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Published in: Current Psychiatry Reports 11/2018

01-11-2018 | Reproductive Psychiatry and Women's Health (CN Epperson and L Hantsoo, Section Editors)

Suicide Risk and the Menstrual Cycle: a Review of Candidate RDoC Mechanisms

Authors: Sarah A. Owens, Tory Eisenlohr-Moul

Published in: Current Psychiatry Reports | Issue 11/2018

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Abstract

Purpose of Review

Risk for suicidal behavior may fluctuate across the menstrual cycle. Here, we use the RDoC framework to review potential mechanisms by which the cycle may increase acute suicide risk.

Recent Findings

The menstrual cycle impacts the majority of RDoC constructs linked to suicide risk, particularly among hormone-sensitive women, such as those with premenstrual dysphoric disorder or premenstrual exacerbation of a psychiatric disorder. Despite this, there are no published studies examining suicidal ideation, planning, or behavior longitudinally across the cycle.

Summary

More work is needed to understand how hormone sensitivity may relate to both trait and state suicide risk. Intensive multilevel investigations of cyclical hormone effects on suicide risk through specific RDoC mechanisms are suggested. This is a fertile research area and may provide key insights regarding the mechanisms of acute suicide risk.
Footnotes
1
Although we use the term “women” throughout for readability, we wish to clarify that we use this word to indicate those assigned female at birth who are currently experiencing natural menstrual cycles. This may include transgender men and nonbinary-identified individuals.
 
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Metadata
Title
Suicide Risk and the Menstrual Cycle: a Review of Candidate RDoC Mechanisms
Authors
Sarah A. Owens
Tory Eisenlohr-Moul
Publication date
01-11-2018
Publisher
Springer US
Published in
Current Psychiatry Reports / Issue 11/2018
Print ISSN: 1523-3812
Electronic ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-018-0962-3

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