Although the prevalence of SHI differs depending on the mental illness considered, case ascertainment methods, and geography, up to one in five women with a psychiatric disorder may experience an event of SHI in the postpartum period. Self-harm ideation (SHI) involves thoughts of poisoning or inflicting injuries on oneself, with or without fatal intent, and is an important risk factor for repeated SHI episodes and suicide. Despite this, it is unclear to what extent antidepressant treatment in pregnancy could reduce the risk of severe mental health outcomes after childbirth, including self-harm and attempted suicide. Women with an antenatal mental illness are at high risk for sustained illness during the perinatal period and/or for a relapse up to one year postpartum. This analysis is only a first step in providing evidence to inform psychiatric disorder treatment decisions for pregnant women.ĭuring pregnancy, between 2% and 6% of women take antidepressants to treat perinatal psychiatric disorders, mainly depression and anxiety, and their use appears to be trending upward since the 1990s. In a population of women with antenatal depression/anxiety, there was no preventative association between past antidepressant treatment in pregnancy and reporting frequent SHI in the postpartum year. There was no preventative association of antidepressant treatment in pregnancy on reporting frequent SHI postpartum (weighted RR: 1.90, 95% CI: 0.79, 4.56), relative to never/hardly ever SHI. Frequent SHI postpartum was reported by 15.2% of non-medicated women and 22.0% of women on past antidepressant treatment in pregnancy this proportion was higher following a single trimester treatment compared to three trimesters (36.3% versus 18.0%). Overall, 52.9% of women took an antidepressant during pregnancy. Mothers reported their antidepressant use in pregnancy retrospectively. Frequency of postpartum SHI (‘often/sometimes’ = frequent, ‘hardly ever’ = sporadic, ‘never’) was measured via the Edinburgh Postnatal Depression Scale (EPDS) item 10, which reads “ The thought of harming myself has occurred to me”. Using the Multinational Medication Use in Pregnancy Study, we included a sample of mothers who were in the five weeks to one year postpartum period at the time of questionnaire completion, and reported preexisting or new onset depression and/or anxiety during pregnancy ( n = 187). ![]() This study sought to estimate whether there is a preventative association between antidepressants during pregnancy and postpartum self-harm ideation (SHI), as this knowledge is to date unknown.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |