The prevalence and correlates of self-harm ideation trajectories in Australian women from pregnancy to 4-years postpartum
Journal article
Giallo, Rebecca, Pilkington, Pamela, Borschmann, Rohan, Seymour, Monique, Dunning, Melissa and Brown, Stephanie. (2018). The prevalence and correlates of self-harm ideation trajectories in Australian women from pregnancy to 4-years postpartum. Journal of Affective Disorders. 229, pp. 152 - 158. https://doi.org/10.1016/j.jad.2017.12.064
Authors | Giallo, Rebecca, Pilkington, Pamela, Borschmann, Rohan, Seymour, Monique, Dunning, Melissa and Brown, Stephanie |
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Abstract | 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. |
Keywords | prospective cohort study; pregnancy; postnatal; self-harm ideation |
Year | 2018 |
Journal | Journal of Affective Disorders |
Journal citation | 229, pp. 152 - 158 |
Publisher | Elsevier B.V. |
ISSN | 0165-0327 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.jad.2017.12.064 |
Scopus EID | 2-s2.0-85040042976 |
Page range | 152 - 158 |
Publisher's version | File Access Level Controlled |
Place of publication | Netherlands |
https://acuresearchbank.acu.edu.au/item/874v1/the-prevalence-and-correlates-of-self-harm-ideation-trajectories-in-australian-women-from-pregnancy-to-4-years-postpartum
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