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Using the Patient Health Questionnaire (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS) to assess suicidal ideation among pregnant women in Lima, Peru.
Arch Womens Ment Health. 2015 Dec; 18(6):783-92.AW

Abstract

We 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.

Authors+Show Affiliations

Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA. qiz304@mail.harvard.edu.Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.Department of Medicine, Cayetano Heredia Peruvian University, Lima, Peru.Universidad Peruana de Ciencias Aplicadas, Lima, Peru. Asociación Civil PROESA, Lima, Peru.Group Health Research Institute, Seattle, WA, USA.Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA. Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA. Harvard Medical School, Boston, MA, USA.Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.Universidad Nacional Mayor de San Marcos, Lima, Peru.Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

25369907

Citation

Zhong, Qiu-Yue, et al. "Using the Patient Health Questionnaire (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS) to Assess Suicidal Ideation Among Pregnant Women in Lima, Peru." Archives of Women's Mental Health, vol. 18, no. 6, 2015, pp. 783-92.
Zhong QY, Gelaye B, Rondon MB, et al. Using the Patient Health Questionnaire (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS) to assess suicidal ideation among pregnant women in Lima, Peru. Arch Womens Ment Health. 2015;18(6):783-92.
Zhong, Q. Y., Gelaye, B., Rondon, M. B., Sánchez, S. E., Simon, G. E., Henderson, D. C., Barrios, Y. V., Sánchez, P. M., & Williams, M. A. (2015). Using the Patient Health Questionnaire (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS) to assess suicidal ideation among pregnant women in Lima, Peru. Archives of Women's Mental Health, 18(6), 783-92. https://doi.org/10.1007/s00737-014-0481-0
Zhong QY, et al. Using the Patient Health Questionnaire (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS) to Assess Suicidal Ideation Among Pregnant Women in Lima, Peru. Arch Womens Ment Health. 2015;18(6):783-92. PubMed PMID: 25369907.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Using the Patient Health Questionnaire (PHQ-9) and the Edinburgh Postnatal Depression Scale (EPDS) to assess suicidal ideation among pregnant women in Lima, Peru. AU - Zhong,Qiu-Yue, AU - Gelaye,Bizu, AU - Rondon,Marta B, AU - Sánchez,Sixto E, AU - Simon,Gregory E, AU - Henderson,David C, AU - Barrios,Yasmin V, AU - Sánchez,Pedro Mascaro, AU - Williams,Michelle A, Y1 - 2014/11/05/ PY - 2014/08/25/received PY - 2014/10/18/accepted PY - 2014/11/6/entrez PY - 2014/11/6/pubmed PY - 2016/2/26/medline KW - Antepartum depressive symptoms KW - EPDS KW - PHQ-9 KW - Suicidal ideation SP - 783 EP - 92 JF - Archives of women's mental health JO - Arch Womens Ment Health VL - 18 IS - 6 N2 - We 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. SN - 1435-1102 UR - https://www.unboundmedicine.com/medline/citation/25369907/Using_the_Patient_Health_Questionnaire__PHQ_9__and_the_Edinburgh_Postnatal_Depression_Scale__EPDS__to_assess_suicidal_ideation_among_pregnant_women_in_Lima_Peru_ L2 - https://dx.doi.org/10.1007/s00737-014-0481-0 DB - PRIME DP - Unbound Medicine ER -