Premenstrual dysphoric disorder and suicide attempts as a correlation among women in reproductive age

Shams-Alizadeh, Narges; Maroufi, Azad; Rashidi, Mahsa; Roshani, Daem; Farhadifar, Fariba; Khazaie, Habibolah

doi:10.1016/j.ajp.2018.01.003

Cited by 15 publications

(22 citation statements)

References 26 publications

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“…With PMDD symptoms commencing during the week(s) prior to the onset of menses, it would be anticipated that there would be an increased frequency of suicide attempts during the luteal menstrual phase for women with PMDD. However, Baca-Garcia et al (2004), Ducasse et al (2016) and Shams-Alizadeh et al (2018) all reported finding no differences in cycle phase between suicide attempters with and without a retrospective diagnosis of PMDD. Thus, despite the significant associations identified between PMDD and suicidality, women with PMDD did not seem to be more likely to attempt suicide during the luteal menstrual phase, when symptoms are expected to reach peak severity.…”

Section: Relationship To Menstrual Cycle Phasementioning

confidence: 90%

“…Pilver et al (2013) identified that women with PMDD were significantly more likely to report suicidal ideation (37.4%), plans (19.1%) and attempts (16.2%) compared with women with PMS (22%, 7.6% and 7.4%, respectively). Likewise, Shams-Alizadeh et al (2018) found that PMDD was significantly more frequent in a group of female suicide attempters compared with a control group, whilst no differences were identified in the prevalence of PMS between the two groups. However, Ogebe et al (2011) identified that 24% of adolescents with PMS reported suicidal ideation, compared with just 18% of adolescents with PMDD.…”

Section: Suicide Attemptsmentioning

confidence: 92%

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Suicidality in women with Premenstrual Dysphoric Disorder: a systematic literature review

Osborn

Brooks

O’Brien

et al. 2020

Arch Womens Ment Health

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Previous research has identified how menstruation is an important factor in both attempted and completed suicides for women. The purpose of this review was to outline (a) the risk profile for suicidality in women who were identified to experience Premenstrual Dysphoric Disorder (PMDD), a condition characterized by severe physical and psychological changes that occur during the luteal menstrual phase, and (b) the implications of these findings for clinical practice. A systematic literature review was conducted using five databases to identify any peer-reviewed articles published between 1989 and 2019. Ten papers eligible for inclusion were identified: three pertaining to suicide cognitions, five to suicide attempts and two to both cognitions and attempts. Findings showed that suicidal thoughts, ideation, plans and attempts were strongly associated with experiences of PMDD and that these findings were independent of psychiatric co-morbidities. However, women with PMDD did not present with more severe risk profiles for suicide attempts (in terms of frequency, impulsivity and lethality) or make more frequent attempts during the luteal menstrual phase compared with suicide attempters without PMDD. Women with PMDD should be considered a high risk group for suicidality; thus, identifying and treating symptoms are vital in reducing suicide attempts. Implications for clinical practice are outlined in the discussion.

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Section: Relationship To Menstrual Cycle Phasementioning

confidence: 90%

Section: Suicide Attemptsmentioning

confidence: 92%

Suicidality in women with Premenstrual Dysphoric Disorder: a systematic literature review

Osborn

Brooks

O’Brien

et al. 2020

Arch Womens Ment Health

View full text Add to dashboard Cite

show abstract

“…Furthermore, this study only included women who had received an affirmative diagnosis of PMDD and, by the nature of the recruitment method, were subsequently under the care of an experienced medical specialist. Whilst this was viewed as a strength of the study, because this recruitment method enabled the authors to ensure that the women had an accurate diagnosis of PMDD, in comparison to previous studies in which diagnoses are identified as ‘provisional’ [ 42 , 43 ], it is acknowledged that the participants in this study represent a subset of women who had been successful in receiving help.…”

