Blood Pressure, Depression, and Suicidal Ideation Among Pregnant Women with HIV

Mandell, Lissa N.; Parrish, Manasi S.; Rodriguez, Violeta J.; Alcaide, María L.; Weiss, Stephen M.; Peltzer, Karl

doi:10.1007/s10461-021-03486-4

Cited by 8 publications

(8 citation statements)

References 60 publications

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“…Studies were conducted in 21 countries (Argentina, Brazil, Canada, China, Estonia, Ethiopian, France, Indonesia, Iran, Japan, Kazakhstan, Korea, Lesotho, Nigeria, South Africa, Spain, Switzerland, Taiwan, Tanzania, Uganda, and the United States). Of all the included studies, seven were conducted in China ( 8 , 20 , 26 , 41 , 43 , 52 , 54 ), five were conducted in South Africa ( 11 , 24 , 25 , 45 , 63 ), four were conducted in Ethiopia ( 42 , 44 , 47 , 50 ), four were conducted in the United States ( 23 , 31 , 51 , 60 ), three were conducted in Nigeria ( 9 , 58 , 59 ), and two were conducted in Switzerland ( 4 , 6 ), France ( 33 , 57 ), Canada ( 3 , 13 ), and Brazil ( 10 , 64 ) Single studies were conducted in each of the other countries. Regarding the study design, 33 were cross-sectional studies, 9 were cohort studies, and 1 was a retrospective study.…”

Section: Resultsmentioning

confidence: 99%

“…The total number of participants within the 43 studies was 170,234 individuals; 114,335 were male and 33,538 were female. Also, 26 studies included both sex ( 2 , 4 , 6 , 8 – 11 , 13 , 20 , 24 , 26 , 41 – 46 , 48 , 51 , 54 , 55 , 58 , 60 , 63 , 65 ), 2 ( 26 , 63 ) had only male participants, 4 studies ( 24 , 25 , 45 , 65 ) had only female participants, and 13 studies ( 3 , 5 , 7 , 23 , 31 , 33 , 47 , 49 , 56 , 59 , 61 , 62 , 64 ) did not mention participant sex. The participant age range in 10 studies ( 2 , 8 , 20 , 33 , 41 , 44 , 46 , 47 , 49 , 65 ) was 20 to 55 years, and 27 studies ( 3 – 7 , 11 , 13 , 23 – 26 , 31 , 43 , 45 , 48 , 50 , 52 , 53 , 55 – 63 ) did not mention participant age.…”

Section: Resultsmentioning

confidence: 99%

“…In terms of suicidal behavior among PLHIV, 14 studies ( 2 , 11 , 31 , 43 , 44 , 47 , 50 , 52 , 55 , 56 , 58 , 59 , 61 , 62 ) assessed both suicidal ideation and suicide attempts, 33 studies ( 2 , 8 – 11 , 20 , 23 – 26 , 31 , 33 , 42 – 45 , 47 – 56 , 58 , 59 , 61 – 65 ) measured only the prevalence of suicidal ideation, 17 studies ( 2 , 11 , 31 , 43 , 44 , 46 , 47 , 50 , 52 , 55 – 62 ) measured the prevalence of suicide attempts, 8 studies ( 3 – 7 , 13 , 41 , 57 ) measured the incidence of death by suicide, and 1 study ( 57 ) focused on suicide attempts and suicides.…”

Section: Resultsmentioning

confidence: 99%

“…In terms of suicidal behavior among PLHIV, 14 studies (2,11,31,43,44,47,50,52,55,56,58,59,61,62) assessed both suicidal ideation and suicide attempts, 33 studies (2,(8)(9)(10)(11)20,(23)(24)(25)(26)31,33,(42)(43)(44)(45)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)58,59,(61)(62)(63)(64)(65) measured only the prevalence of suicidal ideation, 17 studies (2,11,31,43,…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…The total number of participants within the 43 studies was 170,234 individuals; 114,335 were male and 33,538 were female. Also, 26 studies included both sex (2,4,6,(8)(9)(10)(11)13,20,24,26,(41)(42)(43)(44)(45)(46)48,51,54,55,58,60,63,65), 2 (26,63) had only male participants, 4 studies (24,25,45,65) had only female participants, and 13 studies (3,5,7,23,31,33,47,49,56,59,61,62,64) did not mention participant sex. The participant age range in 10 studies (2,8,20,33,41,44,…”

