Rebecca Giallo1, Pamela Pilkington2, Rohan Borschmann3, Monique Seymour2, Melissa Dunning2, Stephanie Brown4. 1. Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, Parkville, VIC, Australia; Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia. Electronic address: rebecca.giallo@mcri.edu.au. 2. Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, Parkville, VIC, Australia. 3. Centre for Adolescent Health, Murdoch Childrens Research Institute, Parkville, VIC, Australia; Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, VIC, Australia; Health Service and Population Research Department; Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK; Department of Psychiatry, The University of Melbourne, Australia. 4. Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, Parkville, VIC, Australia; Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia; Department of General Practice and Primary Health Care Academic Centre, The University of Melbourne, Parkville, VIC, Australia; South Australian Health and Medical Research Institute, Adelaide, SA, Australia.
Abstract
OBJECTIVES: Women in the perinatal period are at increased risk of experiencing self-harm ideation. The current study longitudinally examines the prevalence, trajectories, and correlates of self-harm ideation in a population-based sample of Australian women from pregnancy through to the early years of parenting. METHODS: Drawing on data from 1507 women participating in a prospective pregnancy cohort study, data were collected during pregnancy, at 3-, 6-, 12-, and 18-months postpartum, and 4-years postpartum. Longitudinal Latent Class Analysis was conducted to identify groups of women based on their responses to thoughts of self-harm at each time-point. Logistic regression analysis was used to identify factors associated with group membership. RESULTS: Approximately 4-5% of women reported experiencing self-harm ideation at each time-point from pregnancy to 4-years postpartum. Cross-sectional analyses revealed that self-harm ideation was most frequently endorsed in the first 12-months postpartum (4.6%), and approximately 15% of women reported self-harm ideation at least once during the study period. Longitudinally, approximately 7% of women had an enduring pattern of self-harm ideation from pregnancy to 4-years postpartum. Women who had experienced a range of preconception and current social health issues and disadvantage were at increased risk of self-harm ideation over time. LIMITATIONS: Limitations included use of brief measures, along with an underrepresentation of participants with particular socio-demographic characteristics. CONCLUSIONS: A proportion of women are at increased risk of experiencing self-harm ideation during the perinatal period and in the early years of parenting, underscoring the need for early identification during pregnancy and early postpartum to facilitate timely early intervention.
OBJECTIVES:Women in the perinatal period are at increased risk of experiencing self-harm ideation. The current study longitudinally examines the prevalence, trajectories, and correlates of self-harm ideation in a population-based sample of Australian women from pregnancy through to the early years of parenting. METHODS: Drawing on data from 1507 women participating in a prospective pregnancy cohort study, data were collected during pregnancy, at 3-, 6-, 12-, and 18-months postpartum, and 4-years postpartum. Longitudinal Latent Class Analysis was conducted to identify groups of women based on their responses to thoughts of self-harm at each time-point. Logistic regression analysis was used to identify factors associated with group membership. RESULTS: Approximately 4-5% of women reported experiencing self-harm ideation at each time-point from pregnancy to 4-years postpartum. Cross-sectional analyses revealed that self-harm ideation was most frequently endorsed in the first 12-months postpartum (4.6%), and approximately 15% of women reported self-harm ideation at least once during the study period. Longitudinally, approximately 7% of women had an enduring pattern of self-harm ideation from pregnancy to 4-years postpartum. Women who had experienced a range of preconception and current social health issues and disadvantage were at increased risk of self-harm ideation over time. LIMITATIONS: Limitations included use of brief measures, along with an underrepresentation of participants with particular socio-demographic characteristics. CONCLUSIONS: A proportion of women are at increased risk of experiencing self-harm ideation during the perinatal period and in the early years of parenting, underscoring the need for early identification during pregnancy and early postpartum to facilitate timely early intervention.
Authors: Karen T Maré; Jennifer A Pellowski; Sheri-Michelle Koopowitz; Nadia Hoffman; Claire van der Westhuizen; Lesley Workman; Heather J Zar; Dan J Stein Journal: Arch Womens Ment Health Date: 2021-04-01 Impact factor: 4.405
Authors: Elise Paul; Alex Kwong; Paul Moran; Susan Pawlby; Louise M Howard; Rebecca M Pearson Journal: J Affect Disord Date: 2021-07-04 Impact factor: 4.839