Section: Discussionmentioning

confidence: 99%

Women’s experiences of receiving a diagnosis of premenstrual dysphoric disorder: a qualitative investigation

et al. 2020

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Background Premenstrual dysphoric disorder (PMDD) is a complex and disabling condition that affects women of reproductive age, characterised by severe physical and psychological symptoms that occur cyclically and remit following the onset of menses. As the psychological nature and consequences of PMDD often seem indistinguishable from symptoms of other mental health difficulties, this condition presents distinct diagnostic challenges for healthcare professionals. Therefore, this study aimed to explore women’s experiences of both having PMDD and of receiving this diagnosis. Methods Participant recruitment took place in the United Kingdom during 2018. Seventeen women who had been diagnosed with PMDD by a medical specialist and met the clinical criteria for PMDD on the premenstrual symptoms screening tool were interviewed. The data from these semi-structured interviews were audio-recorded, transcribed and inductively analysed using reflexive thematic analysis. Results Twelve subthemes were identified and organised around four main themes: (1) A broken woman, (2) Misdiagnosis and the lost decades, (3) A life transformed and (4) Negotiating the aftermath. Conclusions The findings of this study highlight the critical importance of the accurate and timely detection of PMDD, with the aim of preventing women from experiencing severe and prolonged psychological distress. In order to achieve this, there needs to be a greater understanding and awareness of PMDD within both the medical and lay communities, alongside training for healthcare practitioners in PMDD assessment.

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“…Increased risk for suicide attempt in PMDD: evidence from observational studies Six studies investigated the association between PMDD and history of suicide attempts or current suicide attempt. [10][11][12]17,24,31 In total, five of six studies reported a significant association between PMDD and suicide attempts, while one study found a significant association in the crude analysis, but after adjustment for confounders (age and psychiatric disorders), the association did not remain significant. 24 Among the six studies, four compared suicidality between women with and without a PMDD diagnosis, while the remaining two compared the incidence of PMDD in women who had attempted suicide (and were admitted to the emergency room) with controls.…”

Section: Assessment Of Suicidalitymentioning

confidence: 97%

Suicidal Risk in Women with Premenstrual Syndrome and Premenstrual Dysphoric Disorder: A Systematic Review and Meta-Analysis

Prasad

Wollenhaupt-Aguiar

Kidd

et al. 2021

Journal of Women's Health

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Purpose: Women with premenstrual dysphoric disorder (PMDD) and premenstrual syndrome (PMS) experience substantial functional impairment and decreased quality of life. While previous research has highlighted a relationship between premenstrual disturbances and suicide risk, no meta-analysis has been conducted to quantitatively assess the findings. Methods: A systematic review and meta-analysis was conducted by searching the literature in three databases (Pubmed, PsycINFO, and EMBASE) on July 15, 2020. Studies that assessed the relationship between suicidality (attempt, ideation, and/or plan) and premenstrual disturbance (PMDD, PMS, and/or premenstrual symptoms) were included. Results: Thirteen studies were included in the qualitative review ( n = 10 included in meta-analysis). Results revealed that women with PMDD are almost seven times at higher risk of suicide attempt (OR: 6.97; 95% CI: 2.98–16.29, p < 0.001) and almost four times as likely to exhibit suicidal ideation (OR: 3.95; 95% CI: 2.97–5.24, p < 0.001). Similarly, women with PMS are also at increased risk of suicidal ideation (OR: 10.06; 95% CI: 1.32 to −76.67, p = 0.03), but not for suicide attempt (OR: 1.85; 95% CI: 0.77 to −4.46, p = 0.17). Conclusions: Women with PMDD and PMS are at higher risk of suicidality compared with women without premenstrual disturbances. These findings support routine suicidal risk assessments for women who suffer from moderate-to-severe premenstrual disturbance. Furthermore, psychosocial treatments for women diagnosed with PMS/PMDD should consider and target suicidality to minimize risk and improve well-being.

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Premenstrual dysphoric disorder and suicide attempts as a correlation among women in reproductive age

Cited by 15 publications

References 26 publications

Suicidality in women with Premenstrual Dysphoric Disorder: a systematic literature review

Suicidality in women with Premenstrual Dysphoric Disorder: a systematic literature review

Women’s experiences of receiving a diagnosis of premenstrual dysphoric disorder: a qualitative investigation

Suicidal Risk in Women with Premenstrual Syndrome and Premenstrual Dysphoric Disorder: A Systematic Review and Meta-Analysis

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