Abstract
We examined the prevalence of suicidal ideation, suicide attempt and non-suicidal intentional self-harm among pregnant women in the United States stratified by race/ethnicity. Data on hospital admissions among pregnant women 15–49 years during 2016–2017 compiled in the Nationwide Inpatient Sample were used for this study. We assessed the prevalence and factors of suicidal ideation, suicide attempt and non-suicidal intentional self-harm among different race/ethnicities. The prevalence of suicidal ideation, suicide attempt and non-suicidal intentional self-harm was greatest among hospitalized Non-Hispanic (NH) Black pregnant women. As compared to pregnant women who were routinely discharged, those who died during the course of hospitalization had about eight times the odds for NH-Whites, four times the odds for NH-Blacks and five times the odds for Hispanics of suicidal ideation or attempt. Appropriate measures are needed for prompt diagnosis and management of mental health issues in pregnant women belonging to vulnerable sub-groups.
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References s
Bachmann S. Epidemiology of suicide and the psychiatric perspective. Int J Environ Res Public Health. 2018. https://doi.org/10.3390/ijerph15071425.
Bilsen J. Suicide and youth: risk factors. Front Psychiatry. 2018;9:540. https://doi.org/10.3389/fpsyt.2018.00540.
Naghavi M. Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016. BMJ. 2019;364:l94. https://doi.org/10.1136/bmj.l94.
Institute of Medicine. Risk factors for suicide: summary of a workshop. Washington, DC: The National Academies Press; 2001.
Centers for Disease Control and Prevention (CDC), Suicide: prevention strategies. https://www.cdc.gov/violenceprevention/suicide/prevention.html (2019). Accessed 2 Feb 2021.
World Health Organization. Suicide. https://www.who.int/news-room/fact-sheets/detail/suicide (2019) Accessed 2 Feb 2021.
Weir K. Worrying trends in U. S. Suicide rates. Monit Psychol. 2019;50:24.
The National Institute of Mental Health. Suicide. https://www.nimh.nih.gov/health/statistics/suicide.shtml (2020). Accessed 2 Feb 2021.
World Health Organization. Maternal and child mental health. https://www.who.int/mental_health/maternal-child/en/. (2015) Accessed 2 Feb 2021.
Gelaye B, Kajeepeta S, Williams MA. Suicidal ideation in pregnancy: an epidemiologic review. Arch Womens Ment Health. 2016;19(5):741–51. https://doi.org/10.1007/s00737-016-0646-0.
Gentile S. Suicidal mothers. J Injury Violence Res. 2010;3(2):90–7.
Orsolini L, Valchera A, Vecchiotti R, Tomasetti C, Iasevoli F, Fornaro M, et al. Suicide during perinatal period: epidemiology, risk factors, and clinical correlates. Front Psychiatry. 2016;7:138. https://doi.org/10.3389/fpsyt.2016.00138.
Onah MN, Field S, Bantjes J, Honikman S. Perinatal suicidal ideation and behaviour: psychiatry and adversity. Arch Womens Ment Health. 2017;20(2):321–31. https://doi.org/10.1007/s00737-016-0706-5.
Zhong Q-Y, Gelaye B, Smoller JW, Avillach P, Cai T, Williams MA. Adverse obstetric outcomes during delivery hospitalizations complicated by suicidal behavior among US pregnant women. PLoS ONE. 2018;13(2):e0192943. https://doi.org/10.1371/journal.pone.0192943.
Zhong Q-Y, Gelaye B, Miller M, Fricchione GL, Cai T, Johnson PA, et al. Suicidal behavior-related hospitalizations among pregnant women in the USA, 2006–2012. Arch Womens Ment Health. 2016;19(3):463–72. https://doi.org/10.1007/s00737-015-0597-x.
Alhusen JL, Frohman N, Purcell G. Intimate partner violence and suicidal ideation in pregnant women. Arch Womens Ment Health. 2015;18(4):573–8. https://doi.org/10.1007/s00737-015-0515-2.
Lindahl V, Pearson JL, Colpe L. Prevalence of suicidality during pregnancy and the postpartum. Arch Women’s Ment Health. 2005;8(2):77–87. https://doi.org/10.1007/s00737-005-0080-1.
