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Archives of Women's Mental Health
Erschienen in: Archives of Women's Mental Health 6/2015

01.12.2015 | Original Article

Using the Patient Health Questionnaire (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS) to assess suicidal ideation among pregnant women in Lima, Peru

verfasst von: Qiu-Yue Zhong, Bizu Gelaye, Marta B. Rondon, Sixto E. Sánchez, Gregory E. Simon, David C. Henderson, Yasmin V. Barrios, Pedro Mascaro Sánchez, Michelle A. Williams

Erschienen in: Archives of Women's Mental Health | Ausgabe 6/2015

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Abstract

We sought to examine the concordance of two suicidal ideation items from the Patient Health Questionnaire-9 (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS), to evaluate the prevalence of suicidal ideation among pregnant women, and to assess the co-occurrence of suicidal ideation with antepartum depressive symptoms. A cross-sectional study was conducted among 1,517 pregnant women attending prenatal care clinics in Lima, Peru. Item 9 of the PHQ-9 assesses suicidal ideation over the last 14 days while item 10 of the EPDS assesses suicidal ideation in the past 7 days. The two suicidal ideation items have a high concordance rate (84.2 %) but a moderate agreement (the Cohen’s kappa = 0.42). Based on the PHQ-9 and the EPDS, 15.8 and 8.8 % of participants screened positive for suicidal ideation, respectively. Assessed by the PHQ-9, 51 % of participants with suicidal ideation had probable depression. In prenatal care clinics, screening for suicidal ideation is needed for women with and without depressive symptoms. Future studies are needed to identify additional predictors of antepartum suicidality, determine the appropriate duration of reporting period for suicidal ideation screening, and assess the percentage of individuals with positive responses to the two suicidal ideation items at high risk of planning and attempting suicide.
Literatur
Appleby L (1991) Suicide during pregnancy and in the first postnatal year. BMJ 302(6769): 137–140
Beck AT, Ward C, Mendelson M (1961) Beck depression inventory (BDI). Arch Gen Psychiatry 4:561–571CrossRefPubMed
Bennett MHA, Einarson A, Taddio A, Koren G, Einarson TR (2004) Depression during pregnancy. Clin Drug Invest 24:157–179CrossRef
Bowen A, Stewart N, Baetz M, Muhajarine N (2009) Antenatal depression in socially high-risk women in Canada. J Epidemiol Community Health 63:414–416CrossRefPubMed
Chang J, Berg CJ, Herndon J, Saltzman LE (2005) Homicide: a leading cause of injury deaths among pregnant and postpartum women in the United States, 1991–1999. Am J Public Health 95:471PubMedCentralCrossRefPubMed
Chaudron LH, Klein M, Remington P, Palta M, Allen C, Essex M (2001) Predictors, prodromes and incidence of postpartum depression. J Psychosom Obstet Gynaecol 22:103–112CrossRefPubMed
Copersino ML, Jones H, Tuten M, Svikis D (2008) Suicidal ideation among drug-dependent treatment-seeking inner-city pregnant women. J Maint Addict 3:53–64PubMedCentralCrossRefPubMed
Corson K, Gerrity MS, Dobscha SK (2004) Screening for depression and suicidality in a VA primary care setting: 2 items are better than 1 item. Am J Manag Care 10:839–845PubMed
Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry 150:782–786CrossRefPubMed
Cripe SM, Sanchez S, Lam N, Sanchez E, Ojeda N, Tacuri S, Segura C, Williams MA (2010) Depressive symptoms and migraine comorbidity among pregnant Peruvian women. J Affect Disord 122:149–153CrossRefPubMed
Devries K, Watts C, Yoshihama M et al (2011) Violence against women is strongly associated with suicide attempts: evidence from the WHO multi-country study on women’s health and domestic violence against women. Soc Sci Med 73:79–86CrossRefPubMed
Dube P, Kurt K, Bair MJ, Theobald D, Williams LS (2010) The P4 screener: evaluation of a brief measure for assessing potential suicide risk in 2 randomized effectiveness trials of primary care and oncology patients. Prim Care Companion J Clin Psychiatry 12
Eggleston AM, Calhoun PS, Svikis DS, Tuten M, Chisolm MS, Jones HE (2009) Suicidality, aggression, and other treatment considerations among pregnant, substance-dependent women with posttraumatic stress disorder. Compr Psychiatry 50:415–423PubMedCentralCrossRefPubMed
Farber EW, Herbert SE, Reviere SL (1996) Childhood abuse and suicidality in obstetrics patients in a hospital-based urban prenatal clinic. Gen Hosp Psychiatry 18:56–60CrossRefPubMed
Ferrari AJ, Charlson FJ, Norman RE, Flaxman AD, Patten SB, Vos T, Whiteford HA (2013) The epidemiological modelling of major depressive disorder: application for the global burden of disease study 2010. PLoS One 8:e69637PubMedCentralCrossRefPubMed
Flynn HA, Sexton M, Ratliff S, Porter K, Zivin K (2011) Comparative performance of the Edinburgh postnatal depression scale and the Patient Health Questionnaire-9 in pregnant and postpartum women seeking psychiatric services. Psychiatry Res 187:130–134CrossRefPubMed
