Factors associated with suicidal ideation among puerperal women in the context of public health: integrative review
DOI:
https://doi.org/10.26694/reufpi.v13i1.4223Palavras-chave:
Postpartum Period, Suicidal Ideation, Public Health, Mental HealthResumo
Objective: To synthesize scientific evidence about the factors associated with suicidal ideation in the puerperal period in the context of public health. Methods: Integrative review conducted by the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol, carried out in July 2022, in the Medical Literature Analysis and Retrieval System Online, Web of Science, Latin American and Caribbean Literature in Health Sciences, Nursing Database, Spanish Bibliographic Index of Health Sciences, PsycINFO and Cumulative Index to Nursing and Allied Health Literature. Results: Seven studies were selected to compose this review. Factors associated with suicidal ideation in the puerperal period were younger, single, unemployed women, having an unemployed partner, having experienced intimate partner violence, having faced stressful events during pregnancy, previous experiences of abortion and marital dissatisfaction, depressive symptoms and other mental disorders (mood disorders, hypomanic symptoms, neuroticism and psychoticism). High self-esteem aimed to reduce ideas of suicide during the postpartum period. Being primigravid, having a harmonious relationship with the mother-in-law, and marital satisfaction were presented as protective factors. Conclusion: The synthesis of the studies showed the association of psychosocial, physiological and sociodemographic factors with suicidal ideation among puerperal women, as well as protective factors.
Referências
Leal MC, Szwarcwald CL, Almeida PVB, Aquino EML, Barreto ML, Barros F, et al. Saúde reprodutiva, materna, neonatal e infantil nos 30 anos do Sistema Único de Saúde (SUS). Ciênc. saúde colet. 2018;23(6):1915-28. doi: https://doi.org/10.1590/1413-81232018236.03942018
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Política Nacional de Atenção Integral à Saúde da Mulher: Princípios e Diretrizes. Brasília (DF): Editora do Ministério da Saúde; 2004. Available from: https://conselho.saude.gov.br/ultimas_noticias/2007/politica_mulher.pdf
Ministério da Saúde (BR). Portaria nº 2.351/GM/MS, de 5 de outubro de 2011. Altera a Portaria nº 1.459/GM/MS, de 24 de junho de 2011, que institui, no âmbito do Sistema Único de Saúde (SUS), a Rede Cegonha. Brasília (DF): Diário Oficial da República Federativa do Brasil; 2011. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt2351_05_10_2011.html
Marques CPC. Redes de atenção à saúde: a Rede Cegonha. São Luís (MA): UNA-SUS/UFMA; 2016. ISBN 978-85-7862-584-9.
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Saúde sexual e saúde reprodutiva. Brasília (DF): Editora do Ministério da Saúde; 2013a. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/saude_sexual_saude_reprodutiva.pdf
Melo SB, Jordão RRR, Guimarães FJ, Perrelli JGA, Cantilino A, Sougey EB. Sintomas depressivos em puérperas atendidas em Unidades de Saúde da Família. Rev. Bras. Saude Mater. Infant. 2018;18(1):163-9. doi: https://doi.org/10.1590/1806-93042018000100008
Sousa PHSF, Souza RF, Nascimento RT, Silva MML, Jesus DVD, Pedral LDO, et al. Risk factors associated with postpartum depression: Integrative review. Braz. J. Dev. 2021;7(1):11447-62. doi: https://doi.org/10.34117/bjdv7n1-780
Nascimento SG, Silva RS, Cavalcante LM, Carvalho APR, Bonfim CV. Causas externas de mortalidade em mulheres grávidas e puérperas. Acta Paul Enferm. 2018;31(2):181-6. doi: https://doi.org/10.1590/1982-0194201800026
Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Perfil epidemiológico dos casos notificados de violência autoprovocada e óbitos por suicídio entre jovens de 15 a 29 anos no Brasil, 2011 a 2018. Brasília (DF): Editora do Ministério da Saúde; 2019. Available from: https://www.ifen.com.br/site/files/198/Nucleo-Especifico---Atuacao-Clinica-Situacoes-Suicidio/247/BE-suic--dio-24-final.pdf
Nomura R, Tavares I, Ubinha AC, Costa ML, Opperman ML, Brock M, et al. Impact of the COVID-19 Pandemic on Maternal Anxiety in Brazil. J Clin Med. 2021;10(4):620. doi: https://doi.org/10.3390/jcm10040620
Galvão TF, Tiguman GMB, Sarkis-Onofre R. A declaração PRISMA 2020 em português: recomendações atualizadas para o relato de revisões sistemáticas. Epidemiol. Serv. Saúde. 2022;31(2):e2022364. doi: https://doi.org/10.1590/SS2237-9622202200011
Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008; 17(4):758-64. doi: https://doi.org/10.1590/S0104-07072008000400018
Lopes-Júnior LC, Rosa MARP, LIMA RAG. Psychological and Psychiatric Outcomes Following PICU Admission: A Systematic Review of Cohort Studies. Pediatr Crit Care Med. 2018;19(1):e58-e67. doi: https://doi.org/10.1097/PCC.0000000000001390
Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J. Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg. 2003;73(9):712-6. doi: https://doi.org/10.1046/j.1445-2197.2003.02748.x
Islam MJ, Broidy L, Mazerolle P, Baird K, Mazumder N, Zobair KM. Do Maternal Depression and Self-Esteem Moderate and Mediate the Association Between Intimate Partner Violence After Childbirth and Postpartum Suicidal Ideation? Arch Suicide Res. 2020;24(4):609-632. doi: https://doi.org/10.1080/13811118.2019.1655507
Gelabert E, Gutierrez-Zotes A, Navines R, Labad J, Puyané M, Donadon MF, et al. The role of personality dimensions, depressive symptoms and other psychosocial variables in predicting postpartum suicidal ideation: a cohort study. Arch Womens Ment Health. 2020;23(4):585–93. doi: https://doi.org/10.1007/s00737-019-01007-w
Howard LM, Flach C, Mehay A, Sharp D, Tylee A. The prevalence of suicidal ideation identified by the Edinburgh Postnatal Depression Scale in postpartum women in primary care: findings from the RESPOND trial. BMC Pregnancy Childbirth. 2011;11:57. doi: https://doi.org/10.1186/1471-2393-11-57
Pope CJ, Xie B, Sharma V, Campbell MK. A prospective study of thoughts of self-harm and suicidal ideation during the postpartum period in women with mood disorders. Arch Womens Ment Health. 2013;16(6):483-8. doi: https://doi.org/10.1007/s00737-013-0370-y
Shi P, Ren H, Li H, Dai Q. Maternal depression and suicide at immediate prenatal and early postpartum periods and psychosocial risk factors. Psychiatry Res. 2018;261:298-306. doi: https://doi.org/10.1016/j.psychres.2017.12.085
Tabb KM, Huang H, Valdovinos M, Toor R, Ostler T, Vanderwater E, et al. Intimate Partner Violence Is Associated with Suicidality Among Low-Income Postpartum Women. J Womens Health (Larchmt). 2018;27(2):171-8. doi: https://doi.org/ 10.1089/jwh.2016.6077
Shamu S, Zarowsky C, Roelens K, Temmerman M, Abrahams N. High-frequency intimate partner violence during pregnancy, postnatal depression and suicidal tendencies in Harare, Zimbabwe. Gen Hosp Psychiatry. 2016;38:109-114. doi: https://doi.org/10.1016/j.genhosppsych.2015.10.005
Steen M, Francisco AA. Bem-estar e saúde mental materna. Acta Paul Enferm. 2019;32(4):III-IVI. doi: https://doi.org/10.1590/1982-0194201900049
Palfreyman A. Addressing Psychosocial Vulnerabilities Through Antenatal Care-Depression, Suicidal Ideation, and Behavior: A Study Among Urban Sri Lankan Women. Front Psychiatry [Internet]. 2021;12:554808. doi: https://doi.org/10.3389/fpsyt.2021.554808
Govender D, Naidoo S, Taylor M. Antenatal and Postpartum Depression: Prevalence and Associated Risk Factors among Adolescents’ in KwaZulu-Natal, South Africa. Depression Research and Treatment [Internet]. 2020;2020(6):1-12. doi: https://doi.org/10.1155/2020/5364521
Pucci CM, Mendes GB, Nisihara RM, Maia NT, Okamoto C, Reda S, Trintinalha M de O. Avaliação do luto familiar na perda gestacional e neonatal. Medicina (Ribeirão Preto) [Internet]. 2021;54(1):e174765. doi: https://doi.org/10.11606/issn.2176-7262.rmrp.2021.174765
Hutti MH, Myers J, Hall LA, Polivka BJ, White S, Hill J, Kloenne E, Hayden J, Grisanti MM. Predicting grief intensity after recent perinatal loss. J Psychosom Res. 2017;101:128-34. doi: https://doi.org/10.1016/j.jpsychores.2017.07.016.
Arrais AR, Araujo TCCF, Schiavo RA. Fatores de Risco e Proteção Associados à Depressão Pós-Parto no Pré-Natal Psicológico. Psicol cienc prof [Internet]. 2018;38(4):711–29. doi: https://doi.org/10.1590/1982-3703003342016
Frizzo GB, Martins LWF, Silva EXL, Piccinini CA, Diehl AMP. Maternidade Adolescente: A Matriz de Apoio e o Contexto de Depressão Pós-Parto. Psic: Teor e Pesq [Internet]. 2019;35:e3533. doi: https://doi.org/10.1590/0102.3772e3533
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2024 Rev Enferm UFPI
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Autores mantém os direitos autorais e concedem à REUFPI o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attibution BY 4.0 que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
