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Michelle A Williams - One of the best experts on this subject based on the ideXlab platform.
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poor sleep quality antepartum depression and Suicidal Ideation among pregnant women
Journal of Affective Disorders, 2017Co-Authors: Bizu Gelaye, Gifty Addae, Beemnet Neway, Gloria T Larraburetorrealva, Chunfang Qiu, Lee Stoner, Miguel Angel Luque Fernandez, Sixto E Sanchez, Michelle A WilliamsAbstract:Abstract Objective To evaluate the independent and combined associations of maternal self-reported poor sleep quality and antepartum depression with Suicidal Ideation during the third trimester Methods A cross-sectional study was conducted among 1298 pregnant women (between 24 and 28 gestational weeks) attending prenatal clinics in Lima, Peru. Antepartum depression and Suicidal Ideation were assessed using the Patient Health Questionnaire-9 (PHQ-9). The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to assess sleep quality. Multivariate logistical regression procedures were used to estimate odds ratios (OR) and 95% confidence intervals (95% CI) after adjusting for putative confounders. Results Approximately, 17% of women were classified as having poor sleep quality (defined using the recommended criteria of PSQI global score of >5 vs. ≤5). Further, the prevalence of antepartum depression and Suicidal Ideation were 10.3% and 8.5%, respectively in this cohort. After adjusting for confounders including depression, poor sleep quality was associated with a 2.81-fold increased odds of Suicidal Ideation (OR=2.81; 95% CI 1.78–4.45). When assessed as a continuous variable, each 1-unit increase in the global PSQI score resulted in a 28% increase in odds for Suicidal Ideation, even after adjusting for depression (OR=1.28; 95% CI 1.15–1.41). The odds of Suicidal Ideation was particularly high among depressed women with poor sleep quality (OR=13.56 95% CI 7.53–24.41) as compared with women without either risk factor. Limitations This cross-sectional study utilized self-reported data. Causality cannot be inferred, and results may not be fully generalizable. Conclusion Poor sleep quality, even after adjusting for depression, is associated with antepartum Suicidal Ideation. Our findings support the need to explore sleep-focused interventions for pregnant women.
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Suicidal Ideation in pregnancy an epidemiologic review
Archives of Womens Mental Health, 2016Co-Authors: Bizu Gelaye, Sandhya Kajeepeta, Michelle A WilliamsAbstract:Suicidal behaviors are the leading causes of injury and death worldwide, and are leading causes of maternal deaths in some countries. One of the strongest risk factors, Suicidal Ideation, is considered a harbinger and distal predictor of later suicide attempt and completion, and also presents an opportunity for interventions prior to physical self-harm. The purpose of this systematic epidemiologic review is to synthesize available research on antepartum Suicidal Ideation. Original publications were identified through searches of the electronic databases using the search terms pregnancy, pregnant women, Suicidal Ideation, and pregnan* and suicid* as root searches. We also reviewed references of published articles. We identified a total of 2626 articles through the electronic database search. After irrelevant and redundant articles were excluded, 57 articles were selected. The selected articles were original articles that focused on pregnancy and Suicidal Ideation. Of the 57 included articles, 20 reported prevalence, 26 reported risk factors, 21 reported consequences of antepartum Suicidal Ideation, and 5 reported on screening measures. Available evidence indicates that pregnant women are more likely than the general population to endorse Suicidal Ideation. Additionally, a number of risk factors for antepartum Suicidal Ideation were identified including intimate partner violence, <12-year education, and major depressive disorder. There is a need for enhanced screening for antepartum Suicidal Ideation. The few screening instruments that exist are limited as they were primarily developed to measure antepartum and postpartum depression. Given a substantial proportion of women with Suicidal Ideation that does not meet clinical thresholds of depression and given the stress-diathesis model that shows susceptibility to Suicidal behavior independent of depressive disorders, innovative approaches to improve screening and detection of antepartum Suicidal Ideation are urgently needed.