Newport DJ, Levey LC, Pennell PB, Ragan K, Stowe ZN. Suicidal ideation in pregnancy: assessment and clinical implications. Arch Womens Ment Health. 2007;10(5):181–7. https://doi.org/10.1007/s00737-007-0192-x.
Supraja TA, Thennarasu K, Satyanarayana VA, Seena TK, Desai G, Jangam KV, et al. Suicidality in early pregnancy among antepartum mothers in urban India. Arch Womens Ment Health. 2016;19(6):1101–8. https://doi.org/10.1007/s00737-016-0660-2.
Copersino ML, Jones H, Tuten M, Svikis D. Suicidal ideation among drug-dependent treatment-seeking inner-city pregnant women. J Maint Addict. 2008;3(2–4):53–64. https://doi.org/10.1300/J126v03n02_07.
Gandhi SG, Gilbert WM, McElvy SS, El Kady D, Danielson B, Xing G, et al. Maternal and neonatal outcomes after attempted suicide. Obstet Gynecol. 2006;107(5):984–90. https://doi.org/10.1097/01.AOG.0000216000.50202.f6.
Summers L, Lee YM, Lee H. Contributing factors of teenage pregnancy among African-American females living in economically disadvantaged communities. Appl Nurs Res ANR. 2017;37:44–9. https://doi.org/10.1016/j.apnr.2017.07.006.
Taylor CL, van Ravesteyn LM, van denBerg MPL, Stewart RJ, Howard LM. The prevalence and correlates of self-harm in pregnant women with psychotic disorder and bipolar disorder. Arch Womens Ment Health. 2016;19(5):909–15. https://doi.org/10.1007/s00737-016-0636-2.
Heffner JL, DelBello MP, Fleck DE, Adler CM, Strakowski SM. Unplanned Pregnancies in Adolescents With Bipolar Disorder. Am J Psychiatry 2012; 169(12):1319. https://doi.org/10.1176/appi.ajp.2012.12060828
Bunevicius R, Kusminskas L, Bunevicius A, Nadisauskiene JR, Jureniene K, Pop VJ. Psychosocial risk factors for depression during pregnancy. Acta Obstet Gynecol Scand. 2009;88(5):599–605. https://doi.org/10.1080/00016340902846049.
Meltzer-Brody S, Bledsoe-Mansori SE, Johnson N, Killian C, Hamer RM, Jackson C, et al. A prospective study of perinatal depression and trauma history in pregnant minority adolescents. Am J Obstet Gynecol. 2013;208(3):211. https://doi.org/10.1016/j.ajog.2012.12.020.
Tzilos GK, Zlotnick C, Raker C, Kuo C, Phipps MG. Psychosocial factors associated with depression severity in pregnant adolescents. Arch Womens Ment Health. 2012;15(5):397–401. https://doi.org/10.1007/s00737-012-0296-9.
Gavin AR, Tabb KM, Melville JL, Guo Y, Katon W. Prevalence and correlates of suicidal ideation during pregnancy. Arch Womens Ment Health. 2011;14(3):239–46. https://doi.org/10.1007/s00737-011-0207-5.
Tabb KM, Gavin AR, Faisal-Cury A, Nidey N, Chan Y-F, Malinga T, et al. Prevalence of antenatal suicidal ideation among racially and ethnically diverse WIC enrolled women receiving care in a Midwestern public health clinic. J Affect Disord. 2019;256:278–81. https://doi.org/10.1016/j.jad.2019.06.012.
Zhang X, Sun J, Wang J, Chen Q, Cao D, Wang J, et al. Suicide ideation among pregnant women: the role of different experiences of childhood abuse. J Affect Disord. 2020;266:182–6. https://doi.org/10.1016/j.jad.2020.01.119.
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Research funding support was provided by the U.S. Department of Health and Human Services and Health Resources and Services Administration for Baylor College of Medicine Center of Excellence in Health Equity, Training, and Research (Grant No: D34HP31024).
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Salihu, H.M., Dongarwar, D., Oduguwa, E. et al. Racial/Ethnic Disparity in Suicidal Ideation, Suicide Attempt and Non-suicidal Intentional Self-harm Among Pregnant Women in the United States. J Immigrant Minority Health 24, 588–596 (2022). https://doi.org/10.1007/s10903-021-01260-1
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DOI: https://doi.org/10.1007/s10903-021-01260-1