Perinatal suicidality: Risk factors in South African women with mental illness.

Journal: The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa

Volume: 26

Issue: 

Year of Publication: 

Affiliated Institutions:  Maternal Mental Health Clinic, Stikland Hospital, Cape Town, South Africa. Biostatistics Unit, Medical Research Council, Cape Town, South Africa, South Africa. Tampere Center for Child Health Research, University of Tampere School of Medicine, Tampere, Finland.

Abstract summary 

Maternal Mortality is a global health concern. The lack of suicide data, particularly in low and middle income countries, is concerning and needs to be addressed.This study assessed suicidality and associated factors during pregnancy and the postpartum period amongst women with known psychiatric diagnoses.The study sample included pregnant South African women over the age of 18 years with a psychiatric disorder who presented at two maternal mental health clinics.Suicidality was assessed by means of psychiatric interviews - the Mini International Neuropsychiatric Interview and the Montgomery Asberg Depression Rating Scale.The results revealed that women were at a higher risk of experiencing suicidality if they had attempted suicide before, presented at a later gestation for psychiatric care or were employed. It was also clear that multiple assessments, carried out by means of clinical interviews and various scales, were necessary to screen suicidality successfully in pregnant women diagnosed with psychiatric illness.The results confirmed the view of the World Health Organization that in order to promote mental health and well-being, women's health should be viewed contextually, not in isolation. Screening for and treatment of perinatal mental illness, including suicidality, are essential if we hope to meet the maternal morbidity and mortality targets of the United Nations by 2030.

Authors & Co-authors:  du Toit Elsa E Niehaus Dana D Jordaan Esme E Koen Liezl L Jones Roxane R Leppanen Jukka J

Study Outcome 

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Statistics
Citations :  Lozano R, Naghavi M, Foreman K, et al. . Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2095–2128. 10.1016/S0140-6736(12)61728-0
Authors :  6
Identifiers
Doi : 1412
SSN : 1608-9685
Study Population
Female,Women
Mesh Terms
Other Terms
maternal mental health;maternal mortality;perinatal psychiatry;suicidality;unplanned pregnancy
Study Design
Study Approach
Country of Study
South Africa
Publication Country
South Africa