Maternal suicide in Italy

2019 ◽  
Vol 23 (2) ◽  
pp. 199-206 ◽  
Author(s):  
Ilaria Lega ◽  
◽  
Alice Maraschini ◽  
Paola D’Aloja ◽  
Silvia Andreozzi ◽  
...  
Keyword(s):  
Maternal Suicide

Mortality in offspring of mothers with psychotic disorder

2007 ◽  
Vol 38 (8) ◽  
pp. 1203-1210 ◽  
Author(s):  
J. Suvisaari ◽  
L. Häkkinen ◽  
J. Haukka ◽  
J. Lönnqvist
Keyword(s):  
High Risk ◽  
General Population ◽  
Psychotic Disorder ◽  
Psychotic Disorders ◽  
Suicide Attempts ◽  
Risk Group ◽  
High Risk Group ◽  
Suicide Mortality ◽  
Increased Risk ◽  
Maternal Suicide

BackgroundPrevious studies suggest that offspring of mothers with psychotic disorders have an almost two-fold higher mortality risk from birth until early adulthood. We investigated predictors of mortality from late adolescence until middle age in offspring of mothers with psychotic disorders.MethodThe Helsinki High-Risk Study follows up offspring (n=337) of women treated for schizophrenia spectrum disorders in mental hospitals in Helsinki before 1975. Factors related to mortality up to 2005 among offspring of these mothers was investigated with a survival model. Hazard rate ratios (HRR) were calculated using sex, diagnosis of psychotic disorder, childhood socio-economic status, maternal diagnosis, and maternal suicide attempts and aggressive symptoms as explanatory variables. The effect of family was investigated by including a frailty term in the model. We also compared mortality between the high-risk group and the Finnish general population.ResultsWithin the high-risk group, females had lower all-cause mortality (HRR 0.43, p=0.05) and mortality from unnatural causes (HRR 0.24, p=0.03) than males. Having themselves been diagnosed with a psychotic disorder was associated with higher mortality from unnatural causes (HRR 4.76, p=0.01), while maternal suicide attempts were associated with higher suicide mortality (HRR 8.64, p=0.03). Mortality in the high-risk group was over two-fold higher (HRR 2.44, p<0.0001) than in the general population, and remained significantly higher when high-risk offspring who later developed psychotic disorders were excluded from the study sample (HRR 2.30, p<0.0001).ConclusionsOffspring of mothers with psychotic disorder are at increased risk of several adverse outcomes, including premature death.

Shadows from the past: The mothering experience of women survivors of maternal suicide

2016 ◽  
Vol 18 (5) ◽  
pp. 548-577 ◽  
Author(s):  
Ronit D Leichtentritt ◽  
Judy Leichtentritt ◽  
Michal Mahat Shamir
Keyword(s):  
Women Survivors ◽  
Social Workers ◽  
Raising Children ◽  
The Past ◽  
Theoretical Perspectives ◽  
Emotional Socialization ◽  
Long Term Impact ◽  
Maternal Suicide

Summary Raising children, while challenging in the best of times, can be more complicated for a woman who lost her own mother during her childhood/adolescent years. This study examines the long-term impact of maternal suicide as evident in the mothering experiences of 12 Israeli women. Findings The participants’ descriptions reveal a constant Sisyphean struggle to move away from their legacy only to be pulled back—a fervent wish to be different from their mothers along with the simultaneous realization that they cannot escape their past. This continuing struggle is captured through four themes: (a) being a mother long before having children, (b) the past casting a pall over the present, (c) mothering as a means of fixing what is broken, and (d) the lack of a maternal model: an irrevocable absence. Applications The results of this study are discussed from an emotional socialization perspective which points to the relevance of two theoretical perspectives: the modeling and the compensation views of emotional socialization in the participants’ mothering experiences. These views can help social workers both to understand and to attend to the distinctive difficulties of mothers who have survived the suicide of their own mothers.

Risk of adolescent offspring's completed suicide increases with prior history of their same-sex parents' death by suicide

2013 ◽  
Vol 44 (9) ◽  
pp. 1845-1854 ◽  
Author(s):  
C.-C. J. Cheng ◽  
W.-J. Yen ◽  
W.-T. Chang ◽  
K. C.-C. Wu ◽  
M.-C. Ko ◽  
...  
Keyword(s):  
Conditional Logistic Regression ◽  
Statistical Significance ◽  
Prior History ◽  
Same Sex ◽  
Birth Registry ◽  
Conditional Logistic Regression Model ◽  
Completed Suicide ◽  
Suicidal Death ◽  
History Of ◽  
Maternal Suicide

BackgroundTo investigate the risk of completed suicide in offspring during adolescence in relation to prior history of the same-sex parent's death by suicide and other causes.MethodA total of 500 adolescents who died by suicide at age 15–19 years between 1997 and 2007 were identified from the Taiwan Mortality Registration (TMR). For each case, 30 age- and time-matched controls were selected randomly from all adolescents registered in the Taiwan Birth Registry (TBR). A multivariate conditional logistic regression model was used to assess the risk of adolescent completed suicide in relation to their same-sex parent.ResultsAdolescent suicide risk was positively associated with both paternal [odds ratio (OR) 5.38, 95% confidence interval (CI) 2.17–13.33] and maternal suicide (OR 6.59, 95% CI 1.82–23.91). The corresponding risk estimates associated with paternal and maternal deaths from non-suicidal causes were much lower, at 1.88 and 1.94 respectively. The risk of suicide in male adolescents was significantly associated with prior history of paternal death by suicide (OR 8.23, 95% CI 2.96–22.90) but not of maternal death by suicide (OR 3.50, 95% CI 0.41–30.13). On the other contrary, the risk of suicidal death in female adolescents was significantly associated with prior history of maternal suicide (OR 9.71, 95% CI 1.89–49.94) but not of paternal suicide (OR 2.42, 95% CI 0.30–19.57). However, these differences did not reach statistical significance.ConclusionsAlthough limited by sample size, our study indicates that adolescent offspring suicidal death is associated with prior history of their same-sex parent's death by suicide.

