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Self-harm in postpartum depression and referrals to a perinatal mental health team: an audit study

There is a paucity of research on self-harm during pregnancy and the postpartum period despite suicide being a leading cause of death and high rates of mental disorder during this time. This audit describes a cohort of women referred to a new perinatal mental health team (PMHT) based in a large mate...

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Autores principales: Healey, Christine, Morriss, Richard, Henshaw, Carol, Wadoo, Ovais, Sajjad, Aamer, Scholefield, Helen, Kinderman, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661917/
https://www.ncbi.nlm.nih.gov/pubmed/23462983
http://dx.doi.org/10.1007/s00737-013-0335-1
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author Healey, Christine
Morriss, Richard
Henshaw, Carol
Wadoo, Ovais
Sajjad, Aamer
Scholefield, Helen
Kinderman, Peter
author_facet Healey, Christine
Morriss, Richard
Henshaw, Carol
Wadoo, Ovais
Sajjad, Aamer
Scholefield, Helen
Kinderman, Peter
author_sort Healey, Christine
collection PubMed
description There is a paucity of research on self-harm during pregnancy and the postpartum period despite suicide being a leading cause of death and high rates of mental disorder during this time. This audit describes a cohort of women referred to a new perinatal mental health team (PMHT) based in a large maternity hospital in the UK over a 12-month period. The audit was conducted in two stages. Stage one describes the clinical and socio-demographic characteristics of 225 pregnant women referred to the team after screening positive for a significant mental health history. Stage two determines the veracity of data on a subgroup of 73 pregnant women referred for previous postpartum depression (PPD), 58 % of whom disclosed an episode of self-harm with the ‘intent to kill themselves’ to the maternity staff when they first booked in for antenatal care. Previous PPD accounted for the largest majority of referrals (32 %) to the PMHT followed by depression (27 %) and self-harm (10 %). The majority of women (85 %) referred to the PMHT were engaged. Eight percent were so unwell at the point of referral they required an admission to the hospital. Attempted suicide in the subgroup of 73 women with previous PPD ranged from 24–49 %. The findings from this audit suggest that self-harm in PPD warrants further investigation.
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spelling pubmed-36619172013-05-23 Self-harm in postpartum depression and referrals to a perinatal mental health team: an audit study Healey, Christine Morriss, Richard Henshaw, Carol Wadoo, Ovais Sajjad, Aamer Scholefield, Helen Kinderman, Peter Arch Womens Ment Health Original Article There is a paucity of research on self-harm during pregnancy and the postpartum period despite suicide being a leading cause of death and high rates of mental disorder during this time. This audit describes a cohort of women referred to a new perinatal mental health team (PMHT) based in a large maternity hospital in the UK over a 12-month period. The audit was conducted in two stages. Stage one describes the clinical and socio-demographic characteristics of 225 pregnant women referred to the team after screening positive for a significant mental health history. Stage two determines the veracity of data on a subgroup of 73 pregnant women referred for previous postpartum depression (PPD), 58 % of whom disclosed an episode of self-harm with the ‘intent to kill themselves’ to the maternity staff when they first booked in for antenatal care. Previous PPD accounted for the largest majority of referrals (32 %) to the PMHT followed by depression (27 %) and self-harm (10 %). The majority of women (85 %) referred to the PMHT were engaged. Eight percent were so unwell at the point of referral they required an admission to the hospital. Attempted suicide in the subgroup of 73 women with previous PPD ranged from 24–49 %. The findings from this audit suggest that self-harm in PPD warrants further investigation. Springer Vienna 2013-03-06 2013 /pmc/articles/PMC3661917/ /pubmed/23462983 http://dx.doi.org/10.1007/s00737-013-0335-1 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by-nc/2.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Article
Healey, Christine
Morriss, Richard
Henshaw, Carol
Wadoo, Ovais
Sajjad, Aamer
Scholefield, Helen
Kinderman, Peter
Self-harm in postpartum depression and referrals to a perinatal mental health team: an audit study
title Self-harm in postpartum depression and referrals to a perinatal mental health team: an audit study
title_full Self-harm in postpartum depression and referrals to a perinatal mental health team: an audit study
title_fullStr Self-harm in postpartum depression and referrals to a perinatal mental health team: an audit study
title_full_unstemmed Self-harm in postpartum depression and referrals to a perinatal mental health team: an audit study
title_short Self-harm in postpartum depression and referrals to a perinatal mental health team: an audit study
title_sort self-harm in postpartum depression and referrals to a perinatal mental health team: an audit study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3661917/
https://www.ncbi.nlm.nih.gov/pubmed/23462983
http://dx.doi.org/10.1007/s00737-013-0335-1
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