怀孕期间和产后期间自杀企图的发生率和危险因素
Sidra Goldman-Mellor1,2,3, Mark Olfson4, Alison Gemmill5
1Department of Public Health, School of Social Sciences, Humanities and Arts, University of California, Merced, California.
The Journal of clinical psychiatry
|March 6, 2025
概括
怀孕期间和分娩后的自杀企图是一个严重的问题. 行为健康检查和精神病诊断显著增加产后自杀企图的风险.
科学领域:
- 围产期健康 围产期健康
- 心理健康研究 心理健康研究
- 公共卫生监督 公共卫生监督
背景情况:
- 自杀是美国怀孕和产后死亡的主要原因.
- 非致命的自杀企图预测致命的结果,但缺乏基于人口的数据.
- 了解怀孕相关自杀企图的风险因素至关重要.
研究的目的:
- 为了估计怀孕期间和产后自杀企图的发生率.
- 确定与这些尝试相关的临床风险因素.
主要方法:
- 使用加利福尼亚州全付款医院和ED数据 (2010-2020) 的回顾性队列研究.
- 包括活产儿和追踪自杀企图的急诊室 (ED) 访问.
- 在分娩时检查了医疗保健利用率和行为健康诊断.
主要成果:
- 在370万分娩患者中,0.13%的患者在怀孕或分娩后尝试自杀.
- 产前ED访问自杀企图,精神问题或袭击的风险增加.
- 精神疾病 (精神病,双极性,抑郁,焦虑) 和酒精使用障碍在分娩时的风险增加.
结论:
- 行为健康 怀孕期间的ED访问和分娩时的特定精神疾病大大增加了分娩后自杀企图的风险.
- 对于高风险患者,建议对自杀企图风险进行临床监测.
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