University of Liverpool, Waterhouse Building, Block B, 2nd Floor, Liverpool, UK,
Arch Womens Ment Health. 2013 Jun;16(3):237-45. doi: 10.1007/s00737-013-0335-1. Epub 2013 Mar 6.
There is a paucity of research on self-harm during pregnancy and the postpartum period despite suicide being a leading cause of death and high rates of mental disorder during this time. This audit describes a cohort of women referred to a new perinatal mental health team (PMHT) based in a large maternity hospital in the UK over a 12-month period. The audit was conducted in two stages. Stage one describes the clinical and socio-demographic characteristics of 225 pregnant women referred to the team after screening positive for a significant mental health history. Stage two determines the veracity of data on a subgroup of 73 pregnant women referred for previous postpartum depression (PPD), 58 % of whom disclosed an episode of self-harm with the 'intent to kill themselves' to the maternity staff when they first booked in for antenatal care. Previous PPD accounted for the largest majority of referrals (32 %) to the PMHT followed by depression (27 %) and self-harm (10 %). The majority of women (85 %) referred to the PMHT were engaged. Eight percent were so unwell at the point of referral they required an admission to the hospital. Attempted suicide in the subgroup of 73 women with previous PPD ranged from 24-49 %. The findings from this audit suggest that self-harm in PPD warrants further investigation.
尽管自杀是导致孕产妇死亡的主要原因，且该时期精神障碍发生率较高，但针对妊娠和产后期间的自残行为，相关研究却十分匮乏。本研究对英国一家大型妇产医院设立的新围产期心理健康团队（PMHT）在 12 个月期间所接收的患者进行了调查。该调查分两个阶段进行。第一阶段描述了 225 名经筛选后被确定存在严重心理健康史的孕妇的临床和社会人口学特征。第二阶段确定了先前产后抑郁（PPD）孕妇亚组的 73 名孕妇数据的真实性，其中 58%的孕妇在首次进行产前护理时向妇产科工作人员透露了有“自杀意图”的自残行为。先前的 PPD 是 PMHT 接收的主要原因（32%），其次是抑郁症（27%）和自残（10%）。大多数被 PMHT 接收的孕妇（85%）都处于参与状态。8%的孕妇在转介时病情非常严重，需要住院治疗。先前有 PPD 的 73 名女性中有 24%-49%的人试图自杀。本研究结果表明，PPD 中的自残行为需要进一步调查。
