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dc.contributor.authorZhong, Qiu-Yue*
dc.contributor.authorGelaye, Bizu*
dc.contributor.authorSánchez, Sixto E*
dc.contributor.authorSimon, Gregory E*
dc.contributor.authorHenderson, David C*
dc.contributor.authorBarrios, Yasmin V*
dc.contributor.authorSánchez, Pedro Mascaro*
dc.contributor.authorWilliams, Michelle A*
dc.contributor.authorRondón, Marta B.es_PE
dc.date.accessioned2016-05-24T17:19:52Zes_PE
dc.date.available2016-05-24T17:19:52Zes_PE
dc.date.issued2015-12es_PE
dc.identifier.citationUsing the Patient Health Questionnaire (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS) to assess suicidal ideation among pregnant women in Lima, Peru. 2015, 18 (6):783-92 Arch Womens Ment Healthes_PE
dc.identifier.issn1435-1102es_PE
dc.identifier.pmid25369907es_PE
dc.identifier.doi10.1007/s00737-014-0481-0es_PE
dc.identifier.urihttp://hdl.handle.net/10757/610658es_PE
dc.description.abstractWe sought to examine the concordance of two suicidal ideation items from the Patient Health Questionnaire-9 (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS), to evaluate the prevalence of suicidal ideation among pregnant women, and to assess the co-occurrence of suicidal ideation with antepartum depressive symptoms. A cross-sectional study was conducted among 1,517 pregnant women attending prenatal care clinics in Lima, Peru. Item 9 of the PHQ-9 assesses suicidal ideation over the last 14 days while item 10 of the EPDS assesses suicidal ideation in the past 7 days. The two suicidal ideation items have a high concordance rate (84.2 %) but a moderate agreement (the Cohen's kappa = 0.42). Based on the PHQ-9 and the EPDS, 15.8 and 8.8 % of participants screened positive for suicidal ideation, respectively. Assessed by the PHQ-9, 51 % of participants with suicidal ideation had probable depression. In prenatal care clinics, screening for suicidal ideation is needed for women with and without depressive symptoms. Future studies are needed to identify additional predictors of antepartum suicidality, determine the appropriate duration of reporting period for suicidal ideation screening, and assess the percentage of individuals with positive responses to the two suicidal ideation items at high risk of planning and attempting suicide.
dc.formatapplication/pdfes_PE
dc.language.isoenges_PE
dc.publisherPubmed Central (PMC)es_PE
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/25369907es_PE
dc.rightsinfo:eu-repo/semantics/openAccesses_PE
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.sourceUniversidad Peruana de Ciencias Aplicadas (UPC)es_PE
dc.sourceRepositorio Académico - UPCes_PE
dc.subject.meshAdolescentes_PE
dc.subject.meshAdultes_PE
dc.subject.meshCross-Sectional Studieses_PE
dc.subject.meshDepressiones_PE
dc.subject.meshDepression, Postpartumes_PE
dc.subject.meshDepressive Disorderes_PE
dc.subject.meshFemalees_PE
dc.subject.meshHumanses_PE
dc.subject.meshMass Screeninges_PE
dc.subject.meshMiddle Agedes_PE
dc.subject.meshPerues_PE
dc.subject.meshPregnancyes_PE
dc.subject.meshPregnancy Complicationses_PE
dc.subject.meshPregnant Womenes_PE
dc.subject.meshPrenatal Carees_PE
dc.subject.meshPrenatal Diagnosises_PE
dc.subject.meshPrevalencees_PE
dc.subject.meshPsychiatric Status Rating Scaleses_PE
dc.subject.meshReproducibility of Resultses_PE
dc.subject.meshSuicidal Ideationes_PE
dc.subject.meshSurveys and Questionnaireses_PE
dc.subject.meshYoung Adultes_PE
dc.titleUsing the Patient Health Questionnaire (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS) to assess suicidal ideation among pregnant women in Lima, Peru.es_PE
dc.typeinfo:eu-repo/semantics/articlees_PE
dc.identifier.journalArchives of women's mental health (Arch Womens Ment Health.)es_PE
dc.description.fundingThis research was supported by an award from the National Institutes of Health (NIH), the Eunice Kennedy Shriver Institute of Child Health and Human Development (R01-HD-059835). The NIH had no further role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; and in the decision to submit the paper for publication. The authors wish to thank the dedicated staff members of Asociacion Civil Proyectos en Salud (PROESA), Peru and Instituto Especializado Materno Perinatal, Peru for their expert technical assistance with this research. The authors would like to thank Kathy Brenner for her help with revising this manuscript.es_PE
dc.description.peer-reviewRevisión por pareses_PE
dc.contributor.email[email protected]es_PE
refterms.dateFOA2018-06-17T04:21:32Z
html.description.abstractWe sought to examine the concordance of two suicidal ideation items from the Patient Health Questionnaire-9 (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS), to evaluate the prevalence of suicidal ideation among pregnant women, and to assess the co-occurrence of suicidal ideation with antepartum depressive symptoms. A cross-sectional study was conducted among 1,517 pregnant women attending prenatal care clinics in Lima, Peru. Item 9 of the PHQ-9 assesses suicidal ideation over the last 14 days while item 10 of the EPDS assesses suicidal ideation in the past 7 days. The two suicidal ideation items have a high concordance rate (84.2 %) but a moderate agreement (the Cohen's kappa = 0.42). Based on the PHQ-9 and the EPDS, 15.8 and 8.8 % of participants screened positive for suicidal ideation, respectively. Assessed by the PHQ-9, 51 % of participants with suicidal ideation had probable depression. In prenatal care clinics, screening for suicidal ideation is needed for women with and without depressive symptoms. Future studies are needed to identify additional predictors of antepartum suicidality, determine the appropriate duration of reporting period for suicidal ideation screening, and assess the percentage of individuals with positive responses to the two suicidal ideation items at high risk of planning and attempting suicide.


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