The role of personality dimensions, depressive symptoms and other psychosocial variables in predicting postpartum suicidal ideation: A cohort study
Archives of Women's Mental Health Dec 12, 2019
Gelabert E, Gutierrez-Zotes A, Navines R, et al. - Researchers examined how personality dimensions, depressive symptoms, and other psychosocial variables influence postpartum suicidal ideation. From the general population, they assessed a cohort of 1,795 healthy Spanish women for suicidal ideation (EPDS-Item10) in early postpartum, 8 and 32 weeks postpartum. Further, at baseline, they assessed sociodemographic, obstetric, and reproductive variables, psychiatric history, social support, stressful life-events during pregnancy, depressive symptoms (EPDS), and the Eysenck’s personality dimensions (EPQ-RS). Suicidal ideation during the first 8 months postpartum was reported by 7% of mothers. A major depressive episode was reported in 62% of women with suicidal ideation at 8 weeks, and 70% of women at 32 weeks postpartum. They identified the predictive value of neuroticism and psychoticism for suicidal ideation throughout the first 2 weeks after delivery. Predictors of postpartum suicidal ideation also comprised early postpartum depressive symptoms, personal psychiatric history, and stressful life events during pregnancy. Based on the findings, they recommend performing psychosocial assessment (ie, covering psychiatric history, stressful events, or long-standing personality vulnerabilities) in addition to assessing psychiatric symptoms in the analysis of women for postpartum suicidal ideation for identifying those in need of early psychosocial or psychiatric care.
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