TY - JOUR
T1 - The prevalence and correlates of self-harm ideation trajectories in Australian women from pregnancy to 4-years postpartum
AU - Giallo, Rebecca
AU - Pilkington, Pamela
AU - Borschmann, Rohan
AU - Seymour, Monique
AU - Dunning, Melissa
AU - Brown, Stephanie
N1 - Publisher Copyright:
© 2018 Elsevier B.V.
PY - 2018/3/15
Y1 - 2018/3/15
N2 - 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.
AB - 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.
KW - Postnatal
KW - Pregnancy
KW - Prospective cohort study
KW - Self-harm ideation
UR - http://www.scopus.com/inward/record.url?scp=85040042976&partnerID=8YFLogxK
U2 - 10.1016/j.jad.2017.12.064
DO - 10.1016/j.jad.2017.12.064
M3 - Article
C2 - 29310064
AN - SCOPUS:85040042976
SN - 0165-0327
VL - 229
SP - 152
EP - 158
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
ER -