on patients and societies, few studies in low- and middle-income countries (LMICs) have investigated the association between migraine and suicidal behavior. The objective of our study is to examine the extent to which migraines are associated with suicidal behavior (including suicidal ideation, plans, and attempts) in a well-characterized study of urban dwelling Ethiopian adults.MethodsWe enrolled 1060 outpatient adults attending St. Paul hospital in Addis Ababa, Ethiopia. Standardized questionnaires were used to collect data on socio-demographics, and lifestyle characteristics. Migraine classification was based on the International Classification of Headache Disorders-2 diagnostic criteria. The Composite International Diagnostic Interview (CIDI) was used to assess depression and suicidal behaviors (i.e. ideation, plans and attempts). Multivariable logistic regression models were used to estimate adjusted odds ratio (AOR) and 95% confidence intervals (95% CIs).ResultsThe prevalence of suicidal behavior was 15.1%, with a higher suicidal behavior among those who had migraines (61.9%). After adjusting for confounders including substance use and socio-demographic factors, migraine was associated with a 2.7-fold increased odds of suicidal behavior (AOR = 2.7; 95% CI 1.88–3.89). When stratified by their history of depression in the past year, migraine without depression was significantly associated with suicidal behavior (AOR: 2.27, 95% Cl: 1.49–3.46). The odds of suicidal behavior did not reach statistical significance in migraineurs with depression (AOR: 1.64, 95% CI: 0.40–6.69).ConclusionOur study indicates that migraine is associated with increased odds of suicidal behavior in this population. Given the serious public health implications this has, attention should be given to the treatment and management of migraine at a community level.

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“…pregnant women 14 , adolescents 15–17 and young adults 4, 18 . Previous cohorts have included clinic 14 and community based 4, 15, 16, 18 samples. To our knowledge, the only previous nationally-representative population based study was done in a population of adolescents 17 .…”

Section: Introductionmentioning

confidence: 99%

“…While two studies have examined suicide in migraineurs, 12,13 few studies have examined suicidal behaviors (eg, suicidal ideation, suicide attempts). All of these studies have been relatively small or examined the association in targeted populations, ie, pregnant women, 14 adolescents, [15][16][17] and young adults. 4,18 Previous cohorts have included clinic 14 and community based 4,15,16,18 samples.…”

Section: Introductionmentioning

confidence: 99%