Prevalence and psychosocial correlates of suicidal ideation among pregnant women living with HIV in Mpumalanga Province, South Africa

Violeta J. Rodriguez, Ryan R. Cook, Karl Peltzer, Deborah Jones

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Pregnant women living with HIV (WLHIV) in South Africa (SA) report higher rates of suicidal ideation than those who are HIV uninfected, and antenatal suicidal ideation has been previously associated with adverse maternal and neonatal outcomes. Few studies have attempted to identify correlates and psychosocial predictors of suicidal ideation in this population. In this study, we sought to estimate the prevalence of and identify risk factors for suicidal ideation among pregnant WLHIV in rural SA (N = 673). Thirty-nine percent of women endorsed suicidal ideation (95% CI: 35.2% to 42.3%) and in multivariable logistic regression analysis, suicidal ideation was associated with intimate partner violence and stigma, which interacted to multiplicatively increase the odds of suicidal thoughts. Given the high rates of reported suicidal ideation identified in this sample, and the potential harm to mothers and neonates, suicide risk assessment and management protocols for pregnant WLHIV should be considered for inclusion in the standard of care in rural SA.

Original languageEnglish (US)
Pages (from-to)1-5
Number of pages5
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
DOIs
StateAccepted/In press - Oct 4 2016

Fingerprint

Suicidal Ideation
South Africa
Pregnant Women
HIV
risk management
risk assessment
suicide
Mothers
regression analysis
logistics
inclusion
violence
Risk Management
Standard of Care
Suicide
Logistic Models
Regression Analysis
Newborn Infant
Population

Keywords

  • HIV
  • intimate partner violence
  • pregnancy
  • South Africa
  • stigma
  • Suicidal ideation

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health

Cite this

@article{b475d1a841c746e6886f6edc8bffa6f4,
title = "Prevalence and psychosocial correlates of suicidal ideation among pregnant women living with HIV in Mpumalanga Province, South Africa",
abstract = "Pregnant women living with HIV (WLHIV) in South Africa (SA) report higher rates of suicidal ideation than those who are HIV uninfected, and antenatal suicidal ideation has been previously associated with adverse maternal and neonatal outcomes. Few studies have attempted to identify correlates and psychosocial predictors of suicidal ideation in this population. In this study, we sought to estimate the prevalence of and identify risk factors for suicidal ideation among pregnant WLHIV in rural SA (N = 673). Thirty-nine percent of women endorsed suicidal ideation (95{\%} CI: 35.2{\%} to 42.3{\%}) and in multivariable logistic regression analysis, suicidal ideation was associated with intimate partner violence and stigma, which interacted to multiplicatively increase the odds of suicidal thoughts. Given the high rates of reported suicidal ideation identified in this sample, and the potential harm to mothers and neonates, suicide risk assessment and management protocols for pregnant WLHIV should be considered for inclusion in the standard of care in rural SA.",
keywords = "HIV, intimate partner violence, pregnancy, South Africa, stigma, Suicidal ideation",
author = "Rodriguez, {Violeta J.} and Cook, {Ryan R.} and Karl Peltzer and Deborah Jones",
year = "2016",
month = "10",
day = "4",
doi = "10.1080/09540121.2016.1238442",
language = "English (US)",
pages = "1--5",
journal = "AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV",
issn = "0954-0121",
publisher = "Routledge",

}

TY - JOUR

T1 - Prevalence and psychosocial correlates of suicidal ideation among pregnant women living with HIV in Mpumalanga Province, South Africa

AU - Rodriguez, Violeta J.

AU - Cook, Ryan R.

AU - Peltzer, Karl

AU - Jones, Deborah

PY - 2016/10/4

Y1 - 2016/10/4

N2 - Pregnant women living with HIV (WLHIV) in South Africa (SA) report higher rates of suicidal ideation than those who are HIV uninfected, and antenatal suicidal ideation has been previously associated with adverse maternal and neonatal outcomes. Few studies have attempted to identify correlates and psychosocial predictors of suicidal ideation in this population. In this study, we sought to estimate the prevalence of and identify risk factors for suicidal ideation among pregnant WLHIV in rural SA (N = 673). Thirty-nine percent of women endorsed suicidal ideation (95% CI: 35.2% to 42.3%) and in multivariable logistic regression analysis, suicidal ideation was associated with intimate partner violence and stigma, which interacted to multiplicatively increase the odds of suicidal thoughts. Given the high rates of reported suicidal ideation identified in this sample, and the potential harm to mothers and neonates, suicide risk assessment and management protocols for pregnant WLHIV should be considered for inclusion in the standard of care in rural SA.

AB - Pregnant women living with HIV (WLHIV) in South Africa (SA) report higher rates of suicidal ideation than those who are HIV uninfected, and antenatal suicidal ideation has been previously associated with adverse maternal and neonatal outcomes. Few studies have attempted to identify correlates and psychosocial predictors of suicidal ideation in this population. In this study, we sought to estimate the prevalence of and identify risk factors for suicidal ideation among pregnant WLHIV in rural SA (N = 673). Thirty-nine percent of women endorsed suicidal ideation (95% CI: 35.2% to 42.3%) and in multivariable logistic regression analysis, suicidal ideation was associated with intimate partner violence and stigma, which interacted to multiplicatively increase the odds of suicidal thoughts. Given the high rates of reported suicidal ideation identified in this sample, and the potential harm to mothers and neonates, suicide risk assessment and management protocols for pregnant WLHIV should be considered for inclusion in the standard of care in rural SA.

KW - HIV

KW - intimate partner violence

KW - pregnancy

KW - South Africa

KW - stigma

KW - Suicidal ideation

UR - http://www.scopus.com/inward/record.url?scp=84989881561&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84989881561&partnerID=8YFLogxK

U2 - 10.1080/09540121.2016.1238442

DO - 10.1080/09540121.2016.1238442

M3 - Article

C2 - 27690544

AN - SCOPUS:84989881561

SP - 1

EP - 5

JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

SN - 0954-0121

ER -