The Collision of Mental Health, Substance Use Disorder, and Suicide.
Bipolar Disorder
/ psychology
Depressive Disorder, Major
/ psychology
Female
Gynecology
Humans
Intimate Partner Violence
/ psychology
Mental Disorders
/ diagnosis
Obstetrics
Postpartum Period
/ psychology
Pregnancy
Pregnant Women
/ psychology
Sex Offenses
/ psychology
Stress Disorders, Post-Traumatic
/ psychology
Substance-Related Disorders
/ psychology
Suicidal Ideation
Suicide
/ psychology
Journal
Obstetrics and gynecology
ISSN: 1873-233X
Titre abrégé: Obstet Gynecol
Pays: United States
ID NLM: 0401101
Informations de publication
Date de publication:
01 06 2021
01 06 2021
Historique:
received:
26
10
2020
accepted:
04
02
2021
pubmed:
7
5
2021
medline:
27
7
2021
entrez:
6
5
2021
Statut:
ppublish
Résumé
Suicide is the 10th leading cause of death, and, in women, nearly half of all suicide deaths occur during their reproductive years. Suicide is associated with psychiatric illness, especially mood and anxiety disorders. Childhood adversities, such as physical, emotional, and sexual abuse, and intimate partner violence increase the risk of suicide. Having more than one psychiatric disorder or comorbid substance use disorder also increases the risk of suicide. Substance use disorders can be the triggering factor for a suicide attempt among those who have a psychiatric condition and suicidal thoughts. Women attempt suicide three times more often than men, although they are less likely to complete suicide. Although the rate of suicide decreases in the perinatal period, pregnant women are more likely to use violent means. Women who complete suicide in the perinatal period are also more likely to be younger, married, and experiencing a depressive episode. For many women, the only encounter with the medical system they have might be in reproductive health care clinics. This means that their obstetrician-gynecologist has a unique opportunity to address women's mental health and enhance suicide prevention. The American College of Obstetricians and Gynecologists recommends screening for depression among perinatal women. Clinicians need to be aware that women with severe perinatal depression are at increased risk of suicide and that women with suicidal thoughts need careful monitoring, evaluation, and treatment.
Identifiants
pubmed: 33957654
doi: 10.1097/AOG.0000000000004391
pii: 00006250-202106000-00016
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1083-1090Informations de copyright
Copyright © 2021 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Financial Disclosure Ariadna Forray disclosed that they have been a co-principal investigator of PCORI-funded grant MAT-2018C2-12891 and the principal investigator of NIH-funded R21 grant R21MD012697 — both funding not related to work on this manuscript. The other author did not report any potential conflicts of interest.
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