Abstract
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.
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Acknowledgments
We thank Mr. Luiz Eduardo Viana and Mr. Sandro Cançado Silva, who assisted with the collection of some of the data necessary for our analysis.
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The authors declare that they have no competing interests.
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Castro e Couto, T., Brancaglion, M.Y.M., Cardoso, M.N. et al. Suicidality among pregnant women in Brazil: prevalence and risk factors. Arch Womens Ment Health 19, 343–348 (2016). https://doi.org/10.1007/s00737-015-0552-x
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DOI: https://doi.org/10.1007/s00737-015-0552-x