Suicide attempts during pregnancy and perinatal outcomes

Shigemi, Daisuke; Ishimaru, Miho; Matsui, Hiroki; Fushimi, Kiyohide; Yasunaga, Hideo

doi:10.1016/j.jpsychires.2020.12.024

Cited by 21 publications

(22 citation statements)

References 28 publications

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“…The suicide rate of peripartum women in Japan is estimated to be 8.7 per births of 100,000, which is higher than that in Western countries [ 49 ]. Furthermore, violent methods of suicide attempts are associated with critical perinatal outcomes [ 50 ]. Economic issues associated with the COVID-19 pandemic may also contribute to the exacerbation of suicidal ideation.…”

Section: Discussionmentioning

confidence: 99%

Psychological impacts of the COVID-19 pandemic on one-month postpartum mothers in a metropolitan area of Japan

Takubo

Tsujino

Aikawa³

et al. 2021

BMC Pregnancy Childbirth

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Background The coronavirus disease 2019 (COVID-19) pandemic has recently become the most important issue in the world. Very few reports in Japan have examined the impact of the COVID-19 pandemic on peripartum mental health. We examined the status of postpartum mental health before and during COVID-19 pandemic from a consecutive database in a metropolitan area of Japan. Methods The subjects were women who had completed a maternity health check-up at a core regional hospital in Yokohama during the period from April 1, 2017, to December 31, 2020. We collected the subjects’ scores for the Edinburgh Postnatal Depression Scale (EPDS) and the Mother-to-Infant Bonding Scale (MIBS) at 1 month postpartum. The subjects were divided into four groups (three Before COVID-19 groups and a During COVID-19 group). MANOVA and post-hoc tests were used to determine mental health changes in the postpartum period among the four groups. Results The Before and During COVID-19 groups contained 2844 and 1095 mothers, respectively. There were no significant difference in the total scores of the EPDS and MIBS among the four groups. However, the EPDS items related to anxiety factors were significantly higher and the EPDS items related to anhedonia and depression factors (excluding thoughts of self-harm) were significantly lower in the During COVID-19 group. Conclusion The EPDS scores changed in connection with the COVID-19 pandemic. Anxiety, which represent hypervigilance, was significantly higher and anhedonia and depression were significantly lower in the During COVID-19 group. Our results may reflect COVID-19-related health concerns and a lack of social support caused by the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Psychological impacts of the COVID-19 pandemic on one-month postpartum mothers in a metropolitan area of Japan

Takubo

Tsujino

Aikawa³

et al. 2021

BMC Pregnancy Childbirth

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“…However, pending larger studies, adjustment disorder can be considered a risk factor for perinatal suicide. Other diagnoses, such as anxiety, bipolar disorder, schizophrenia, post-traumatic stress disorder (PTSD), and personality disorders have been associated with suicide attempts as well [ 66 , 76 , 81 , 82 ]. Finally, preliminary evidence indicates that self-reported emotional dysregulation [ 83 ] and poor sleep quality [ 84 – 86 ] are associated with antenatal self-injurious thoughts and behaviors.…”

Section: Risk Factors For Perinatal Suicidalitymentioning

confidence: 99%

“…Depression is one of the most common diagnoses among perinatal patients who report suicidal ideation [ 75 ] or who attempt or complete suicide [ 62 ]. For example, in a Japanese study examining suicide attempts during pregnancy, depression was the most common diagnosis, seen in 15.4% of those who made an attempt [ 76 ]. This finding was replicated in other studies, in which MDD was found in between 30% [ 77 ] and 50% [ 66 ] pregnant patients who died by suicide.…”

