Cargando…

The prevalence and correlates of self-harm in pregnant women with psychotic disorder and bipolar disorder

Women with severe mental illness are at increased risk of suicide in the perinatal period, and these suicides are often preceded by self-harm, but little is known about self-harm and its correlates in this population. This study aimed to investigate the prevalence of suicidal ideation and self-harm,...

Descripción completa

Detalles Bibliográficos
Autores principales: Taylor, Clare L., van Ravesteyn, Leontien M., van denBerg, Mijke P. Lambregtse, Stewart, Robert J., Howard, Louise M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5021774/
https://www.ncbi.nlm.nih.gov/pubmed/27173485
http://dx.doi.org/10.1007/s00737-016-0636-2
_version_ 1782453389560381440
author Taylor, Clare L.
van Ravesteyn, Leontien M.
van denBerg, Mijke P. Lambregtse
Stewart, Robert J.
Howard, Louise M.
author_facet Taylor, Clare L.
van Ravesteyn, Leontien M.
van denBerg, Mijke P. Lambregtse
Stewart, Robert J.
Howard, Louise M.
author_sort Taylor, Clare L.
collection PubMed
description Women with severe mental illness are at increased risk of suicide in the perinatal period, and these suicides are often preceded by self-harm, but little is known about self-harm and its correlates in this population. This study aimed to investigate the prevalence of suicidal ideation and self-harm, and its correlates, in women with psychotic disorders and bipolar disorder during pregnancy. Historical cohort study using de-identified secondary mental healthcare records linked with national maternity data. Women pregnant from 2007 to 2011, with ICD-10 diagnoses of schizophrenia and related disorders, bipolar disorder or other affective psychoses were identified. Data were extracted from structured fields, natural language processing applications and free text. Logistic regression was used to examine the correlates of self-harm in pregnancy. Of 420 women, 103 (24.5 %) had a record of suicidal ideation during the first index pregnancy, with self-harm recorded in 33 (7.9 %). Self-harm was independently associated with younger age (adjusted odds ratio (aOR) 0.91, 95 % CI 0.85–0.98), self-harm in the previous 2 years (aOR 2.55; 1.05–6.50) and smoking (aOR 3.64; 1.30–10.19). A higher prevalence of self-harm was observed in women with non-affective psychosis, those who discontinued or switched medication and in women on no medication at the start of pregnancy, but these findings were not statistically significant in multivariable analyses. Suicidal thoughts and self-harm occur in a significant proportion of pregnant women with severe mental illness, particularly younger women and those with a history of self-harm; these women need particularly close monitoring for suicidality.
format Online
Article
Text
id pubmed-5021774
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Springer Vienna
record_format MEDLINE/PubMed
spelling pubmed-50217742016-09-27 The prevalence and correlates of self-harm in pregnant women with psychotic disorder and bipolar disorder Taylor, Clare L. van Ravesteyn, Leontien M. van denBerg, Mijke P. Lambregtse Stewart, Robert J. Howard, Louise M. Arch Womens Ment Health Original Article Women with severe mental illness are at increased risk of suicide in the perinatal period, and these suicides are often preceded by self-harm, but little is known about self-harm and its correlates in this population. This study aimed to investigate the prevalence of suicidal ideation and self-harm, and its correlates, in women with psychotic disorders and bipolar disorder during pregnancy. Historical cohort study using de-identified secondary mental healthcare records linked with national maternity data. Women pregnant from 2007 to 2011, with ICD-10 diagnoses of schizophrenia and related disorders, bipolar disorder or other affective psychoses were identified. Data were extracted from structured fields, natural language processing applications and free text. Logistic regression was used to examine the correlates of self-harm in pregnancy. Of 420 women, 103 (24.5 %) had a record of suicidal ideation during the first index pregnancy, with self-harm recorded in 33 (7.9 %). Self-harm was independently associated with younger age (adjusted odds ratio (aOR) 0.91, 95 % CI 0.85–0.98), self-harm in the previous 2 years (aOR 2.55; 1.05–6.50) and smoking (aOR 3.64; 1.30–10.19). A higher prevalence of self-harm was observed in women with non-affective psychosis, those who discontinued or switched medication and in women on no medication at the start of pregnancy, but these findings were not statistically significant in multivariable analyses. Suicidal thoughts and self-harm occur in a significant proportion of pregnant women with severe mental illness, particularly younger women and those with a history of self-harm; these women need particularly close monitoring for suicidality. Springer Vienna 2016-05-13 2016 /pmc/articles/PMC5021774/ /pubmed/27173485 http://dx.doi.org/10.1007/s00737-016-0636-2 Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Taylor, Clare L.
van Ravesteyn, Leontien M.
van denBerg, Mijke P. Lambregtse
Stewart, Robert J.
Howard, Louise M.
The prevalence and correlates of self-harm in pregnant women with psychotic disorder and bipolar disorder
title The prevalence and correlates of self-harm in pregnant women with psychotic disorder and bipolar disorder
title_full The prevalence and correlates of self-harm in pregnant women with psychotic disorder and bipolar disorder
title_fullStr The prevalence and correlates of self-harm in pregnant women with psychotic disorder and bipolar disorder
title_full_unstemmed The prevalence and correlates of self-harm in pregnant women with psychotic disorder and bipolar disorder
title_short The prevalence and correlates of self-harm in pregnant women with psychotic disorder and bipolar disorder
title_sort prevalence and correlates of self-harm in pregnant women with psychotic disorder and bipolar disorder
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5021774/
https://www.ncbi.nlm.nih.gov/pubmed/27173485
http://dx.doi.org/10.1007/s00737-016-0636-2
work_keys_str_mv AT taylorclarel theprevalenceandcorrelatesofselfharminpregnantwomenwithpsychoticdisorderandbipolardisorder
AT vanravesteynleontienm theprevalenceandcorrelatesofselfharminpregnantwomenwithpsychoticdisorderandbipolardisorder
AT vandenbergmijkeplambregtse theprevalenceandcorrelatesofselfharminpregnantwomenwithpsychoticdisorderandbipolardisorder
AT stewartrobertj theprevalenceandcorrelatesofselfharminpregnantwomenwithpsychoticdisorderandbipolardisorder
AT howardlouisem theprevalenceandcorrelatesofselfharminpregnantwomenwithpsychoticdisorderandbipolardisorder
AT taylorclarel prevalenceandcorrelatesofselfharminpregnantwomenwithpsychoticdisorderandbipolardisorder
AT vanravesteynleontienm prevalenceandcorrelatesofselfharminpregnantwomenwithpsychoticdisorderandbipolardisorder
AT vandenbergmijkeplambregtse prevalenceandcorrelatesofselfharminpregnantwomenwithpsychoticdisorderandbipolardisorder
AT stewartrobertj prevalenceandcorrelatesofselfharminpregnantwomenwithpsychoticdisorderandbipolardisorder
AT howardlouisem prevalenceandcorrelatesofselfharminpregnantwomenwithpsychoticdisorderandbipolardisorder