Suicidal attempt by woman in labor
Keywords:Care and support in labour, Labour analgesia, Prenatal health education, Suicide during labour
Suicidal ideation during delivery is extremely rare. Very few cases have been reported in the literature. Unwanted pregnancies, pre-existent mental disorders, substance abuse or addictions, marital dis-harmony, fetal demise or stillbirths have been documented as associated factors in reported cases of suicidal attempts by women in labour. Women tried taking overdose of sedative pills or have attempted hanging, drowning or jumping from hospital terrace. Lack of prenatal education, suboptimum use of labour analgesia, ill-treatment by health professional and relatives have been the contributory factors for suicidal ideation during pregnancy and labour. We report a rare case of attempted suicide by woman in active labour. She tried to cut the forearm and wrists with the help of razor blade used for preparation of part in preparation room attached to the labour room. The situation was recognized early by vigilant nurse on duty. The woman was resuscitated, treated, and counselled by psychiatrist before discharge from the hospital.
Lakshmi V. Suicide in women. Indian J Psychiatry. 2015;57(2):S233-8.
Bertolote JM, Fleischmann A. A global perspective on the magnitude of suicide mortality. In: Wasserman D, Wasserman C, eds. Oxford text book of suicidology and suicide prevention. Oxford, UK: Oxford University Press; 2009:91-8.
Ajdacic-Gross V, Weiss MG, Ring M, Hepp U, Bopp M, Gutzwiller F, et al. Methods of suicide: International suicide patterns derived from the WHO mortality database. Bull World Health Organ. 2008;86:726-32.
Saunders KE, Hawton K. Suicidal behaviour and the menstrual cycle. Psychol Med. 2006;36:901-12.
Leenaars AA, Dogra TD, Girdhar S, Dattagupta S, Leenaars L. Menstruation and suicide: a histopathological study. Crisis. 2009;30:202-7.
Appleby L. Suicide during pregnancy and in the first postnatal year. BMJ. 1991;302:137-40.
Gissler HE, Lonnqvist J. Suicides after pregnancy in Finland, 1987-1994: Register linkage study. Br Med J Clin Res. 1996;313:1431-4.
Vaiva G, Tiessier E, Cottencin O, Goudemand M. On suicide and attempted suicide in pregnancy. Crisis. 1997;18:20-7.
Appleby L, Mortensen PB, Faragher EB. Suicide and other causes of mortality after post-partum psychiatric admission. Br J Psychiatry. 1998;173:209-11.
Lindahl V, Pearson JL, Colpe L. Prevalence of suicidality during pregnancy and the postpartum. Arch Womens Ment Health. 2005;8:77-87.
Fergusson DM, Horwood LJ, Ridder EM. Abortion in young women and subsequent mental health. J Child Psychol Psychiatry. 2006;47:16-24.
Qin P, Mortensen PB. The impact of parental status on the risk of completed suicide. Arch Gen Psychiatry. 2003;60:797-802.
Qin P, Agerbo E, Westergård-Nielsen N, Eriksson T, Mortensen PB. Gender differences in risk factors for suicide in Denmark. Br J Psychiatry. 2000;177:546-50.
Gjerdingen DK, Froberg DG, Fontaine P. The effects of social support on women's health during pregnancy, labor and delivery, and the postpartum period. Fam Med. 1991;23(5):370-5.