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Open Access 01-04-2021 | Suicide | Review Article

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

Authors: E. Osborn, J. Brooks, P. M. S. O’Brien, A. Wittkowski

Published in: Archives of Women's Mental Health | Issue 2/2021

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.

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Title: Suicidality in women with Premenstrual Dysphoric Disorder: a systematic literature review
Authors: E. Osborn
J. Brooks
P. M. S. O’Brien
A. Wittkowski
Publication date: 01-04-2021
Publisher: Springer Vienna
Keywords: Suicide
Suicide
Published in: Archives of Women's Mental Health / Issue 2/2021
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-020-01054-8

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

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