Pregnancy outcomes after suicide attempts by self-poisoning and drug overdose: experience of a clinical pharmacology consultation service in Izmir, Turkey

Suicide and Maternal Mortality

“…Violent methods of suicide attempts are associated with higher risk of critical perinatal outcomes [ 76 ]. In a limited study of 10 case reports of suicide attempts during pregnancy by overdose, although some agents resulted in bleeding and pregnancy complications, and in one case spontaneous abortion, overall, these pregnancies resulted in a healthy live birth [ 108 ]. In three cases of intentional overdose via over-the-counter medication during pregnancy, two of the three pregnancies ended in fetal demise [ 109 ].…”

“…Compared with non-perinatal women, pregnancy was associated with lower rate of all outcomes. Postpartum had a higher rate of psychotic disorder compared with pre-pregnancy but a lower rate of mood/anxiety disorder and suicide attempt Musyimi et al [ 68 ] Suicidal behavior risks during adolescent pregnancy in a low-resource setting: A qualitative study Qualitative analysis of 27 focus group discussions Healthcare workers, informal healthcare providers, adolescent, and adult pregnant and postnatal women 27 focus group discussion, 8 key informant interviews N/A Self-harm 5 themes associated with suicidal behavior risk among adolescent mothers include poverty, intimate partner violence, family rejection, social isolation and stigma from the community, and chronic physical illness Mutiso et al [ 99 ] Prevalence of positive depression screen among post miscarriage women- A cross sectional study Cross-sectional Patients recruited at post-miscarriage clinic review at gynecology clinics at Nairobi, 2 weeks after miscarriage 182 EPDS SI 34.1% screen positive for depression; of the patients who had positive depression screen, 33.1% had thoughts of self-harm Nana et al [ 104 ] Hyperemesis gravidarum is associated with increased rates of termination of pregnancy and suicidal ideation: results from a survey completed by > 5000 participants Cross-sectional 5071 participants from UK region 5071 14 item anonymous online survey SI 25.5% reported occasional suicidal ideation owing to severe sickness, and 6.6% reported regular suicidal ideation owing to severe sickness Ozturk and Ugras [ 108 ] Pregnancy outcomes after suicide attempts by self-poisoning and drug overdose: experience of a clinical pharmacology consultation service in Izmir, Turkey Case reports Case studies of 9 attempted suicide by self-poisoning and overdose 9 N/A Suicide attempt Most of the women who attempted suicide were under 35 years old. Half of them had 3 pregnancies or more.…”