Can lifetime exposure to intimate partner violence predict suicidality in a sample of Egyptian pregnant women: a cross-sectional study?

Abdelghani, Mohamed; Saad, Adriana Miguel; Khalil, Yomna; Ibrahem, Mohamed Abdel-Moniem; Badr, Mohamed; Saraya, Yasser S.; Hassan, Mervat S.

doi:10.1016/j.ejpsy.2020.11.005

Cited by 6 publications

(5 citation statements)

References 41 publications

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“…In two studies conducted in Ethiopia among pregnant women, IPV was found as a significant predictor of SI ( 34 , 37 ). Similar findings were found in a study among pregnant Egyptian women in which an association was found between IPV and current suicide risk ( 62 ).…”

Section: Resultssupporting

confidence: 90%

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Suicidal ideation and behavior among perinatal women and their association with sleep disturbances, medical conditions, and known risk factors

et al. 2023

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ObjectiveSuicide is considered one of the leading causes of maternal mortality, especially among women with postpartum depression. In the current systematic review, we conducted a qualitative data synthesis of recent studies exploring novel risk factors including sleep disturbances and medical conditions, alongside known and significant risk factors for perinatal suicidality.Evidence acquisitionWe conducted a systematic search of the literature according to PRISMA guidelines on PubMed, PsycNET, and Scopus databases. Search terms were “pregnancy” “OR” “postpartum” “OR” “peripartum” “OR” “perinatal” “OR” “postnatal” combined with the Boolean “AND” operator with “suicide” “OR” “suicidality” “OR” “suicidal ideation” “OR” “suicidal behavior.”Evidence synthesisThe initial search yielded 1,458 records, of which 51 research reports that met inclusion criteria were analyzed. These 51 studies sampled a total of 45,942 participants. Clinically, sleep disturbance, psychopathology, and social support have been identified as dominant risk factors for suicidal behavior among pregnant and postpartum women, as well as medical conditions and aversive life events.ConclusionMonitoring sleep disturbance, depression, and perceived social support is critical given that they are significant risk factors for suicide among perinatal women. Early identification of perinatal women who may be at risk of suicide, although not depressed, is crucial.LimitationsThe use of tools designed to identify depression to identify suicidal risk, fail to identify women who are at risk but who do not suffer from depression. Other methodological limitations are the lack of longitudinal studies and the complexity of examining suicidal behavior in sample studies.

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Section: Resultssupporting

confidence: 90%

“…Higher pre- and postpartum symptoms of depression and SI were found to be associated with military sexual trauma ( 77 ). Lastly, three studies indicated that a previous perinatal loss may be another possible risk factor for perinatal suicidality ( 34 , 51 , 62 ).…”

Section: Resultsmentioning

confidence: 99%

Suicidal ideation and behavior among perinatal women and their association with sleep disturbances, medical conditions, and known risk factors

et al. 2023

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“…The finding of this study shows that depressive symptoms were identified as a predicted variable for suicidal ideation for pregnant women. The finding agrees with the findings of Ethiopia Jimma [ 33 ], Brazil [ 73 , 75 ], India [ 72 ], and Egypt [ 76 ]. The main reason for this could be, that depression is one of the main responsible factors for suicide.…”

Section: Discussionsupporting

confidence: 91%

“…This study suggested that pregnant mothers who are living with anxiety symptoms have more suicidal ideation than those who have no anxiety symptoms. The finding is similar to the previous studies of South Africa [ 24 ], Egypt [ 76 ], Pakistani [ 70 ], and Brazil [ 82 ] Pregnancy is a dual life and a very sensitive period. At this time pregnant women become stressed, anxious, and worried about their pregnancy, their child, losing their body shape, taking responsibility, and worrying about the complications of pregnancy in their lives.…”

Section: Discussionsupporting

confidence: 91%

“…On the opposite side, the finding is lower than from studies done in Brazil which was a cross-sectional study that reported the magnitude of suicidal ideation 23.53% [ 75 ], the epidemiological study conducted in Egypt reported that the magnitude of SI 20.4% [ 76 ], and Peru’s study 16.8% [ 77 ]. The discrepancy might be due to the tool used to assess SI.…”

Section: Discussionmentioning

confidence: 74%

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Suicidal ideation and associated factors among pregnant women attending antenatal care at public hospitals of Harari regional state, eastern Ethiopia: A cross-sectional study

Bete,

Ali,

Misgana

et al. 2024

PLoS ONE

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Background Suicide is a global issue. It is the third responsible for death among the reproductive age group. Pregnancy is a complicated event and crucial in the life of a woman with considerable physiological, hormonal changes, social, and mental changes. However, third-world countries like Ethiopia have not been investigated well. Therefore, the study planned to assess the magnitude and factors associated with suicidal ideation. Furthermore, it will identify the role of hyperemesis gravidarum on suicidal ideation. Method A Cross-sectional study was employed for 543 pregnant participants attending antenatal care at Hiwot Fana Specialized University Hospital and Jugal General Hospital, Harari regional state, eastern Ethiopia from June 1 to August 1, 2022. The recruited participants were selected by systematic random sampling method. Suicide was assessed using Composite International Diagnostic by interview methods data collection. Epi data and STATA version 14.1 were used for data entry and analysis respectively. Candidate variables were entered into a multivariate logistic regression then those variables that have p-value < 0.05 were considered as significantly associated. Results The magnitude of suicidal ideation in this study was found to be 11.15% at (95% CI: 8.75–14.11). Regarding the associated factor, unwanted pregnancy (AOR = 3.39: at 95% CI = 1.58–7.27), Hyperemesis gravidarum (AOR = 3.65: at 95% CI = 1.81–7.34), having depressive symptoms (AOR = 2.79: at 95% CI = 1.49–5.23), having anxiety symptoms (AOR = 3.37; at 95% CI = 1.69–6.68), experiencing intimate partner violence (AOR = 2.88: at 95% CI = 1.11–7.46), and having stress (AOR = 3.46; at 95% CI = 1.75–6.86) were significantly associated variable with suicidal ideation among pregnant women. Conclusion and recommendation This study revealed that suicidal ideation is common among pregnant women. Regarding the associated factors unwanted pregnancy, hyperemesis gravidarum, having depressive and anxiety symptoms, experiencing intimate partner violence, and stress were significantly associated with suicidal ideation. Thus, giving awareness and early screening and interferences for antenatal suicide should be warranted.

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Suicidal Behavior in Egypt

Abdel-Khalek,

Lester

2024

Suicidal Behavior in Muslim Majority Countries

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Can lifetime exposure to intimate partner violence predict suicidality in a sample of Egyptian pregnant women: a cross-sectional study?

Cited by 6 publications

References 41 publications

Suicidal ideation and behavior among perinatal women and their association with sleep disturbances, medical conditions, and known risk factors

Suicidal ideation and behavior among perinatal women and their association with sleep disturbances, medical conditions, and known risk factors

Suicidal ideation and associated factors among pregnant women attending antenatal care at public hospitals of Harari regional state, eastern Ethiopia: A cross-sectional study

Suicidal Behavior in Egypt

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