Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Avenue, Cincinnati, OH, 45229, United States.
Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Avenue, Cincinnati, OH, 45229, United States.
Child Abuse Negl. 2019 Nov;97:104126. doi: 10.1016/j.chiabu.2019.104126. Epub 2019 Aug 29.
Risk of suicide is a major concern for depressed mothers in the perinatal period. The strongest predictor of completing suicide is having made a previous attempt. Little is known about the clinical features of low-income, depressed mothers who have attempted suicide in contrast to those who have not.
This study examined clinical and psychosocial features of 170 low-income, young, depressed mothers with and without previous suicide attempts who were enrolled in an early childhood home visiting program.
Mothers were identified via screening at three months postpartum and diagnosed with major depressive disorder (MDD) using a semi-structured interview. Psychiatric history and presentation, child maltreatment history, intimate partner violence, and social functioning were measured.
31.8% of mothers had previous suicide attempts. Mean age of first attempt was 14.38 years (SD = 2.55) and the median number of lifetime attempts was 2. In contrast to no attempts, those who had attempted suicide had more MDD symptoms, earlier age of first MDD episode, and more episodes. A previous attempt was associated with greater childhood trauma, more current MDD symptoms and PTSD diagnosis. No differences were found on intimate partner violence. Mothers who made an attempt reported lower levels of tangible social support and smaller social networks.
History of suicide attempts is associated with childhood trauma history and later psychosocial impairments in low income, depressed mothers in home visiting. Implications for addressing the needs of depressed mothers with suicide attempt histories in the context of early childhood programs are discussed.
自杀风险是围产期抑郁母亲的主要关注点。完成自杀的最强预测因素是之前有过自杀企图。与没有自杀企图的人相比，很少有人了解低收入、抑郁的母亲在尝试自杀时的临床特征。
本研究调查了 170 名低收入、年轻、抑郁的母亲的临床和社会心理特征，这些母亲在参加幼儿家访项目时曾有过或没有过自杀企图。
母亲在产后三个月通过筛查被发现，并使用半结构化访谈被诊断为重度抑郁症（MDD）。评估了精神病史和表现、儿童虐待史、亲密伴侣暴力和社会功能。
31.8%的母亲有过自杀企图。首次尝试的平均年龄为 14.38 岁（SD=2.55），一生中尝试的中位数为 2 次。与没有尝试过的人相比，有过自杀企图的人有更多的 MDD 症状、更早的首次 MDD 发作年龄和更多的发作次数。自杀企图与更多的童年创伤、更多的当前 MDD 症状和 PTSD 诊断有关。在亲密伴侣暴力方面没有发现差异。有自杀企图的母亲报告了较低水平的有形社会支持和较小的社交网络。
自杀企图史与低收入、抑郁的母亲在幼儿家访中的童年创伤史和后来的心理社会障碍有关。讨论了在幼儿项目背景下满足有自杀企图史的抑郁母亲需求的意义。
