Suicidal behaviour in postnatal mothers in northwestern Ethiopia: a cross-sectional study.

Journal: BMJ open

Volume: 9

Issue: 9

Year of Publication: 2020

Affiliated Institutions:  Psychiatry, College of Medical and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia habte.belete@gmail.com. Gynecology and Obstetrics, College of Medical and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

Abstract summary 

To assess the prevalence and associated factors of suicidal behaviour (suicidal ideation, plan or suicide attempt) in postpartum mothers.An institutional cross-sectional study was employed from March to April 2017.Two primary health centres and one referral hospital in northwestern Ethiopia.A total of 1065 mothers aged ≥18 years during routine postnatal care were included and 988 of them completed the study. Those who were unable to communicate due to illness were not included.Mothers who visit for routine postnatal care were assessed for suicidal behaviour using a suicidal screening tool. Logistic analysis was employed with adjusted OR (AOR) and 95% CI, and with p value less than 0.05 as the level of significance.The prevalence of suicidal behaviour (suicidal ideation, plan or suicide attempt) was found at 14.0% (138/988) (95% CI 12.00 to 16.00) in postpartum mothers. Poor wealth of the mother (AOR=2.80, 95% CI 1.18 to 6.84), unplanned pregnancy of the current child (AOR=2.28, 95% CI 1.48 to 3.54), history of rape (AOR=2.26, 95% CI 1.42 to 3.61) and sickness of the new child (AOR=1.68, 95% CI 1.12 to 2.52) were significantly associated with suicidal behaviours.Suicidal behaviour was found pretty high among postpartum mothers and was associated with poor wealth, unplanned pregnancy, history of rape and sickness of the new infant. It is recommended to screen mothers for possible suicidal behaviour during routine postnatal care.

Authors & Co-authors:  Belete Habte H Misgan Eyaya E

Study Outcome 

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Statistics
Citations :  Devries K, Watts C, Yoshihama M, et al. . Violence against women is strongly associated with suicide attempts: evidence from the WHO multi-country study on women's health and domestic violence against women. Soc Sci Med 2011;73:79–86. 10.1016/j.socscimed.2011.05.006
Authors :  2
Identifiers
Doi : e027449
SSN : 2044-6055
Study Population
Mothers
Mesh Terms
Adult
Other Terms
Ethiopia;Low-income;Mental health;Postpartum care;Suicidal behavior
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
England