the prevalence of suicidal ideation identified by the edinburgh postnatal depression scale in postpartum women in primary care findings from the respond trial自杀意念的患病率被爱丁堡产后抑郁量表在产后妇女在初级保健反应试验的研究结果.pdfVIP
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the prevalence of suicidal ideation identified by the edinburgh postnatal depression scale in postpartum women in primary care findings from the respond trial自杀意念的患病率被爱丁堡产后抑郁量表在产后妇女在初级保健反应试验的研究结果
Howard et al. BMC Pregnancy and Childbirth 2011, 11:57
/1471-2393/11/57
RESEARCH ARTICLE Open Access
The prevalence of suicidal ideation identified by
the Edinburgh Postnatal Depression Scale in
postpartum women in primary care: findings
from the RESPOND trial
1* 1 1 2 1
Louise M Howard , Clare Flach , Anita Mehay , Debbie Sharp and Andre Tylee
1 Abstract
1.1 Background: Suicide is a leading cause of perinatal maternal deaths in industrialised countries but there has
been little research to investigate prevalence or correlates of postpartum suicidality. The Edinburgh Postnatal
Depression Scale is widely used in primary and maternity services to screen for perinatal depressive disorders, and
includes a question on suicidal ideation (question 10). We aimed to investigate the prevalence, persistence and
correlates of suicidal thoughts in postpartum women in the context of a randomised controlled trial of treatments
for postnatal depression.
1.2 Methods: Women in primary care were sent postal questionnaires at 6 weeks postpartum to screen for
postnatal depression before recruitment into an RCT. The Edinburgh Postnatal Depression Scale (EPDS) was used to
screen for postnatal depression and in those with high levels of symptoms, a home visit with a standardised
psychiatric interview was carried out using the Clinical Interview Schedule-Revised version (CIS-R). Other socio-
demographic and clinical variables were measured, including functioning (SF12) and quality of the marital
relationship (GRIMS). Women who entered the trial were followed up for 18 weeks.
1.3 Results: 9% of 4,150 women who completed the EPDS question relating to suicidal ideation reported some
suicidal ideation (including hardly ever); 4% repor
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