scholarly journals Reducing maternal suicide in Sri Lanka: closing the gap

2016 ◽  
Vol 7 (1) ◽  
pp. 1 ◽  
Author(s):  
L. L. A. Isuru ◽  
K. D. K. Gunathillaka ◽  
S. T. Kathriarachchi
Keyword(s):  
Sri Lanka ◽  
Closing The Gap ◽  
Maternal Suicide

scholarly journals Towards safe motherhood to - are we moving in the right direction?: experience from an urban health facility in South India

2019 ◽  
Vol 8 (7) ◽  
pp. 2851
Author(s):  
Ramya Thangavelu ◽  
Lalitha Natarajan
Keyword(s):  
Maternal Mortality ◽  
Universal Access ◽  
Maternal Mortality Ratio ◽  
Safe Motherhood ◽  
Quality Health Care ◽  
College Hospital ◽  
Mortality Ratio ◽  
Classical Triad ◽  
Maternal Suicide ◽  
The Right

Background: This study was designed to evaluate the institutional Maternal Mortality Ratio (iMMR) in our institution, a tertiary private medical college hospital and to suggest recommendations and possible interventions to reduce it.Methods: This retrospective descriptive study was conducted by reviewing the hospital records over a period of ten years from January 2009-December 2018. The case records were reviewed for maternal demographic characteristics and complications.Results: The total number of deaths during the study period was 21, giving an iMMR of 85.268 per 100000 live births. Most of the maternal deaths (>80%) occurred postpartum. Obstetric causes contributed to 57% of the deaths with hypertension and hemorrhage topping the list. Other causes were sepsis and non obstetric causes including one case of maternal suicide. 52.38% of the women died more than 48 hours after admission to the hospital, while 28.57% succumbed in less than six hours. Secondary complications noted were ICU admission, extended intubation, massive transfusion, operative intervention and multi organ dysfunction.Conclusions: The classical triad of Hypertension, Hemorrhage and Sepsis continues to be the major determinant of maternal mortality and are potentially preventable by promoting universal access to quality health care, strengthening of health services and ensuring accountability.

Perinatal Depression

2018 ◽  
Author(s):  
Tiffany A. Moore Simas ◽  
Bailey McGuiness ◽  
Valerie Valant ◽  
Nancy Byatt
Keyword(s):  
Bipolar Disorder ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Perinatal Depression ◽  
Absolute Risk ◽  
Psychiatric Evaluation ◽  
Baby Blues ◽  
One Year ◽  
Effective Diagnosis ◽  
Maternal Suicide ◽  
In Pregnancy

Perinatal depression includes major and minor depression occurring in pregnancy and one year postpartum. Affecting one in seven women, it is one of the most common pregnancy complications; however, it is often under recognized and undertreated. A personal history of perinatal or non-perinatal depression significantly increases risk. Screening using a validated instrument is recommended in the context of systems to ensure effective diagnosis, treatment, and follow-up. Evidence-based treatment includes psychotherapy and pharmacotherapy. Selective serotonin reuptake inhibitors are well-studied in pregnancy, are associated with low overall absolute risk, and are differentially secreted into breast milk. If left untreated, perinatal depression is associated with significant short- and long-term negative maternal-child consequences including, among many others things, poor bonding. Of note, maternal suicide exceeds hemorrhage and hypertensive disorders as a cause of maternal mortality. It is critical to recognize that one in five women who screen positive for perinatal depression will have bipolar disorder and are at highest risk for postpartum psychosis, suicide, and infanticide, especially if prescribed unopposed anti-depressant monotherapy. Women who screen positive for having bipolar disorder should be referred for psychiatric evaluation. This review contains 6 figures, 13 tables and 54 references Keywords: Pregnancy, Postpartum, Perinatal, depression, Mood disorder, Baby blues, Bipolar disorder, Psychosis, Psychotherapy, Psychopharmacology

scholarly journals Incidence and prevalence of postpartum depression in a rural community of India

2015 ◽  
Vol 5 (2) ◽  
pp. 11-19 ◽  
Author(s):  
N Shrestha ◽  
P Hazrah ◽  
R Sagar
Keyword(s):  
Depressive Symptoms ◽  
Postpartum Depression ◽  
Pregnant Women ◽  
Rural Community ◽  
Postpartum Period ◽  
Cutoff Score ◽  
Third Trimester ◽  
The Third ◽  
Maternal Suicide

Postpartum depression (PPD) is defined as presence of depressive symptoms in the postpartum period. A seemingly innocuous disorder, if untreated can lead to foeticide or maternal suicide. Unfortunately there are very few studies which have looked into the burden of the disease. The prevalence and incidence of postpartum depression vary across culture, region and communities, with very few studies having addressed the issue, thereby making it difficult to estimate the actual burden of the disease. The present study was undertaken to estimate the incidence and prevalence of postpartum depression in a rural community of India. A cohort of 200 pregnant women were interviewed in the third trimester of pregnancy and subsequently at 6 weeks postpartum to screen for presence and severity of depressive symptoms using BDI, ICD10 and EPDS scores. A cutoff score > 13 was considered as positive for depression in EPDS. The prevalence of PPD was 12% and incidence of PPD 4.4%.

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