Racial Discrimination Experiences During Pregnancy Are Associated with Suicidal Ideation in Depressed Postpartum Women.

IF 2.5 3区医学 Q2 PSYCHIATRY

Archives of Suicide Research Pub Date : 2025-04-15 DOI:10.1080/13811118.2025.2488524

Marcos Gonçalves de Rezende, Juliana Arantes Figueiredo de Paula Eduardo, Vitória Levi, Daiane Leite da Roza, Ricardo de Carvalho Cavalli, Heloisa Bettiol, Paulo Rossi Menezes, Cristina Marta Del-Ben

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引用次数: 0

Abstract

Objective: Self-directed violence with suicidal intent is one of the main causes of maternal mortality. We aimed to evaluate the impact of several predictors on suicidal ideation (SI) in postpartum women.

Methods: A cohort of 1,822 women, over 18 years old, was assessed in two Brazilian cities with contrasting sociodemographic profiles. Participants were followed from pregnancy (22nd-25th weeks) until postpartum (mean = 116.8 days, SD = 81.5 after delivery). The main outcome was SI assessed using item-10 of the Edinburgh Postpartum Depression Scale. Potential predictors of SI were allocated into seven different domains: sociodemographic characteristics, environmental stressors and social support during pregnancy, maternal mental health during pregnancy and postpartum, substance use during pregnancy, obstetric data, and newborn characteristics.

Results: SI prevalence was 3.1%. In the univariate analysis, having more children, lower family income, lower education, history of depression, stressors during pregnancy (perceived stress, hopelessness, anxiety, depression, alcohol use, smoking and history of violence, greater number of stressful events, lower social support, and racially discriminatory experience), newborn with low APGAR in the first minute, non-breastfeeding, and postpartum depression, were positively associated with SI. In the multiple predictors model (X² = 136,502; df = 6; p < 0.001), only racial discrimination during pregnancy (PR: 1.13; 95% CI 1.01-1.27) and postpartum depression (PR: 1.23; 95% CI 1.20-1.27) remained associated with SI.

Conclusions: Although racial discrimination was not assessed in the postpartum, such experiences during pregnancy seem to contribute to an increased risk of SI among depressed postpartum women. This underscores the importance of addressing racial disparities and fostering an inclusive and supportive environment to safeguard maternal mental health.

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孕期种族歧视经历与产后抑郁妇女自杀意念相关

目的：带有自杀意图的自我暴力是孕产妇死亡的主要原因之一。我们旨在评估几个预测因素对产后妇女自杀意念（SI）的影响。方法：对来自巴西两个城市的1822名18岁以上的女性进行了社会人口统计分析。参与者从怀孕（22 -25周）至产后（分娩后平均116.8天，SD = 81.5）进行随访。主要结果是使用爱丁堡产后抑郁量表第10项评估SI。SI的潜在预测因素被划分为七个不同的领域：社会人口学特征、怀孕期间的环境压力因素和社会支持、怀孕期间和产后孕产妇心理健康、怀孕期间的物质使用、产科数据和新生儿特征。结果：SI患病率为3.1%。在单变量分析中，有更多的孩子、较低的家庭收入、较低的教育水平、抑郁史、怀孕期间的压力源（感知压力、绝望、焦虑、抑郁、酗酒、吸烟和暴力史、更多的压力事件、较低的社会支持和种族歧视经历）、新生儿第一分钟APGAR低、非母乳喂养和产后抑郁与SI呈正相关。在多元预测模型中(X2 = 136,502；Df = 6；结论：虽然没有对产后的种族歧视进行评估，但怀孕期间的这种经历似乎会增加产后抑郁妇女的自杀风险。这凸显了解决种族差异和营造包容和支持性环境以保障孕产妇心理健康的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Suicide Research Multiple-

CiteScore

6.10

自引率

7.10%

发文量

期刊介绍： Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.