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association of poor subjective sleep quality with Suicidal Ideation among pregnant peruvian women
General Hospital Psychiatry, 2015Co-Authors: Bizu Gelaye, Sixto E Sanchez, Yasmin V Barrios, Qiuyue Zhong, Marta B Rondon, Christina P C Borba, David C Henderson, Michelle A WilliamsAbstract:article i nfo Objective: To examine the independent and joint relationships of poor subjective sleep quality and antepartum depression with Suicidal Ideation among pregnant women. Methods: A cross-sectional study was conducted among 641 pregnant women attending prenatal care clinics in Lima, Peru. Antepartum depression and SuicidalIdeation were assessed using the Patient Health Questionnaire-9 scale. Antepartum subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Logistic regression procedures were performed to estimate odds ratios (aOR) and 95% confidence intervals (95% CI) ad- justed for confounders. Results: Overall,theprevalence of Suicidal Ideation inthiscohortwas 16.8% and poorsubjectivesleepquality was more common among women endorsing Suicidal Ideation as compared to their counterparts who did not (47.2% vs.24.8%,Pb.001).Afteradjustmentfor confounders includingmaternal depression,poorsubjectivesleepquality (defined using the recommended criteria of PSQI global score of N5 vs. ≤5) was associated with a 1.7-fold in- creased odds of Suicidal Ideation (aOR=1.67; 95% CI 1.02-2.71). When assessed as a continuous variable, each 1-unit increase in the global PSQI score resulted in an 18% increase in odds for Suicidal Ideation, even after adjusting for depression (aOR=1.18; 95% CI 1.08-1.28). Women with both poor subjective sleep quality and de- pressionhada3.5-foldincreasedoddsof SuicidalIdeation(aOR=3.48;95%CI1.96-6.18)ascomparedwiththose who had neither risk factor. Conclusion: Poor subjective sleep quality was associated with increased odds of Suicidal Ideation. Replication of these findings may promote investments in studies designed to examine the efficacy of sleep-focused interven- tions to treat pregnant women with sleep disorders and Suicidal Ideation.
Bizu Gelaye - One of the best experts on this subject based on the ideXlab platform.
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poor sleep quality antepartum depression and Suicidal Ideation among pregnant women
Journal of Affective Disorders, 2017Co-Authors: Bizu Gelaye, Gifty Addae, Beemnet Neway, Gloria T Larraburetorrealva, Chunfang Qiu, Lee Stoner, Miguel Angel Luque Fernandez, Sixto E Sanchez, Michelle A WilliamsAbstract:Abstract Objective To evaluate the independent and combined associations of maternal self-reported poor sleep quality and antepartum depression with Suicidal Ideation during the third trimester Methods A cross-sectional study was conducted among 1298 pregnant women (between 24 and 28 gestational weeks) attending prenatal clinics in Lima, Peru. Antepartum depression and Suicidal Ideation were assessed using the Patient Health Questionnaire-9 (PHQ-9). The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to assess sleep quality. Multivariate logistical regression procedures were used to estimate odds ratios (OR) and 95% confidence intervals (95% CI) after adjusting for putative confounders. Results Approximately, 17% of women were classified as having poor sleep quality (defined using the recommended criteria of PSQI global score of >5 vs. ≤5). Further, the prevalence of antepartum depression and Suicidal Ideation were 10.3% and 8.5%, respectively in this cohort. After adjusting for confounders including depression, poor sleep quality was associated with a 2.81-fold increased odds of Suicidal Ideation (OR=2.81; 95% CI 1.78–4.45). When assessed as a continuous variable, each 1-unit increase in the global PSQI score resulted in a 28% increase in odds for Suicidal Ideation, even after adjusting for depression (OR=1.28; 95% CI 1.15–1.41). The odds of Suicidal Ideation was particularly high among depressed women with poor sleep quality (OR=13.56 95% CI 7.53–24.41) as compared with women without either risk factor. Limitations This cross-sectional study utilized self-reported data. Causality cannot be inferred, and results may not be fully generalizable. Conclusion Poor sleep quality, even after adjusting for depression, is associated with antepartum Suicidal Ideation. Our findings support the need to explore sleep-focused interventions for pregnant women.
