Association of Migraine Headaches With Suicidal Ideation Among Pregnant Women in Lima, Peru.
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Authors
Friedman, Lauren EGelaye, Bizu
Sanchez, Sixto E
Peterlin, B Lee
Williams, Michelle A
Rondón, Marta B.
Issue Date
2016-04xmlui.metadata.dc.contributor.email
[email protected]
Metadata
Show full item recordCitation
Association of Migraine Headaches With Suicidal Ideation Among Pregnant Women in Lima, Peru. 2016, 56 (4):741-9 HeadachePublisher
American Headache SocietyJournal
HeadacheDOI
10.1111/head.12793PubMed ID
27016264Abstract
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/articleRights
info:eu-repo/semantics/openAccessLanguage
engISSN
1526-4610ae974a485f413a2113503eed53cd6c53
10.1111/head.12793
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