Association of Migraine Headaches With Suicidal Ideation Among Pregnant Women in Lima, Peru.

2.50
Hdl Handle:
http://hdl.handle.net/10757/609583
Title:
Association of Migraine Headaches With Suicidal Ideation Among Pregnant Women in Lima, Peru.
Authors:
Friedman, Lauren E; Gelaye, Bizu; Rondon, Marta B; Sanchez, Sixto E; Peterlin, B Lee; Williams, Michelle A
Citation:
Association of Migraine Headaches With Suicidal Ideation Among Pregnant Women in Lima, Peru. 2016, 56 (4):741-9 Headache
Publisher:
American Headache Society
Journal:
Headache
Issue Date:
Apr-2016
URI:
http://hdl.handle.net/10757/609583
DOI:
10.1111/head.12793
PubMed ID:
27016264
Additional Links:
https://www.researchgate.net/profile/Lee_Peterlin/publication/299443470_Association_of_Migraine_Headaches_With_Suicidal_Ideation_Among_Pregnant_Women_in_Lima_Peru/links/56f7dd4708ae81582bf39687.pdf
Abstract:
BACKGROUND: Suicide is a leading cause of maternal death globally, and suicide prevalence rates have been shown to be increased in those with migraine. No previous study has examined the association between migraine and suicidal ideation during pregnancy. OBJECTIVE: To examine the association between migraine and suicidal ideation among a cohort of pregnant women. METHODS: A cross-sectional study was conducted among 3372 pregnant women attending prenatal care clinics in Lima, Peru. Suicidal ideation and depression were assessed using the Patient Health Questionnaire-9 (PHQ-9) scale during early pregnancy. Migraine classification (including migraine and probable migraine) was based on International Classification of Headache Disorders-III beta criteria. Multivariable logistic regression analyses were performed to estimate odds ratios (OR) and 95% confidence intervals (95%CI). RESULTS: Suicidal ideation was more common among those with migraine (25.6%) as compared to those with probable migraine (22.1%, P < .001) or non-migraineurs (12.3%, P < .001). After adjusting for confounders, including depression, those with migraine or probable migraine had a 78% increased odds of suicidal ideation (OR = 1.78; 95% CI: 1.46-2.17), as compared with non-migraineurs. Women with both migraine and depression had a 4.14-fold increased odds of suicidal ideation (OR = 4.14; 95% CI: 3.17-5.42) compared to those with neither condition. CONCLUSION: Migraine is associated with increased odds of suicidal ideation in pregnant women even when controlling for depression. These findings support the consideration of screening women with comorbid migraine and depression for suicidal behavior during pregnancy.
Type:
info:eu-repo/semantics/article
Rights:
info:eu-repo/semantics/openAccess
Language:
eng
Keywords:
Migraine; Depression; Suicidal ideation; Pregnancy
ISSN:
1526-4610
Email:
lfriedm@hsph.harvard.edu

Full metadata record

DC FieldValue Language
dc.contributor.authorFriedman, Lauren Ees_PE
dc.contributor.authorGelaye, Bizues_PE
dc.contributor.authorRondon, Marta Bes_PE
dc.contributor.authorSanchez, Sixto Ees_PE
dc.contributor.authorPeterlin, B Leees_PE
dc.contributor.authorWilliams, Michelle Aes_PE
dc.date.accessioned2016-05-17T17:46:53Zes_PE
dc.date.available2016-05-17T17:46:53Zes_PE
dc.date.issued2016-04es_PE
dc.identifier.citationAssociation of Migraine Headaches With Suicidal Ideation Among Pregnant Women in Lima, Peru. 2016, 56 (4):741-9 Headachees_PE
dc.identifier.issn1526-4610es_PE
dc.identifier.pmid27016264es_PE
dc.identifier.doi10.1111/head.12793es_PE
dc.identifier.urihttp://hdl.handle.net/10757/609583es_PE
dc.description.abstractBACKGROUND: Suicide is a leading cause of maternal death globally, and suicide prevalence rates have been shown to be increased in those with migraine. No previous study has examined the association between migraine and suicidal ideation during pregnancy. OBJECTIVE: To examine the association between migraine and suicidal ideation among a cohort of pregnant women. METHODS: A cross-sectional study was conducted among 3372 pregnant women attending prenatal care clinics in Lima, Peru. Suicidal ideation and depression were assessed using the Patient Health Questionnaire-9 (PHQ-9) scale during early pregnancy. Migraine classification (including migraine and probable migraine) was based on International Classification of Headache Disorders-III beta criteria. Multivariable logistic regression analyses were performed to estimate odds ratios (OR) and 95% confidence intervals (95%CI). RESULTS: Suicidal ideation was more common among those with migraine (25.6%) as compared to those with probable migraine (22.1%, P < .001) or non-migraineurs (12.3%, P < .001). After adjusting for confounders, including depression, those with migraine or probable migraine had a 78% increased odds of suicidal ideation (OR = 1.78; 95% CI: 1.46-2.17), as compared with non-migraineurs. Women with both migraine and depression had a 4.14-fold increased odds of suicidal ideation (OR = 4.14; 95% CI: 3.17-5.42) compared to those with neither condition. CONCLUSION: Migraine is associated with increased odds of suicidal ideation in pregnant women even when controlling for depression. These findings support the consideration of screening women with comorbid migraine and depression for suicidal behavior during pregnancy.es_PE
dc.formatapplication/pdfes_PE
dc.language.isoenges_PE
dc.publisherAmerican Headache Societyes_PE
dc.relation.urlhttps://www.researchgate.net/profile/Lee_Peterlin/publication/299443470_Association_of_Migraine_Headaches_With_Suicidal_Ideation_Among_Pregnant_Women_in_Lima_Peru/links/56f7dd4708ae81582bf39687.pdfes_PE
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.sourceUniversidad Peruana de Ciencias Aplicadas (UPC)es_PE
dc.sourceRepositorio Académico - UPCes_PE
dc.subjectMigrainees_PE
dc.subjectDepressiones_PE
dc.subjectSuicidal ideationes_PE
dc.subjectPregnancyes_PE
dc.titleAssociation of Migraine Headaches With Suicidal Ideation Among Pregnant Women in Lima, Peru.es_PE
dc.typeinfo:eu-repo/semantics/articlees_PE
dc.identifier.journalHeadachees_PE
dc.description.peer-reviewRevisión por pareses_PE
dc.contributor.emaillfriedm@hsph.harvard.edues_PE
All Items in UPC are protected by copyright, with all rights reserved, unless otherwise indicated.