Section: Participant Characteristicsmentioning

confidence: 99%

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Suicidality Among People Living With HIV From 2010 to 2021: A Systematic Review and a Meta-regression

Tsai

Mudiyanselage

et al. 2022

Psychosom Med

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ObjectiveThe association between human immunodeficiency virus (HIV)/AIDS and suicidality is not well understood, partly because of variability in results. This meta-analysis aimed to investigate the predictive value of HIV/acquired immune deficiency syndrome for incident suicidality.MethodsA literature review was conducted of articles published between January 1, 2010, and October 31, 2021. The following databases were searched: Embase, MEDLINE, CINAHL, Web of Science, and Scopus. The search terms included human immunodeficiency virus (HIV), suicidal behavior, auto mutilation, and self-injurious behavior. Observational studies were screened following a registered protocol, and eligible ones were meta-analyzed and followed by meta-regression.ResultsA total of 43 studies were included in this systematic review, and a meta-regression included 170,234 participants. The pooled prevalence estimates of suicidal ideation, attempted suicide, and deaths by suicide were 22.3%, 9.6%, and 1.7%, respectively. The following significant risk factors for suicide ideation were found: substance use, depression, low quality of life, low social support, without HIV status disclosure, living alone, low level of memory problems, family history of suicide, and stage III of HIV. Risk factors for suicide attempts were depression and family history of suicide. An elevated risk for suicide-related death was found for people living with HIV (PLHIV) who had a psychiatric disorder and in studies conducted in hospital-based settings (versus national database studies or HIV clinic settings).ConclusionsThe risk of suicidality is high among PLHIV within all six World Health Organization regions during the modern antiretroviral therapy era. Assessment of socioeconomic and psychological factors is recommended for further management to prevent suicide among PLHIV. The present findings are useful for design of intervention protocols and development of clinical practice guidelines intended to manage the well-being of PLHIV worldwide.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

Suicidality Among People Living With HIV From 2010 to 2021: A Systematic Review and a Meta-regression

Tsai

Mudiyanselage

et al. 2022

Psychosom Med

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The prevalence of suicidal behavior and ideation during pregnancy and postpartum period, its variation in the COVID-19 pandemic, and the related factors: A systematic review and meta-analysis of observational studies

Karaçam,

Sarı,

Yüksel

et al. 2024

The European Journal of Psychiatry

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The prevalence of suicide ideation and predictive factors among pregnant women in the third trimester

Zhang

Yang

et al. 2022

BMC Pregnancy Childbirth

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Background Pregnancy is a period for women undergo major physical and psychological changes. Suicide is a cause of maternal death and suicidal ideation is a key factor in suicidal behavior. The purpose of this study was to investigate the prevalence of suicidal ideation in the third trimester and associated predictors including psychological factors such as attachment. Methods A cross-sectional study included 432 pregnant women in the third trimester of pregnancy was conducted in a tertiary hospital. The Edinburgh Postpartum Depression Scale (EPDS) was used to assess prenatal depression and suicidal ideation. The Zung Self-Rating Anxiety Scale (SAS) and Experience of Close Relationship (ECR) scale were used to assess anxiety and attachment respectively. Results The results showed that the EPDS scale screened 6.71% of pregnant women with suicidal ideation. Compared with those without suicidal ideation, pregnant women with suicidal ideation had a higher prevalence of insecure attachment, higher scores on the two dimensions of attachment (attachment avoidance and attachment anxiety), and higher prevalence of prenatal depression and anxiety. Binary logistic regression showed that marital satisfaction was a protective factor for suicidal ideation, while prenatal depression, prenatal anxiety and attachment anxiety were risk factors for suicidal ideation. Conclusions The suicidal ideation among pregnant women was high, which should be given more attention. In the process of preventing and intervening suicidal ideation, in addition to the emotional state of pregnant women, their psychological factors such as attachment anxiety should also be considered.

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Blood Pressure, Depression, and Suicidal Ideation Among Pregnant Women with HIV

Cited by 8 publications

References 60 publications

Suicidality Among People Living With HIV From 2010 to 2021: A Systematic Review and a Meta-regression

Suicidality Among People Living With HIV From 2010 to 2021: A Systematic Review and a Meta-regression

The prevalence of suicidal behavior and ideation during pregnancy and postpartum period, its variation in the COVID-19 pandemic, and the related factors: A systematic review and meta-analysis of observational studies

The prevalence of suicide ideation and predictive factors among pregnant women in the third trimester

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