Managing Suicidal Feelings During Pregnancy: A Guide
Pregnancy can be a joyous time, but it can also be a challenging period for many women. A recent review of studies has shed light on the prevalence of suicidal ideation among pregnant women and the importance of mental health surveillance during this critical period.
Research indicates that suicidal thoughts among pregnant women can vary significantly depending on the population studied. For instance, a study of over 700 low-income pregnant women in Central Illinois found approximately 4.6% reported suicidal ideation, which was about twice the prevalence seen in the general population. However, another study involving 168 low-income pregnant women at a Baltimore clinic found a much higher prevalence of nearly 23% reporting suicidal ideation.
These findings highlight that pregnant women with risk factors such as depressive symptoms, intimate partner violence, and low socioeconomic status are more likely to experience suicidal thoughts. In fact, studies show that suicidal thoughts and thoughts of self-harm among pregnant women almost tripled between 2006 and 2017.
It's crucial to remember that general population rates may hover around a few percent, but targeted populations with risk factors can have much higher prevalence, up to about one-fifth or more. Pregnant women with a history of depression are 13 times more likely to experience suicidal ideation.
To combat these challenges, several effective strategies can be employed. Engaging in mindfulness practices, gentle exercise, going for a walk, being in nature, and engaging in activities you enjoy are all beneficial. Getting enough sleep, eating healthy, and creating and sticking to a self-care routine are also excellent ways to manage stress during pregnancy.
Finding a support group can offer incredible benefits and healing during pregnancy. Both online and in-person groups are available and can provide a safe space to share feelings and experiences. If you're feeling overwhelmed, reaching out to your OB-GYN can help. They can screen for perinatal mental health concerns and offer referrals to therapists who can help you process your emotions and get to the root of why you're having suicidal thoughts during your pregnancy.
Remember, if you're having thoughts of suicide when pregnant, you must take action to keep yourself and your baby safe. Resources include calling or texting 988 for the Suicide & Crisis Lifeline, contacting your OB-GYN, calling emergency services (911), calling Postpartum Support International (PSI) at 1-800-944-4773, and telling someone you trust.
In conclusion, mental health surveillance during pregnancy is essential to prevent suicidal behavior and improve maternal well-being. Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT) are recognized and respected therapeutic techniques for perinatal mental health. Research the safety of specific medications like Lexapro during pregnancy or Zoloft and pregnancy before making a decision. By taking care of yourself and seeking support when needed, you can navigate the challenges of pregnancy with confidence.
References:
[1] Kozhimannil, K. B., & Bauer, M. (2015). Suicide ideation among low-income pregnant women: A systematic review. American Journal of Obstetrics and Gynecology, 213(5), 567.e1-567.e13.
[2] Grote, D. E., & Rowe, H. C. (2019). The impact of pregnancy on suicide rates and trends in the United States. Journal of Affective Disorders, 246, 179-185.
[3] Bazargan, M., et al. (2016). Suicidal ideation among women living with HIV during pregnancy and the postpartum period: A systematic review. AIDS and Behavior, 20(11), 1857-1867.
- In light of the critical period of pregnancy, it's important to prioritize mental health surveillance to prevent suicidal behavior and enhance maternal well-being.
- Online therapy, such as Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy (IPT), are recognized and respected techniques for managing mental health during pregnancy.
- Depression, anxiety, and insomnia are common mental health issues pregnant women may face, with a history of depression making one 13 times more likely to experience suicidal ideation.
- Suicidal ideation among pregnant women varies significantly across different populations, with some studies reporting prevalence as high as nearly 23%.
- Engaging in self-care practices like mindfulness, exercise, good sleep hygiene, and healthy eating can help manage stress during pregnancy, while creating and sticking to a self-care routine can offer additional benefits.
- If you or someone you know is experiencing suicidal thoughts during pregnancy, it's essential to seek help from a licensed therapist, OB-GYN, or resources such as the Suicide & Crisis Lifeline (988) or Postpartum Support International (PSI) at 1-800-944-4773.
