Mental Health Profile Relating to Suicide Crises Among Women in and Around Pregnancy and Surgical Termination of Pregnancy: A Data Linkage Study.

IF 2.8 3区 医学 Q1 NURSING
Carla Meurk, Susan Roberts, Michael Lam, Lisa Wittenhagen, Leonie Callaway, Katherine Moss, Jayne Lucke, Ruth Barker, Elissa Waterson, Natasha Malmstrom, Edward Weaver, Elisabeth Hoehn, Ed Heffernan
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Abstract

Introduction: This article presents an assessment of the mental health profile of women who were the subject of a suicide-related call to police or paramedics around the time of (i) pregnancy or (ii) surgical termination of pregnancy compared to (iii) other women of a similar age.

Methods: Findings are drawn from a population-wide linked dataset of approximately 70,000 individuals who were the subject of a suicide-related call to police or paramedics in Queensland, Australia. Mental health diagnoses were assessed based on the Diagnostic and Statistical Manual (fifth edition). Behavior, impairment, symptoms, and social functioning were assessed using Health of the Nation Outcome Scores (HoNOS).

Results: 32.7% of individuals had a record of one or more confirmed mental health diagnoses. The presence of a mental health diagnosis differed significantly across subgroups. Rates of clinically significant problems, as measured by HoNOS, differed significantly across groups for most items.

Conclusion: Findings present a complex picture of the relationship between mental health diagnosis, pregnancy or termination of pregnancy, and other stressors experienced around the time of a suicide-related contact with police or paramedics.

妊娠期及妊娠前后妇女自杀危机的心理健康概况和手术终止妊娠:一项数据链接研究
前言:本文对在(一)怀孕或(二)手术终止妊娠期间向警察或医务人员报警的自杀妇女的心理健康状况进行了评估,并与(三)其他同龄妇女进行了比较。方法:研究结果来自澳大利亚昆士兰州约7万人的人口关联数据集,这些人是与自杀有关的警察或护理人员电话的主题。根据《诊断和统计手册》(第五版)对精神健康诊断进行评估。使用国家健康结局评分(HoNOS)评估行为、损害、症状和社会功能。结果:32.7%的个体有一种或多种确认的心理健康诊断记录。心理健康诊断的存在在亚组之间存在显著差异。根据HoNOS的测量,在大多数项目上,临床显著问题的发生率在各组之间存在显著差异。结论:研究结果展示了心理健康诊断、怀孕或终止妊娠与与警察或护理人员接触期间经历的其他压力因素之间关系的复杂图景。
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来源期刊
Birth-Issues in Perinatal Care
Birth-Issues in Perinatal Care 医学-妇产科学
CiteScore
4.10
自引率
4.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Birth: Issues in Perinatal Care is a multidisciplinary, refereed journal devoted to issues and practices in the care of childbearing women, infants, and families. It is written by and for professionals in maternal and neonatal health, nurses, midwives, physicians, public health workers, doulas, social scientists, childbirth educators, lactation counselors, epidemiologists, and other health caregivers and policymakers in perinatal care.
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