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

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dc.contributor.author Friedman, Lauren E.
dc.contributor.author Gelaye, Bizu
dc.contributor.author Rondon, Marta B.
dc.contributor.author Sanchez, Sixto E.
dc.contributor.author Peterlin, B. Lee
dc.contributor.author Williams, Michelle A.
dc.date.accessioned 2019-02-22T14:54:28Z
dc.date.available 2019-02-22T14:54:28Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/5640
dc.description.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. en_US
dc.language.iso eng
dc.publisher Wiley
dc.relation.ispartof urn:issn:1526-4610
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject pregnancy en_US
dc.subject depression en_US
dc.subject suicidal ideation en_US
dc.subject migraine en_US
dc.title Association of Migraine Headaches With Suicidal Ideation Among Pregnant Women in Lima, Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1111/head.12793
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.25


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