Gari Abdulrahim, Almohammdi Sarah S, Alharbi Noor S, Alotaibi Reema N, AlSulami Lina, Isa Hisham I
Department of Obstetrics and Gynecology, Faculty of Medicine, Umm Al-Qura University, Makkah, SAU.
Department of Medicine and Surgery, College of Medicine, Umm Al-Qura University, Makkah, SAU.
Cureus. 2024 Sep 5;16(9):e68716. doi: 10.7759/cureus.68716. eCollection 2024 Sep.
Introduction Suicidal ideation (SI), planning, and attempts have been found to be more common in women with premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD). This study assessed the association between PMS, PMDD, and SI within the Makkah population, in Saudi Arabia. Methodology A descriptive cross-sectional study that simply characterizes the prevalence of a health outcome in a specified population was done on 733 women using an online questionnaire. Data about demographics, menstrual cycle, PMS, past psychiatric history, prior history of PMDD, and previous drug treatment for PMDD were collected. The chi-square and Fisher exact tests were applied. Results Of the participants, 540 (73.7%) had an age represented the age of 18-25 years old, 551 (75.2%) were single, 592 (80.8%) did not have children, 352 (48.0%) had a four-year college education, and 552 (75.3%) had a monthly income of less than 5000 SR. Exactly 704 (96.0%) were menstruating, 539 (73.5%) had regular menstrual cycles, 640 (87.3%) reported low shock trauma, 201 (27.4%) reported a history of anxiety, and 541 (73.8%) reported an impact of premenstrual disorders on mental health. Of them, 662 (90.3%) experienced premenstrual symptoms, 53 (7.2%) had a previous diagnosis of premenstrual symptoms, and 62 (8.5%) had a history of a suicide attempt. Those aged 18 to 25 years, who have no children, have a monthly income of less than 5000, are unemployed, have irregular menstruation, have medical interventions due to premenstrual symptoms, have a lifelong history of depression or anxiety, and have a history of high shock trauma had a significantly higher prevalence of a history of a suicide attempt. These factors were independent predictors on regression analysis. Conclusion The link between PMD and the likelihood of suicide attempts highlights how crucial it is to treat severe PMDs in the context of mental health.
研究发现，经前综合征（PMS）和经前烦躁障碍（PMDD）女性的自杀意念（SI）、自杀计划和自杀未遂更为常见。本研究评估了沙特阿拉伯麦加人群中PMS、PMDD与SI之间的关联。
采用在线问卷对733名女性进行了一项描述性横断面研究，该研究简单描述了特定人群中健康结果的患病率。收集了有关人口统计学、月经周期、PMS、既往精神病史、既往PMDD病史以及既往PMDD药物治疗的数据。应用卡方检验和Fisher精确检验。
参与者中，540人（73.7%）年龄在18至25岁之间，551人（75.2%）为单身，592人（80.8%）没有孩子，352人（48.0%）拥有四年制大学学历，552人（75.3%）月收入低于5000沙特里亚尔。确切地说，704人（96.0%）正在 menstruating，539人（73.5%）月经周期规律，640人（87.3%）报告低冲击创伤，201人（27.4%）报告有焦虑史，541人（73.8%）报告经前疾病对心理健康有影响。其中，662人（90.3%）经历过经前症状，53人（7.2%）曾被诊断为经前症状，62人（8.5%）有自杀未遂史。年龄在18至25岁之间、没有孩子、月收入低于5000、失业、月经不规律、因经前症状接受过医疗干预、有终身抑郁或焦虑史以及有高冲击创伤史的人自杀未遂史的患病率显著更高。在回归分析中，这些因素是独立预测因素。
PMD与自杀未遂可能性之间的联系凸显了在心理健康背景下治疗严重PMD的重要性。
