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    Suicidality in women with Premenstrual Dysphoric Disorder: a systematic literature review

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    Authors
    Osborn, E.
    Brooks, J.
    O’Brien, P. M. S.
    Wittkowski, A.; email: anja.wittkowski@manchester.ac.uk
    Publication Date
    2020-09-16
    Submitted date
    2020-04-02
    
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    Abstract
    Abstract: Previous research has identified how menstruation is an important factor in both attempted and completed suicides for women. The purpose of this review was to outline (a) the risk profile for suicidality in women who were identified to experience Premenstrual Dysphoric Disorder (PMDD), a condition characterized by severe physical and psychological changes that occur during the luteal menstrual phase, and (b) the implications of these findings for clinical practice. A systematic literature review was conducted using five databases to identify any peer-reviewed articles published between 1989 and 2019. Ten papers eligible for inclusion were identified: three pertaining to suicide cognitions, five to suicide attempts and two to both cognitions and attempts. Findings showed that suicidal thoughts, ideation, plans and attempts were strongly associated with experiences of PMDD and that these findings were independent of psychiatric co-morbidities. However, women with PMDD did not present with more severe risk profiles for suicide attempts (in terms of frequency, impulsivity and lethality) or make more frequent attempts during the luteal menstrual phase compared with suicide attempters without PMDD. Women with PMDD should be considered a high risk group for suicidality; thus, identifying and treating symptoms are vital in reducing suicide attempts. Implications for clinical practice are outlined in the discussion.
    Citation
    Archives of Women's Mental Health, volume 24, issue 2, page 173-184
    Publisher
    Springer Vienna
    URI
    http://hdl.handle.net/10034/625872
    Type
    article
    Description
    From Springer Nature via Jisc Publications Router
    History: received 2020-04-02, registration 2020-07-16, accepted 2020-07-16, pub-electronic 2020-09-16, online 2020-09-16, pub-print 2021-04
    Publication status: Published
    Funder: University of Manchester
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