TY  - JOUR
PY  - 2014//
TI  - Clinical correlates of maternal suicidal ideation detected by perinatal depression screening:
JO  - Obstetrics and gynecology
A1  - Kim, J. Jo
A1  - Silver, Richard K.
A1  - La Porte, Laura M.
A1  - Zhou, Ying
A1  - Allweiss, Samantha B.
A1  - Adams, Marci G.
SP  - 60S
EP  - 60S
VL  - 123
IS  - Suppl 1
N2  - <p>Suicide is a leading cause of maternal mortality in the developed world, accounting for 10% of maternal deaths. We examined the relationship between suicidal ideation during pregnancy and after delivery in a large cohort of consecutively screened women to identify maternal demographic characteristics and obstetric outcomes that correlate with this vulnerable state of mind.    METHODS:     The Edinburgh Postnatal Depression Scale was completed at 24–28 weeks of gestation and at 6 weeks postpartum. Edinburgh Postnatal Depression Scale item 10 queries for suicidal ideation. Multivariable analyses determined predictors of suicidal ideation separately for during pregnancy and after delivery timeframes.    RESULTS:     A total of 22,118 patients completed the Edinburgh Postnatal Depression Scale (2003–2011) with 842 women endorsing suicidal ideation. A during pregnancy language by marital status interaction emerged (P<.05) with English-speaking, partnered patients less likely to report suicidal ideation (odds ratio [OR] 0.75) compared with non-English-speaking, partnered women with increased suicidal ideation risk (OR 1.55). Asians were also more likely to reveal suicidal ideation during pregnancy (OR 1.64, P<.001). Planned cesarean delivery reduced suicidal ideation after delivery risk compared with vaginal delivery (OR 0.56, P<.01), whereas perineal laceration increased suicidal ideation reporting (OR 2.10, P<.05). Asian women also endorsed suicidal ideation after delivery more often than other ethnic groups (OR 1.63, P<.01).    CONCLUSIONS:     When asked, women commonly report suicidal thoughts during and after pregnancy. Non-English-speaking, partnered patients manifest higher suicidal ideation endorsement as do Asian women. Perineal laceration increases suicidal ideation risk, whereas planned cesarean delivery has the opposite effect. Because 1% of women with suicidal ideation are estimated to attempt suicide, knowledge of these risk profiles and identification of vulnerable patients through screening may help to avert some instances of maternal mortality.</p>  <p>Language: en</p>
LA  - en
SN  - 0029-7844
UR  - http://dx.doi.org/10.1097/01.AOG.0000447361.24740.a6
ID  - ref1
ER  -