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Clinical morbidity at pregnancy
- Source :
- European Psychiatry. 33(S1):605-605
- Publication Year :
- 2016
- Publisher :
- Cambridge University Press, 2016.
-
Abstract
- IntroductionPrevious suicide attempts are a consistent risk factor for suicide. Repetition has been associated with higher future morbidity and suicidality.AimTo examine the relationship between psychological variables at pregnancy and previous repetition of suicidal attempts, first attempts and absence of attempts.MethodsThe sample comprise 568 third trimester pregnant women, mean aged 29.82 years (SD = 4.55; variance = 17–44). Previous suicidal behaviors were assessed with diagnostic interview for genetic studies, depression with PDSS and BDI-II, and affect with POMS. Current suicidal thoughts were assessed with PDSS dimension; hopelessness and helplessness by summing the scores of the POMS items hopeless/gloomy; and lonely/helpless, respectively.ResultsRepeaters (R; n = 11, 1.9%) scored higher than non-repeaters (NR; n = 20, 3.5%) in most of the clinical variables, but only significantly in sleeping/eating disturbances (PDSS).R and NR when compared to women who never attempted suicide (NA; n = 535, 94.5%) both revealed significant higher levels of depressive/hostility affect (POMS), BDI-II total score, suicide ideation, guilt/shame (PDSS) and anxiety/insecurity or anxiety/somatic (PSDD or BDI-II).In comparison with NA, R also revealed significant higher levels of negative affect (POMS), PDSS total score, loss of self, mental confusion (PDSS), cognitive and affective symptoms, fatigue (BDI-II), hopelessness and helplessness. NR also differs from NA in their higher emotional liability (PDSS).ConclusionWomen with previous suicide attempts are at elevated risk for high depressive symptoms, negative affect and suicide ideation at pregnancy. Compared to never attempters, repeaters revealed high morbidity than first attempters. The intervention in pregnancy must carefully assess previous history of suicide attempts.Disclosure of interestThe authors have not supplied their declaration of competing interest.
- Subjects :
- medicine.medical_specialty
Pregnancy
021103 operations research
media_common.quotation_subject
05 social sciences
0211 other engineering and technologies
Shame
050109 social psychology
Hostility
Learned helplessness
02 engineering and technology
medicine.disease
Affect (psychology)
Psychiatry and Mental health
medicine
Anxiety
0501 psychology and cognitive sciences
medicine.symptom
Risk factor
Psychiatry
Psychology
Depression (differential diagnoses)
media_common
Clinical psychology
Subjects
Details
- Language :
- English
- ISSN :
- 17783585 and 09249338
- Volume :
- 33
- Issue :
- S1
- Database :
- OpenAIRE
- Journal :
- European Psychiatry
- Accession number :
- edsair.doi.dedup.....9490ab3d069d12347672400c03ea3c51