Blurring reality with fiction: Exploring the stories of women, madness, and infanticide

Jefferies, Diana; Horsfall, Debbie; Schmied, Virginia

doi:10.1016/j.wombi.2016.07.001

Cited by 3 publications

(5 citation statements)

References 14 publications

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“…If not addressed, perinatal depression can create intergenerational difficulties [4]. In extreme cases, women may attempt or complete suicide or infanticide [5,6]. The high burden of perinatal depression demands effective strategies to prevent and improve symptoms.…”

Section: Introductionmentioning

confidence: 99%

Comparison of screening accuracy of the Patient Health Questionnaire-2 using two case-identification methods during pregnancy and postpartum

Slavin

Creedy

Gamble

2020

BMC Pregnancy Childbirth

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Background: Variation exists regarding perinatal depression screening. A two-step screening method has been recommended. According to a maternity-focused core outcome set developed by the International Consortium for Health Outcomes Measurement, women who score 3 or more on the PHQ-2 then complete the Edinburgh Postnatal Depression Scale (EPDS). Limited evidence exists regarding the screening accuracy of the PHQ-2 in childbearing women. An alternative case-identification method may be more sensitive for perinatal women. We aimed to [1] evaluate the screening accuracy of the PHQ-2 during the perinatal period using two case-identification methods, and [2] measure the variability of accuracy over four time-points during pregnancy and postpartum. Methods: A prospective, longitudinal cohort study was conducted with 309 consecutive women who completed the PHQ-2 and EPDS during pregnancy (booking, 36-weeks) and postpartum (6-, 26-weeks). EPDS was the reference standard using cutoff scores for 'at least probable minor depression' during pregnancy (≥ 13) and postpartum (≥ 10) and for 'probable major depression' during pregnancy (≥ 15) and postpartum (≥ 13). PHQ-2 was analysed using two methods: [1] scored (cut-points ≥ 2 and ≥ 3), [2] dichotomous yes/no (positive response to either question) against EPDS cut-points for at least probable minor and probable major depression. Receiver operating characteristic analyses determined accuracy. Results: Probable major depression: Over four timepoints PHQ-2 ≥ 3 revealed lowest sensitivity (36-79%) but highest specificity (94-98%). An alternative case-identification method revealed high sensitivity (93-100%), but lowest specificity (58-71%). Minor depression: PHQ-2 ≥ 3 revealed the lowest sensitivity (19-50%) but highest specificity (95-98%). An alternative case-identification method revealed the highest sensitivity (81-100%) and moderate specificity (60-74%).

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Section: Introductionmentioning

confidence: 99%

Comparison of screening accuracy of the Patient Health Questionnaire-2 using two case-identification methods during pregnancy and postpartum

Slavin

Creedy

Gamble

2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Mental disorders such as post-natal depression will fall within https: //dx.doi.org/10.15405/epsbs.2018.12.03.59 Corresponding Author: ZaitonHamin Selection and peer-review under responsibility of the Organizing Committee of the conference eISSN: 2357-1330 598 the category envisaged by this section. The offence may be regarded as manslaughter if, at the time of the offence, the balance of the offender's mind was disturbed since she has not fully recovered from childbirth, or because of lactation (Jefferies, Horsfall, & Schmied, 2017;Weare, 2017;Griffith, 2015;Marks and Kumar, 1993). Upon conviction, the maximum sentence a judge can impose for manslaughter is imprisonment for life.…”

Section: Infanticide Law In England and Walesmentioning

confidence: 99%

“…Upon conviction, the maximum sentence a judge can impose for manslaughter is imprisonment for life. Thus, the English law seems to recognize a link between the biological changes in women associated with childbirth, lactation and mental illness (Jefferies, Horsfall, & Schmied, 2017;Griffith, 2015;Loughnan, 2012b). The Infanticide Act 1938 provides the prosecutor with an alternative to a charge of murder where a mother has murdered her child before 12 months old (Griffith, 2015).…”

Section: Infanticide Law In England and Walesmentioning

confidence: 99%

“…The origins of infanticide law are twofold; firstly, the public's concern about the harsh criminal treatment of young, single, and low-income women, and secondly, on the legal justification to justify the lenient treatment of these women (Jefferies, Horsfall, & Schmied, 2017;Weare, 2017;Loughnan, 2012a;Lansdowne, 1990). If infanticide was abolished and the women who currently rely on it were convicted of manslaughter by diminished responsibility, their sentences may well not be so lenient (Loughnan, https://dx.doi.org/10.15405/epsbs.2018.12.03.59 Corresponding Author: ZaitonHamin Selection and peer-review under responsibility of the Organizing Committee of the conference eISSN: 2357-1330 2012a; Lansdowne, 1990).…”

Section: Infanticide Law In England and Walesmentioning

confidence: 99%

“…Most western jurisdiction including England and Wales, have adjusted the penalty for infanticide for probation and mandatory psychiatric treatment, which is less severe than a custodial sentence and which recognizes the unique biological changes that occur at childbirth (Jefferies, Horsfall, & Schmied, 2017;Weare, 2017;Loughnan, 2012;Spinelli, 2005). In England and Australia, prosecutors have reduced the charge from murder to infanticide at the early stage of the prosecution, and if convicted, the offenders will receive probation order with psychiatric treatment (Griffith, 2015;Loughnan, 2012a;Fazio and Comito, 1998).…”

Section: Infanticide Law In England and Walesmentioning

confidence: 99%

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