高危妊娠妇女的自杀风险

Kathe Tavares Advincula, T. C. Cavalcante, Uana Shele Teles Cavalcante, Stefânia Carolina Ferreira Rodrigues, N. Vidal, Francisco Telésforo Celestino Junior, Aldrovando Nery de Aguiar Junior, Kécia Silva Damasceno, M. L. Neto
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摘要

引言:据估计,包括巴西在内的发展中国家有20%的孕妇患有焦虑症,产前抑郁症的患病率在7%至15%之间。目的:了解孕期心理社会方面的负面影响。结果:在西方现代文明中,生育往往被视为女性幸福的源泉。因此,不太可能将悲伤与怀孕状态联系起来,这一点得到了几乎不存在的证据的证实,这些证据记录了有关产前抑郁和怀孕期间自杀意念的流行病学数据。结论:研究结果表明,孕妇自杀意念的发生率较低,这可能是因为在产前几乎没有对精神状态进行评估。需要制定一项旨在识别有害孕妇行为和心理社会方面的预防策略,以便在这一人群中早期诊断抑郁症、自杀意念和其他风险因素。关键词:自杀;自杀意念;抑郁症状;妊娠,高危
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The Suicide risk among women with high-risk pregnancies
Introduction: It is estimated that 20% of pregnant women from developing countries, including Brazil, are subjected to anxiety situations, and that the prevalence of antenatal depression ranges from 7 to 15%. Objective: To identify the negative influence of psychosocial aspects during pregnancy. Results: In Western modern civilization, child bearing is often seen as a source of happiness to women. Thus, it is unlikely to relate sadness to the status of pregnancy, which is corroborated by the almost inexistent body of evidence documenting epidemiological data regarding antenatal depression and suicidal ideation during pregnancy. Conclusions: Results point towards a low prevalence of suicidal ideation among pregnant women, possibly due to the fact that practically no assessment of mental state is done during the antenatal period. A prevention strategy targeted at identifying harmful pregnant women’s behavior and psychosocial aspects is needed, so as to early diagnose depression, suicidal ideation and other risk factors among this population. Keywords: Suicide; Suicidal ideation; Depressive Symptoms; Pregnancy, high-risk
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