TY  - JOUR
PY  - 2015//
TI  - Suicidality among pregnant women in Brazil: prevalence and risk factors
JO  - Archives of women's mental health
A1  - Castro E Couto, Tiago
A1  - Brancaglion, Mayra Yara Martins
A1  - Cardoso, Mauro Nogueira
A1  - Faria, Gustavo Coutinho
A1  - Garcia, Frederico Duarte
A1  - Nicolato, Rodrigo
A1  - Aguiar, Regina Amélia Lopes P.
A1  - Leite, Henrique Vitor
A1  - Correa, Humberto
SP  - 343
EP  - 348
VL  - 19
IS  - 2
N2  - Suicide is one of the major causes of preventable death. We evaluated suicidality among pregnant women who participated in prenatal care in Brazil. A total of 255 patients were assessed using semi-structured interviews as well as the Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory (BDI), and Mini-International Neuropsychiatric Interview (MINI) Plus. Thereafter, Stata 12 was used to identify the significant predictors of current suicide risk (CSR) among participants using univariate and multivariate analyses (p < 0.05). According to MINI Plus module C, the lifetime suicide attempt rate was 12.55 %. The overall CSR was 23.53 %, distributed across risk levels of low (12.55 %), moderate (1.18 %), and high (9.80 %). Our rates approximate those found in another Brazilian study (18.4 %). Antenatal depression (AD), lifetime bipolar disorder, and any current anxiety disorder (as measured using the MINI) as well as BDI scores ≥15 and EPDS scores ≥11 were identified as positive risk factors in a univariate analysis (p < 0.001). These factors changed after a multivariate analysis was employed, and only years of education [odds ratio (OR) = 0.45; 95 % confidence intervals (CIs) = 0.21-0.99], AD (OR = 3.42; 95 % CIs = 1.37-8.53), and EPDS scores ≥11 (OR = 4.44; 95 % CIs = 1.97-9.97) remained independent risk factors. AD and other psychiatric disorders were the primary risk factors for suicidality, although only the former remained an independent factor after a multivariate analysis. More than 10 years of education and EPDS scores ≥11 were also independent factors; the latter can be used as a screening tool for suicide risk.<p />  <p>Language: en</p>
LA  - en
SN  - 1434-1816
UR  - http://dx.doi.org/10.1007/s00737-015-0552-x
ID  - ref1
ER  -