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. 2022 Dec 1;44(4):e514-e518.
doi: 10.1093/pubmed/fdab297.

Suicidal ideation in the perinatal period: findings from the Thailand-Myanmar border

G Fellmeth  1 , S Nosten  2 , N Khirikoekkong  2 , M M Oo  2 , M E Gilder  3 , E Plugge  4 , M Fazel  5 , R Fitzpatrick  6 , R McGready  2   7
Affiliations

Suicidal ideation in the perinatal period: findings from the Thailand-Myanmar border

G Fellmeth et al. J Public Health (Oxf). .

Abstract

Background: Suicide is a leading cause of maternal death globally. Migrant and refugee populations may experience higher risk of suicide. We report data on suicidal ideation from migrant and refugee women living on the Thailand-Myanmar border.

Methods: Women were recruited in their first trimester of pregnancy. Depression status was assessed by diagnostic interview in the first, second and third trimesters and at 1 month post-partum. We calculated prevalence of suicidal ideation and used logistic regression to identify associated socio-demographic factors.

Results: During the perinatal period, 5.3% (30/568) women experienced suicidal ideation. Refugee women were more likely to experience suicidal ideation than migrant women (8.0 versus 3.1%; P = 0.01). Most women with suicidal ideation did not have severe depression. Previous trauma (OR 2.32; 95% CI: 1.70-3.15) and unplanned pregnancy (OR 2.74; 95% CI: 1.10-6.86) were significantly associated with suicidal ideation after controlling for all other variables.

Conclusions: Suicidal ideation represents an important symptom among migrant and refugee women on the Thailand-Myanmar border. Screening only those with severe depression may be insufficient to identify women at risk of suicide. Community-level interventions addressing social and gender inequalities and prioritization of family planning programmes are needed alongside targeted suicide prevention initiatives to help lower the rates of people dying by suicide.

Keywords: mental health; migration; pregnancy and childbirth disorders.

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References

    1. Fuhr DC, Calvert C, Ronsmans Cet al. . Contribution of suicide and injuries to pregnancy-related mortality in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Psychiatry 2014;1(3):213–25. - PMC - PubMed
    1. Knight M, Nair M, Tuffnell D. et al. . Saving lives, improving mothers’ care – surveillance of maternal deaths in the UK 2012-14 and lesson learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009-14 .
    1. Palladino CL, Singh V, Campbell Jet al. . Homicide and suicide during the perinatal period: findings from the National Violent Death Reporting System. Obstet Gynecol 2011;118(5):1056–63. - PMC - PubMed
    1. Vijayakumar L. Suicide in women. Indian J Psychiatry 2015;57(Suppl 2):S233–8. - PMC - PubMed
    1. Deckert A, Winkler V, Meisinger Cet al. . Suicide and external mortality pattern in a cohort of migrants from the former Soviet Union to Germany. J Psychiatr Res 2015;63:36–42. - PubMed

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