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Rating scale item assessment of self-harm in postpartum women: a cross-sectional analysis.

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  • معلومة اضافية
    • المصدر:
      Publisher: Springer Country of Publication: Austria NLM ID: 9815663 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1435-1102 (Electronic) Linking ISSN: 14341816 NLM ISO Abbreviation: Arch Womens Ment Health Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: Wien ; New York : Springer, c1998-
    • الموضوع:
    • نبذة مختصرة :
      We examined the utility of screening instruments to identify risk factors for suicidal ideation (SI) in a population of women with neuropsychiatric illnesses at high risk for postpartum depression. Pregnant women with neuropsychiatric illness enrolled prior to 20 weeks of gestation. Follow-up visits at 4-8-week intervals through 13 weeks postpartum included assessment of depressive symptoms with both clinician and self-rated scales. A total of 842 women were included in the study. Up to 22.3% of postpartum women admitted SI on rating scales, despite the majority (79%) receiving active pharmacological treatment for psychiatric illness. Postpartum women admitting self-harm/SI were more likely to meet criteria for current major depressive episode (MDE), less than college education, an unplanned pregnancy, a history of past suicide attempt, and a higher score on the Childhood Trauma Questionnaire. In women with a history of neuropsychiatric illness, over 20% admitted SI during the postpartum period despite ongoing psychiatric treatment. Patient-rated depression scales are more sensitive screening tools than a clinician-rated depression scale for +SI in the postpartum period.
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    • Grant Information:
      UL1 TR000039 United States TR NCATS NIH HHS; P50 MH077928 United States MH NIMH NIH HHS; SCOR P50 MH 68036 United States NH NIH HHS; UL1 TR003107 United States TR NCATS NIH HHS; P50 MH068036 United States MH NIMH NIH HHS; TRCBS P50 MH-77928 United States NH NIH HHS
    • Contributed Indexing:
      Keywords: Postpartum; Risk factors; Suicidal ideation
    • الموضوع:
      Date Created: 20170701 Date Completed: 20180319 Latest Revision: 20240303
    • الموضوع:
      20240303
    • الرقم المعرف:
      PMC10906960
    • الرقم المعرف:
      10.1007/s00737-017-0749-2
    • الرقم المعرف:
      28664216