The Relationship Between Mother-Child Bonding Impairment and Suicidal Ideation in São Paulo, Brazil
Alexandre Faisal-Cury1, Renata Bertazzi Levy2, Alicia Matijasevich2
1Departamento de Medicina Preventiva - Faculdade de Medicina, Universidade de Sao Paulo, Av. Dr. Arnaldo 455, São Paulo, SP, CEP 01246-903, Brazil. faisal@usp.br.
Objectives:
To evaluate the association between mother-child bonding at 6-9 months after birth and suicidal ideation METHODS: A cross-sectional study embedded in a clinical trial with 358 low-income postpartum women who had antenatal depression in São Paulo, Brazil. The Postpartum Bonding Questionnaire and the Patient Health Questionnaire-9 were used RESULTS: The percentage of the main outcome, suicidal ideation (SI) was 10.3%. Using logistic regression models, bonding impairment (BI) was associated with SI even after controlling for postpartum depression and other covariates.
Conclusions For Practice:
SI affects 10% of vulnerable postpartum women. BI is independently associated with SI. Treating BI may prevent SI.
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