| Journal: |
The European Journal of Psychiatry
Elsevier
|
Volume: |
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| Abstract: |
Background
and
objectives:
Research
on
suicidal
behaviors
during
pregnancy
in
Egypt
is
limited;
being
apparently
rationalized
by
pregnancy
is
a
protective
period.
This
study
aimed
to
address
the
current
suicide
risk
(CSR),
and
evaluate
its
correlates
of
among
pregnant
women
in
Egypt.
Methods:
It
is
a
cross-sectional
study
which
included
835
of
Egyptian
pregnant
women
who
were
receiving
their
antenatal
care
at
Zagazig
University
Obstetrics
and
Gynecology
Outpatient
clinics,
during
the
period
from
1
October
2017
to
30
September
2018.
The
sociodemographic
and
clinical
data
were
collected
by
a
simple
semi-structured
questionnaire.
The
psychome
tric
assessment
included
Beck
Suicidal
Ideation
Scale
(BSS),
Zagazig
Depression
Scale
(ZDS),
Hamilton
Anxiety
Rating
Scale
(HAM-A),
and
Structured
Clinical
Interview
for
DSM-IV-TR
Axis
II
Personality
Disorders
(SCID-II)
for
assessment
of
CSR,
and
comorbid
depression,
anxiety
and
personality
disorders,
respectively.
Results:
Among
pregnant
women,
23.4%
reported
CSR.
This
included
suicidal
ideation
of
21.6%
and
suicidal
attempt
of
1.8%.
Predictors
of
CSR
were
history
of
intimate
partner
violence
(IPV)
exposure
(OR
8.8,
95%
CI:
2.8,
27.7),
identification
of
their
current
pregnancy
as
a
female
baby
(OR
6.9,
95%
CI:
2.0,
23.5),
previous
history
of
fetal
loss
(OR
3.9,
95%
CI:
1.5,
10.6),
and
moderate-to-severe
depression
(OR
3.0,
95%
CI:
1.0,
8.7).
Conclusions:
Our
findings
suggest
that
CSR,
including
suicidal
ideation
and
attempts,
is
not
rare
during
pregnancy.
Exposure
to
IPV
is
the
most
robust
predictor
of
CSR.
Pregnant
women
should
be
routinely
screened
for
suicidal
behaviors,
violence
exposure
and
depressive
symptoms,
as
part
of
their
antenatal
assessments.
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