@article{ref1,
title="Rating scale item assessment of self-harm in postpartum women: a cross-sectional analysis",
journal="Archives of women's mental health",
year="2017",
author="Stowe, Zachary N. and Newport, D. Jeffrey and Magann, Everett F. and Pennell, Page B. and Knight, Bettina T. and Tripathi, Shanti P. and Coker, Jessica L.",
volume="20",
number="5",
pages="687-694",
abstract="We examined the utility of screening instruments to identify risk factors for suicidal ideation (SI) in a population of women with neuropsychiatric illnesses at high risk for postpartum depression. Pregnant women with neuropsychiatric illness enrolled prior to 20 weeks of gestation. Follow-up visits at 4-8-week intervals through 13 weeks postpartum included assessment of depressive symptoms with both clinician and self-rated scales. A total of 842 women were included in the study. Up to 22.3% of postpartum women admitted SI on rating scales, despite the majority (79%) receiving active pharmacological treatment for psychiatric illness. Postpartum women admitting self-harm/SI were more likely to meet criteria for current major depressive episode (MDE), less than college education, an unplanned pregnancy, a history of past suicide attempt, and a higher score on the Childhood Trauma Questionnaire. In women with a history of neuropsychiatric illness, over 20% admitted SI during the postpartum period despite ongoing psychiatric treatment. Patient-rated depression scales are more sensitive screening tools than a clinician-rated depression scale for +SI in the postpartum period.<p /> <p>Language: en</p>",
language="en",
issn="1434-1816",
doi="10.1007/s00737-017-0749-2",
url="http://dx.doi.org/10.1007/s00737-017-0749-2"
}