Suicidal Ideation and Associated Factors among Pregnant Women in Southwestern Nigeria
Published: 2021-12-30
Page: 296-302
Issue: 2021 - Volume 4 [Issue 1]
M. U. Dada *
Department of Psychiatry, Ekiti State University, Ado-Ekiti, Nigeria.
B. F. Kumolalo
Department of Psychiatry, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria.
F. M. Akinlusi
Department of Obstetrics and Gynaecology, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria.
O. P. Aduloju
Department of Obstetrics and Gynaecology, Ekiti State University, Ado-Ekiti, Nigeria.
L. O. Oluwole
Department of Psychiatry, Ekiti State University, Ado-Ekiti, Nigeria.
A. Obadeji
Department of Psychiatry, Ekiti State University, Ado-Ekiti, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Aims: This study was aimed at determining the prevalence and associated factors of suicidal ideation among pregnant women attending antenatal clinics at Ekiti State University Teaching Hospital.
Study Design: This research was a cross- sectional descriptive study among pregnant women.
Place and Duration of Study: The study was conducted at the antenatal clinics of Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti State, Nigeria over 2 months.
Methodology: A total of 187 pregnant women agreed to participate in the study. Question 9 of the Patient Health Questionnaire (PHQ-9) was used to assess for suicidal ideation among the respondents. While depression and level of social support were evaluated using the PHQ-9 and social support inventory questionnaires respectively.
Results: The average age of the respondents was 31.29yrs ±4.54. The prevalence of suicidal ideation among the respondents was 2.8% while prevalence of severe depression was 5.0%. The factors significantly associated with suicidal ideation were; lower age of respondents (t= 3.06, P=.002, CI = 2.225 ̶ 10.244), lower educational achievement (c2 = 10.317, P = .006), fewer number of previous deliveries (t= 2.304, P = .04, CI = .026 ̶ 1.877), fewer Children alive (t= 1.986, P = .03, CI = .004 ̶ 1.766), depression (t= -5.986, P = .004, CI = -12.35 ̶ -6.23), Poor emotional support (t= .677, P = .003, CI = .471 ̶ 2.16).
Conclusion: Suicidal ideation among pregnant women was observed in the study and the major factors associated with it were younger age, depression, lower educational attainment and lack of emotional support from a spouse. Screening pregnant women for suicidal ideation may aid in early detection of those at risk of physical self-harm.
Keywords: Suicidal ideation, depression, suicide, pregnancy