Suicide attempts during pregnancy in South Africa

BACKGROUND: Research on suicide attempts during pregnancy is limited as these are considered to be rare in the perinatal period. AIM: A retrospective pilot study was undertaken to establish what percentage of suicide attempters admitted to a hospital were pregnant and to identify their clinical and sociodemographic characteristics. SETTING: The study was conducted at a tertiary hospital in Durban, South Africa. METHODS: A retrospective chart review was undertaken of all female patients admitted following suicide attempts over a period of 1 year. Clinical and sociodemographic data of pregnant suicide attempters were extracted. RESULTS: Of 27 charts reviewed, 33% (n = 9) patients were pregnant at the time of the attempt. V Code diagnoses predominated, followed by major depressive disorder. Past psychiatric diagnoses and suicide attempts were also present CONCLUSION: Suicide attempts during pregnancy are not rare. Pregnant women should be routinely screened for prior suicide attempts, depression and stressors as part of perinatal assessments.