Section: Risk Factors For Perinatal Suicidalitymentioning

confidence: 99%

“…At early postpartum, more mothers with SI had previous miscarriage experiences, were relatively older, perceived more stress, and had higher prenatal SI Shigemi et al [ 76 ] Suicide attempts during pregnancy and perinatal outcomes Retrospective cohort study Pregnant women admitted to participating hospitals because of suicide attempts 319 N/A SA Approximately 58% of patients were in the 3rd trimester. 39.5% had mental and behavioral disorders on admission; the main diagnoses were depression (15.4%), schizophrenia (13.2%) and personality disorders (9.7%) Shigemi et al [ 76 ] Suicide attempts among pregnant and postpartum women: A nationwide Retrospective Cohort Study Retrospective cohort study Pregnant and postpartum women who had psychoneurological disorders admitted to Japanese participating hospitals 3286 N/A SA Of 3286 women, 22 pregnant women and 16 postpartum women had attempted suicide. The prevalence of suicide was significantly higher among postpartum women (6.2%) compared to pregnant women (0.7%).…”

Section: Introductionmentioning

confidence: 99%

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Suicide and Maternal Mortality

Chin

Wendt

Bennett

et al. 2022

Curr Psychiatry Rep

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Purpose of Review Suicide is a leading cause of death in the perinatal period (pregnancy and 1 year postpartum). We review recent findings on prevalence, risk factors, outcomes, and prevention and intervention for suicide during pregnancy and the first year postpartum. Recent Findings Standardization of definitions and ascertainment of maternal deaths have improved identification of perinatal deaths by suicide and risk factors for perinatal suicide. Reports of a protective effect of pregnancy and postpartum on suicide risk may be inflated. Clinicians must be vigilant for risk of suicide among their perinatal patients, especially those with mental health diagnoses or prior suicide attempts. Summary Pregnancy and the year postpartum are a time of increased access to healthcare for many, offering many opportunities to identify and intervene for suicide risk. Universal screening for suicide as part of assessment of depression and anxiety along with improved access to mental health treatments can reduce risk of perinatal suicide.

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“…per births of 100,000, which is higher than that in Western countries [54]. Furthermore, violent methods of suicide attempts are associated with critical perinatal outcomes [55]. Economic issues associated with the COVID-19 pandemic may also contribute to the exacerbation of suicidal ideation.…”

Section: Relationships Among Anxiety Anhedonia and Depressionmentioning

confidence: 99%

Psychological Impacts of the COVID-19 Pandemic on One-month Postpartum Mothers: A Retrospective Study from a Consecutive Database in a Metropolitan Area of Japan

Takubo

Tsujino²,

Aikawa³

et al. 2021

Preprint

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Background:The coronavirus disease 2019 (COVID-19) pandemic has recently become the most important issue in the world. Very few reports in Japan have examined the impact of the COVID-19 pandemic on peripartum mental health. We examined the current status of postpartum mental health in a metropolitan area.Methods:The subjects were women who had completed a maternity health check-up at a core regional hospital in Yokohama during the period from April 1, 2017, to December 31, 2020. We collected the subjects’ scores for the Edinburgh Postnatal Depression Scale (EPDS) and the Mother-to-Infant Bonding Scale (MIBS) at one month postpartum. The subjects were divided into four groups (three Before COVID-19 groups and a During COVID-19 group). MANOVA and post-hoc tests were used to determine mental health changes in the postpartum period among the four groups.Results:The Before and During COVID-19 groups contained 2844 and 1095 mothers, respectively. There were no significant difference in the total scores of the EPDS and MIBS among the four groups. However, the EPDS items related to anxiety factors were significantly higher and the EPDS items related to anhedonia and depression factors (excluding thoughts of self-harm) were significantly lower in the During COVID-19 group.Conclusion:The EPDS scores changed in connection with the COVID-19 pandemic. Anxiety, which represent hypervigilance, was significantly higher and anhedonia and depression were significantly lower in the During COVID-19 group. Our results may reflect COVID-19-related health concerns and a lack of social support caused by the COVID-19 pandemic.

show abstract

Suicide attempts during pregnancy and perinatal outcomes

Cited by 21 publications

References 28 publications

Psychological impacts of the COVID-19 pandemic on one-month postpartum mothers in a metropolitan area of Japan

Psychological impacts of the COVID-19 pandemic on one-month postpartum mothers in a metropolitan area of Japan

Suicide and Maternal Mortality

Psychological Impacts of the COVID-19 Pandemic on One-month Postpartum Mothers: A Retrospective Study from a Consecutive Database in a Metropolitan Area of Japan

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