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Suicidal Ideation in pregnancy an epidemiologic review
Archives of Womens Mental Health, 2016Co-Authors: Bizu Gelaye, Sandhya Kajeepeta, Michelle A WilliamsAbstract:Suicidal behaviors are the leading causes of injury and death worldwide, and are leading causes of maternal deaths in some countries. One of the strongest risk factors, Suicidal Ideation, is considered a harbinger and distal predictor of later suicide attempt and completion, and also presents an opportunity for interventions prior to physical self-harm. The purpose of this systematic epidemiologic review is to synthesize available research on antepartum Suicidal Ideation. Original publications were identified through searches of the electronic databases using the search terms pregnancy, pregnant women, Suicidal Ideation, and pregnan* and suicid* as root searches. We also reviewed references of published articles. We identified a total of 2626 articles through the electronic database search. After irrelevant and redundant articles were excluded, 57 articles were selected. The selected articles were original articles that focused on pregnancy and Suicidal Ideation. Of the 57 included articles, 20 reported prevalence, 26 reported risk factors, 21 reported consequences of antepartum Suicidal Ideation, and 5 reported on screening measures. Available evidence indicates that pregnant women are more likely than the general population to endorse Suicidal Ideation. Additionally, a number of risk factors for antepartum Suicidal Ideation were identified including intimate partner violence, <12-year education, and major depressive disorder. There is a need for enhanced screening for antepartum Suicidal Ideation. The few screening instruments that exist are limited as they were primarily developed to measure antepartum and postpartum depression. Given a substantial proportion of women with Suicidal Ideation that does not meet clinical thresholds of depression and given the stress-diathesis model that shows susceptibility to Suicidal behavior independent of depressive disorders, innovative approaches to improve screening and detection of antepartum Suicidal Ideation are urgently needed.
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association of poor subjective sleep quality with Suicidal Ideation among pregnant peruvian women
General Hospital Psychiatry, 2015Co-Authors: Bizu Gelaye, Sixto E Sanchez, Yasmin V Barrios, Qiuyue Zhong, Marta B Rondon, Christina P C Borba, David C Henderson, Michelle A WilliamsAbstract:article i nfo Objective: To examine the independent and joint relationships of poor subjective sleep quality and antepartum depression with Suicidal Ideation among pregnant women. Methods: A cross-sectional study was conducted among 641 pregnant women attending prenatal care clinics in Lima, Peru. Antepartum depression and SuicidalIdeation were assessed using the Patient Health Questionnaire-9 scale. Antepartum subjective sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Logistic regression procedures were performed to estimate odds ratios (aOR) and 95% confidence intervals (95% CI) ad- justed for confounders. Results: Overall,theprevalence of Suicidal Ideation inthiscohortwas 16.8% and poorsubjectivesleepquality was more common among women endorsing Suicidal Ideation as compared to their counterparts who did not (47.2% vs.24.8%,Pb.001).Afteradjustmentfor confounders includingmaternal depression,poorsubjectivesleepquality (defined using the recommended criteria of PSQI global score of N5 vs. ≤5) was associated with a 1.7-fold in- creased odds of Suicidal Ideation (aOR=1.67; 95% CI 1.02-2.71). When assessed as a continuous variable, each 1-unit increase in the global PSQI score resulted in an 18% increase in odds for Suicidal Ideation, even after adjusting for depression (aOR=1.18; 95% CI 1.08-1.28). Women with both poor subjective sleep quality and de- pressionhada3.5-foldincreasedoddsof SuicidalIdeation(aOR=3.48;95%CI1.96-6.18)ascomparedwiththose who had neither risk factor. Conclusion: Poor subjective sleep quality was associated with increased odds of Suicidal Ideation. Replication of these findings may promote investments in studies designed to examine the efficacy of sleep-focused interven- tions to treat pregnant women with sleep disorders and Suicidal Ideation.
Peter Butterworth - One of the best experts on this subject based on the ideXlab platform.
