Correlates of Suicidal Ideation During Pregnancy and Postpartum Among Women Living with HIV in Rural South Africa

Violeta J. Rodriguez, Lissa N. Mandell, Suat Babayigit, Rhea R. Manohar, Stephen M Weiss, Deborah Jones

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

In developing countries, up to 20% of maternal deaths during pregnancy are due to suicide, and being HIV-infected confers additional risk. This manuscript sought to identify perinatal correlates of suicidal ideation among women living with HIV (WLHIV) in rural South Africa. Pregnant WLHIV (N = 681) were recruited and re-assessed at 12-months postpartum. Mean age was 28.3 (SD = 5.7) years and 68% were below the poverty line. Prenatal suicidal ideation was 39%; suicidal ideation continued for 7% at 12 months, 13% experienced incident suicidal ideation, and for 19% suicidal ideation had stopped postnatally. Intimate partner violence (AOR = 1.17) and depression (AOR = 1.14) predicted sustained suicidal ideation. Increased income (AOR = 2.25) and greater stigma (AOR = 1.33) predicted incident suicidal ideation. Younger age (AOR = 0.94), disclosure of HIV status to partner (AOR = 0.60), and greater stigma (AOR = 1.24) predicted postnatal cessation of suicidal ideation. Perinatal care may provide windows of opportunity for identification and treatment of suicidal ideation.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalAIDS and Behavior
DOIs
StateAccepted/In press - May 11 2018

Fingerprint

Suicidal Ideation
South Africa
Postpartum Period
HIV
Pregnancy
Perinatal Care
Maternal Death
Disclosure
Poverty
Suicide
Developing Countries
Pregnant Women
Depression

Keywords

  • HIV
  • Intimate partner violence
  • Pregnancy
  • Suicidal ideation
  • Women

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Correlates of Suicidal Ideation During Pregnancy and Postpartum Among Women Living with HIV in Rural South Africa. / Rodriguez, Violeta J.; Mandell, Lissa N.; Babayigit, Suat; Manohar, Rhea R.; Weiss, Stephen M; Jones, Deborah.

In: AIDS and Behavior, 11.05.2018, p. 1-10.

Research output: Contribution to journalArticle

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