Gausia K, Fisher C, Ali M, Oosthuizen J (2009) Antenatal depression and suicidal ideation among rural Bangladeshi women: a community-based study. Arch Womens Ment Health 12:351–358CrossRefPubMed
Gavin AR, Tabb KM, Melville JL, Guo Y, Katon W (2011) Prevalence and correlates of suicidal ideation during pregnancy. Arch Womens Ment Health 14:239–246PubMedCentralCrossRefPubMed
Harris EC, Barraclough B (1997) Suicide as an outcome for mental disorders. A meta-analysis. Brit J Psychiatry 170:205–228CrossRef
Howard LM, Flach C, Mehay A, Sharp D, Tylee A (2011) The prevalence of suicidal ideation identified by the Edinburgh postnatal depression scale in postpartum women in primary care: findings from the RESPOND trial. BMC Pregnancy Childbirth 11:57PubMedCentralCrossRefPubMed
Joiner TE, Rudd MD, Rouleau MR, Wagner KD (2000) Parameters of suicidal crises vary as a function of previous suicide attempts in youth inpatients. J Am Acad Child Adolesc Psychiatry 39:876–880CrossRefPubMed
Kroenke K, Spitzer RL, Williams JB, Löwe B (2010) The patient health questionnaire somatic, anxiety, and depressive symptom scales: a systematic review. Gen Hosp Psychiatry 32:345–359CrossRefPubMed
Lindahl V, Pearson JL, Colpe L (2005) Prevalence of suicidality during pregnancy and the postpartum. Arch Womens Ment Health 8:77–87CrossRefPubMed
Luoma I, Tamminen T, Kaukonen P, Laippala P, Puura K, Salmelin R, Almqvist F (2001) Longitudinal study of maternal depressive symptoms and child well-being. J Am Acad Child Adolesc Psychiatry 40:1367–1374CrossRefPubMed
Newport DJ, Levey L, Pennell P, Ragan K, Stowe ZN (2007) Suicidal ideation in pregnancy: assessment and clinical implications. Arch Womens Ment Health 10:181–187CrossRefPubMed
Nock MK, Borges G, Ono Y (2012) Suicide: global perspectives from the who world mental health surveys. Cambridge University Press, Cambridge
O’Connor TG, Heron J, Glover V (2002) Antenatal anxiety predicts child behavioral/emotional problems independently of postnatal depression. J Am Acad Child Adolesc Psychiatry 41:1470–1477CrossRefPubMed
Olfson M, Marcus SC, Bridge JA (2014) Focusing suicide prevention on periods of high risk. J Am Med Assoc 311:1107–1108CrossRef
Paris R, Bolton RE, Weinberg MK (2009) Postpartum depression, suicidality, and mother-infant interactions. Arch Womens Ment Health 12:309–321CrossRefPubMed
Perales MT, Cripe SM, Lam N, Sanchez SE, Sanchez E, Williams MA (2009) Prevalence, types, and pattern of intimate partner violence among pregnant women in Lima, Peru. Violence Against Women 15:224–250CrossRefPubMed
Pope CJ, Xie B, Sharma V, Campbell MK (2013) A prospective study of thoughts of self-harm and suicidal ideation during the postpartum period in women with mood disorders. Arch Womens Ment Health 16:483–488CrossRefPubMed
Razykov I, Hudson M, Baron M, Thombs BD (2013) Utility of the Patient Health Questionnaire-9 to assess suicide risk in patients with systemic sclerosis. Arthritis Care Res 65:753–758CrossRef
Shadigian EM, Bauer ST (2005) Pregnancy-associated death: a qualitative systematic review of homicide and suicide. Obstet Gynecol Surv 60:183–190CrossRefPubMed
Simon GE, Rutter CM, Peterson D, Oliver M, Whiteside U, Operskalski B, Ludman EJ (2013) Does response on the PHQ-9 depression questionnaire predict subsequent suicide attempt or suicide death? Psychiatr Serv 64:1195–1202PubMedCentralCrossRefPubMed
Spitzer RL, Kroenke K, Williams JB (1999) Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient Health Questionnaire. J Am Med Assoc 282:1737–1744CrossRef
Stallones L, Leff M, Canetto SS, Garrett CJ, Mendelson B (2007) Suicidal ideation among low-income women on family assistance programs. Women Health 45:65–83CrossRefPubMed
Walker J, Hansen CH, Butcher I, Sharma N, Wall L, Murray G, Sharpe M (2011) Thoughts of death and suicide reported by cancer patients who endorsed the “suicidal thoughts” item of the PHQ-9 during routine screening for depression. Psychosomatics 52:424–427CrossRefPubMed
Weobong B, Akpalu B, Doku V, Owusu-Agyei S, Hurt L, Kirkwood B, Prince M (2009) The comparative validity of screening scales for postnatal common mental disorder in Kintampo, Ghana. J Affect Disord 113:109–117CrossRefPubMed
Yawn BP, Pace W, Wollan PC, Bertram S, Kurland M, Graham D, Dietrich A (2009) Concordance of Edinburgh postnatal depression scale (EPDS) and Patient Health Questionnaire (PHQ-9) to assess increased risk of depression among postpartum women. J Am Board Fam Med 22:483–491CrossRefPubMed
Metadaten
Titel
Using the Patient Health Questionnaire (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS) to assess suicidal ideation among pregnant women in Lima, Peru
verfasst von
Qiu-Yue Zhong
Bizu Gelaye
Marta B. Rondon
Sixto E. Sánchez
Gregory E. Simon
David C. Henderson
Yasmin V. Barrios
Pedro Mascaro Sánchez
Michelle A. Williams
Publikationsdatum
01.12.2015
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 6/2015
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-014-0481-0

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