Suicidal ideation in pregnancy

Assessment and clinical implications

Donald J Newport, L. C. Levey, P. B. Pennell, K. Ragan, Z. N. Stowe

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

The objectives of this study were 1) to determine the prevalence of suicidal ideation (SI) in pregnant women with a history of neuropsychiatric illness, 2) to assess the relative sensitivity of commonly used depression rating scales for detecting SI, and 3) to examine the sociodemographic and clinical predictors of SI in pregnant women. Demographic data, Beck Depression Inventory [BDI] and Hamilton Rating Scale for Depression [HRSD] questionnaires, and SCID interviews were obtained from 383 pregnant women presenting to the Emory Women's Mental Health Program or the Emory Women's Epilepsy Program. Among those who completed both scales, 29.2% endorsed SI on the BDI and 16.9% on the HRSD, with 33.0% endorsing SI on at least one of the rating scales and 13.1% on both rating scales. The rate of SI endorsement on the BDI was 73.3% higher than the HRSD. Multivariate logistic regression demonstrated that SI in pregnant women was associated with unplanned pregnancy (OR = 2.97), current major depression (OR = 4.12), and comorbid anxiety disorder (OR = 4.17). Further studies are warranted to identify additional predictors of perinatal suicidality and to clarify the nature of the association between such factors and the presence of SI in pregnant women.

Original languageEnglish (US)
Pages (from-to)181-187
Number of pages7
JournalArchives of Women's Mental Health
Volume10
Issue number5
DOIs
StatePublished - Oct 2007
Externally publishedYes

Fingerprint

Suicidal Ideation
Depression
Pregnancy
Pregnant Women
Equipment and Supplies
Unplanned Pregnancy
Women's Health
Anxiety Disorders
Epilepsy
Mental Health
Logistic Models
Demography
Interviews

Keywords

  • Anxiety
  • Depression
  • Pregnancy
  • Suicidal ideation

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Suicidal ideation in pregnancy : Assessment and clinical implications. / Newport, Donald J; Levey, L. C.; Pennell, P. B.; Ragan, K.; Stowe, Z. N.

In: Archives of Women's Mental Health, Vol. 10, No. 5, 10.2007, p. 181-187.

Research output: Contribution to journalArticle

Newport, Donald J ; Levey, L. C. ; Pennell, P. B. ; Ragan, K. ; Stowe, Z. N. / Suicidal ideation in pregnancy : Assessment and clinical implications. In: Archives of Women's Mental Health. 2007 ; Vol. 10, No. 5. pp. 181-187.
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