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workplace bullying and the association with Suicidal Ideation thoughts and behaviour a systematic review
Occupational and Environmental Medicine, 2017Co-Authors: Liana S Leach, Carmel Poyser, Peter ButterworthAbstract:The established links between workplace bullying and poor mental health provide a prima facie reason to expect that workplace bullying increases the risk of Suicidal Ideation (thoughts) and behaviours. Until now, there has been no systematic summary of the available evidence. This systematic review summarises published studies reporting data on workplace bullying and Suicidal Ideation, or behaviour. The review sought to ascertain the nature of this association and highlight future research directions. 5 electronic databases were searched. 2 reviewers independently selected the articles for inclusion, and extracted information about study characteristics (sample, recruitment method, assessment and measures) and data reporting the association of workplace bullying with Suicidal Ideation and behaviour. 12 studies were included in the final review-8 reported estimates of a positive association between workplace bullying and Suicidal Ideation, and a further 4 provided descriptive information about the prevalence of Suicidal Ideation in targets of bullying. Only 1 non-representative cross-sectional study examined the association between workplace bullying and Suicidal behaviour. The results show an absence of high-quality epidemiological studies (eg, prospective cohort studies, which controlled for workplace characteristics and baseline psychiatric morbidity). While the available literature (predominantly cross-sectional) suggests that there is a positive association between workplace bullying and Suicidal Ideation, the low quality of studies prevents ruling out alternative explanations. Further longitudinal, population-based research, adjusting for potential covariates (within and outside the workplace), is needed to determine the level of risk that workplace bullying independently contributes to Suicidal Ideation and behaviour.
Thomas E. Joiner - One of the best experts on this subject based on the ideXlab platform.
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perceived burdensomeness uniquely accounts for Suicidal Ideation severity in social anxiety disorder
Journal of Affective Disorders, 2020Co-Authors: Mary E. Duffy, Nora E Mueller, Jesse R Cougle, Thomas E. JoinerAbstract:Abstract Background High rates of Suicidal Ideation in those with social anxiety disorder (SAD) have been attributed to feelings of thwarted belongingness and perceived burdensomeness, but most work has been in non-clinical samples. We assessed the contributions of thwarted belongingness and perceived burdensomeness to Suicidal Ideation severity, over clinical covariates, in individuals diagnosed with SAD. Methods Participants were 58 adult outpatients (mean age 25.62 years, 69% female) with SAD. Hierarchical linear regression assessed contributions of thwarted belongingness and perceived burdensomeness to Suicidal Ideation, before and after covarying other potential explanatory variables (depression, agitation, brooding rumination). Results Perceived burdensomeness was significantly positively related to Suicidal Ideation severity (p Limitations This study was cross-sectional, did not assess all potential confounding variables, and utilized a treatment-seeking sample. Conclusions Results suggest perceived burdensomeness is independently related to Suicidal Ideation severity in SAD, over thwarted belongingness and other clinical features. Future work should seek to replicate these findings and evaluate causal, longitudinal relationships among perceived burdensomeness, agitation, and severity of Suicidal Ideation in those with SAD in order to determine whether these may be clinically-relevant mechanisms.
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Psychotic symptoms and Suicidal Ideation in child and adolescent bipolar I disorder
Bipolar disorders, 2019Co-Authors: Mary E. Duffy, Anna R. Gai, Megan L. Rogers, Thomas E. Joiner, Joan L. Luby, Paramjit T. Joshi, Karen Dineen Wagner, Graham J. Emslie, John T. Walkup, David A. AxelsonAbstract:Objectives The purpose of this study was to explore associations between specific types of hallucinations and delusions and Suicidal Ideation in a sample of children and adolescents with bipolar I disorder. Methods Participants (N = 379) were children and adolescents aged 6-15 years (M = 10.2, SD = 2.7) with DSM-IV diagnoses of bipolar I disorder, mixed or manic phase. The study sample was 53.8% female and primarily White (73.6% White, 17.9% Black, and 8.5% Other). Presence and nature of psychotic symptoms, Suicidal Ideation, and functioning level were assessed through clinician-administered measures. A series of logistic regressions was performed to assess the contribution of each subtype of psychotic symptom to the presence of Suicidal Ideation above and beyond age, sex, socio-economic status, age at bipolar disorder onset, and global level of functioning. Results Hallucinations overall, delusions of guilt, and number of different psychotic symptom types were uniquely associated with increased odds of Suicidal Ideation after accounting for covariates. Other forms of delusions (eg, grandiose) and specific types of hallucinations (eg, auditory) were not significantly uniquely associated with the presence of Suicidal Ideation. Conclusions Findings of this study suggest the presence of hallucinations as a whole, delusions of guilt specifically, and having multiple concurrent types of psychotic symptoms are associated with the presence of Suicidal Ideation in children and adolescents with bipolar I disorder. Psychotic symptom subtypes, as opposed to psychosis as a whole, are an under-examined, potentially important, area for consideration regarding Suicidal Ideation in pediatric bipolar I disorder.
