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2211 – Are Lifetime Self-reported Health (srh), Sleep Difficulties, And Negative Affect Correlates Of Suicidal Ideation In Pregnancy And Postpartum?

Published online by Cambridge University Press:  15 April 2020

M.J. Soares ,
A.T. Pereira ,
M. Marques ,
S. Bos ,
J. Valente ,
V. Nogueira ,
C. Roque ,
N. Madeira  and
A. Macedo
M.J. Soares
Affiliation:
Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
A.T. Pereira
Affiliation:
Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
M. Marques
Affiliation:
Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
S. Bos
Affiliation:
Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
J. Valente
Affiliation:
Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
V. Nogueira
Affiliation:
Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
C. Roque
Affiliation:
Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
N. Madeira
Affiliation:
Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
A. Macedo
Affiliation:
Department of Psychological Medicine, Faculty of Medicine, University of Coimbra, Coimbra, Portugal

Abstract

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Background

Suicidality has a multifactorial determination and is clinically under-diagnosed. Self-reported poor health, negative affect and sleep difficulties are associated with psychological distress, including suicidality.

Aim

To analyze the association between lifetime SRH, sleep difficulties, negative affect (NA) and suicidal ideation in pregnancy (T0) and post-partum (T1) and if they are predictors of suicidal ideation.

Methods

397 pregnant women completed the Portuguese version of POMS, PDSS and a set of items evaluating SRH, and sleep difficulties in the last trimester of pregnancy an three months of post-partum.

Findings

In pregnancy, suicidal ideation was significantly associated with lifetime SRH (p < .05), NA (p < .01) and difficulties of initiating sleep (DIS) (p < .01). In post-partum, suicidal ideation was also associated with DIS (p < .01), NA (p < .01), but not with SRH. In pregnancy, the predictors of the probability of having or not suicidal ideation are both SRH and DIS. In postpartum the suicidal ideation predictor was only DIS. However when NA was introduced in the regression model, NA was the only predictor of suicide ideation in both pregnacy and postpartum.

Conclusion

Difficulties of initiating sleep should be considered an indicator of suicidal ideation during the perinatal period. However NA might explain this association.

Type
Abstract
Information
European Psychiatry , Volume 28 , Issue S1: Abstracts of the 21th European Congress of Psychiatry , 2013 , 28-E1372
Copyright
Copyright © European Psychiatric Association 2012
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