Racial differences in immediate postpartum depression and suicidal ideation among women in a Midwestern delivery hospital

Karen M Tabb; Wan-Jung Hsieh; Amelia R Gavin; Mercy Eigbike; Alexandre Faisal-Cury; Syahidatul Khafizah Mohd Hajaraih; Wen-hao David Huang; Heidemarie Laurent; Darius Carter; Nichole Nidey; Kelli Ryckman; Kara Zivin

doi:10.1016/j.jadr.2020.100008

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Racial differences in immediate postpartum depression and suicidal ideation among women in a Midwestern delivery hospital

Journal article

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Racial differences in immediate postpartum depression and suicidal ideation among women in a Midwestern delivery hospital

Karen M Tabb, Wan-Jung Hsieh, Amelia R Gavin, Mercy Eigbike, Alexandre Faisal-Cury, Syahidatul Khafizah Mohd Hajaraih, Wen-hao David Huang, Heidemarie Laurent, Darius Carter, Nichole Nidey, …

Journal of affective disorders reports, Vol.1, p.100008

12/2020

DOI: 10.1016/j.jadr.2020.100008

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Abstract

•Elevated depressive symptoms among inpatient women in the maternity unit immediately after giving birth are common.•Detecting and supporting women for SI in the immediate postpartum period has the potential to reduce maternal mortality.•Universal depression and SI screening in the maternity unit has the potential to aid rapid referral, follow-up and treatment. This study aims to identify the prevalence of suicidal ideation (SI) and elevated depressive symptoms (depression) in the immediate postpartum period, defined as the first three days after delivery. This cross-sectional study includes 10,401 women screened for depressive symptoms using the Edinburgh Postnatal Depression Scale immediately after giving birth in a major delivery hospital in Illinois between 2012 and 2016. We used chi-square tests and logistic regression models to compare outcomes across demographic groups in the study. Of the women screened, 709 (7.7%) women had elevated depressive symptoms and 240 (2.3%) reported SI immediate postpartum period. We found significantly different rates of depressive symptoms and suicidal ideation across self-reported racial/ethnic groups. For depression, when compared to White women, Black and Asian women reported higher rates elevated depressive symptoms, but these differences were not significant in the adjusted logistic regression model. For SI, after adjustments, Asian women remained 8.98 times as likely and Black women 2.11 times as likely to report SI compared to their White counterparts. Results suggests that elevated depressive symptoms are common among women after giving birth and recovering in the maternity unit. Thus, the maternity unit may play a critical role in early detection of women, but translation into referral, treatment, and follow-up from inpatient to outpatient settings remains to be determined.

Depression

EPDS

Postpartum

Postpartum suicidal ideation

Pregnancy

Details

Title: Subtitle: Racial differences in immediate postpartum depression and suicidal ideation among women in a Midwestern delivery hospital
Creators: Karen M Tabb - School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL, United States
Wan-Jung Hsieh - School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL, United States
Amelia R Gavin - School of Social Work, University of Washington, Seattle, WA, United States
Mercy Eigbike - Carle Foundation Hospital Psychiatry Residency Program, Champaign, IL, United States
Alexandre Faisal-Cury - Preventive Medicine, University of São Paulo, São Paulo, Brazil
Syahidatul Khafizah Mohd Hajaraih - College of Education, University of Illinois at Urbana-Champaign, Champaign, IL, United States
Wen-hao David Huang - College of Education, University of Illinois at Urbana-Champaign, Champaign, IL, United States
Heidemarie Laurent - Psychology, University of Illinois at Urbana-Champaign, Champaign, IL, United States
Darius Carter - Department of Biology, Howard University at Washington, DC, United States
Nichole Nidey - Division of Biostatistics and Epidemiology & Division of Developmental and Behavioral Pediatrics, Cincinnati Children's, Cincinnati, OH, United States
Kelli Ryckman - College of Public Health, University of Iowa, Iowa City, IA, United States
Kara Zivin - Psychiatry, Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United States
Resource Type: Journal article
Publication Details: Journal of affective disorders reports, Vol.1, p.100008
DOI: 10.1016/j.jadr.2020.100008
ISSN: 2666-9153
eISSN: 2666-9153
Publisher: Elsevier B.V
Language: English
Date published: 12/2020
Academic Unit: Stead Family Department of Pediatrics; Epidemiology; Addiction Medicine; Craniofacial Anomalies Research Center
Record Identifier: 9984216623002771

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