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anxiety sensitivity and Suicidal Ideation suicide risk a meta analysis
Journal of Consulting and Clinical Psychology, 2018Co-Authors: Ian H Stanley, Megan L. Rogers, Joseph W Boffa, Melanie A Hom, Brian J Albanese, Carol Chu, Daniel W Capron, Brad N Schmidt, Thomas E. JoinerAbstract:OBJECTIVE Suicide is a global public health concern. To inform the prevention and treatment of Suicidality, it is crucial to identify transdiagnostic vulnerability factors for suicide and suicide-related conditions. One candidate factor is anxiety sensitivity (AS)-the fear of anxiety-related sensations-which has been implicated in the pathogenesis of a host of mental health outcomes, including Suicidal thoughts and behaviors. Importantly, AS is distinct from trait anxiety and negative affectivity, highlighting its potential incremental utility in the understanding of psychopathology. Despite a burgeoning body of literature demonstrating that AS is linked to Suicidal thoughts and behaviors, this research has yet to be synthesized. METHOD This meta-analysis includes 33 articles representing 34 nonredundant samples (N = 14,002) that examined at least one relationship between AS global or subfactor (i.e., cognitive, physical, social) scores and Suicidal Ideation and/or suicide risk. RESULTS Findings revealed small-to-moderate and moderate associations between global AS and Suicidal Ideation (r = .24, 95% confidence interval (CI): [.21, .26], p < .001) and suicide risk (r = .35, 95% CI [.31, .38], p < .001), respectively. All AS subfactors evinced significant associations with Suicidal Ideation (rs = .13-.24) and suicide risk (rs = .22-.32). CONCLUSIONS AS is related to Suicidal Ideation and global suicide risk. Research is needed to disentangle AS from other indices of distress in the prediction of Suicidal thoughts and behaviors. Theoretical and clinical implications of these findings are discussed. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
Miguel Angel Luque Fernandez - One of the best experts on this subject based on the ideXlab platform.
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poor sleep quality antepartum depression and Suicidal Ideation among pregnant women
Journal of Affective Disorders, 2017Co-Authors: Bizu Gelaye, Gifty Addae, Beemnet Neway, Gloria T Larraburetorrealva, Chunfang Qiu, Lee Stoner, Miguel Angel Luque Fernandez, Sixto E Sanchez, Michelle A WilliamsAbstract:Abstract Objective To evaluate the independent and combined associations of maternal self-reported poor sleep quality and antepartum depression with Suicidal Ideation during the third trimester Methods A cross-sectional study was conducted among 1298 pregnant women (between 24 and 28 gestational weeks) attending prenatal clinics in Lima, Peru. Antepartum depression and Suicidal Ideation were assessed using the Patient Health Questionnaire-9 (PHQ-9). The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to assess sleep quality. Multivariate logistical regression procedures were used to estimate odds ratios (OR) and 95% confidence intervals (95% CI) after adjusting for putative confounders. Results Approximately, 17% of women were classified as having poor sleep quality (defined using the recommended criteria of PSQI global score of >5 vs. ≤5). Further, the prevalence of antepartum depression and Suicidal Ideation were 10.3% and 8.5%, respectively in this cohort. After adjusting for confounders including depression, poor sleep quality was associated with a 2.81-fold increased odds of Suicidal Ideation (OR=2.81; 95% CI 1.78–4.45). When assessed as a continuous variable, each 1-unit increase in the global PSQI score resulted in a 28% increase in odds for Suicidal Ideation, even after adjusting for depression (OR=1.28; 95% CI 1.15–1.41). The odds of Suicidal Ideation was particularly high among depressed women with poor sleep quality (OR=13.56 95% CI 7.53–24.41) as compared with women without either risk factor. Limitations This cross-sectional study utilized self-reported data. Causality cannot be inferred, and results may not be fully generalizable. Conclusion Poor sleep quality, even after adjusting for depression, is associated with antepartum Suicidal Ideation. Our findings support the need to explore sleep-focused interventions for pregnant women.
