Suicidal Ideation Common in Women Seeking Treatment for Premenstrual Dysphoric Disorder

Suicidal Ideation Common in Women Seeking Treatment for Premenstrual Dysphoric Disorder

In our clinic, we see lots of females who current with suicidal ideation rising or worsening throughout the premenstrual section of the menstrual cycle.  Whilst previous reports have described an association involving Premenstrual Dysphoric Dysfunction (PMDD) and suicidal ideation, most of these scientific tests have not confirmed the prognosis making use of prospective ratings and DSM diagnostic requirements.  A the latest review from Wikman and colleagues assesses the prevalence of suicidal ideation in women of all ages with PMDD verified employing more stringent conditions..

In this review, the individuals were being 110 women of all ages recruited to take part in a randomized placebo-managed scientific demo for the remedy of PMDD concerning January 15, 2017 and October 19, 2019. The analysis of PMDD was verified using potential daily rankings in line with DSM-5 criteria. Present-day suicidal ideation was calculated utilizing the MADRS-S administered throughout the late luteal period of the menstrual cycle.  

Suicidal ideation was claimed throughout the late luteal phase by just about 40% of the females with confirmed PMDD (n = 43, 39.1%).  Present-day suicidal ideation was far more typical in ladies reporting previous psychological remedy for PMDD (OR 5.63, 95% CI 1.07-29.49).  In addition, higher depressive indicators throughout the late luteal period were connected with suicidal ideation  (OR 1.17, 95% CI 1.10-1.25).  In distinction, bigger scores of self-rated wellness had been related with lower odds ratios for present suicidal ideation (OR .98, 95% CI .96-.99).

In this populace searching for treatment method for PMDD, suicidal ideation is pretty frequent, impacting about 40% of the women.  This study is distinct from prior research inspecting the affiliation among PMDD and suicidal ideation in the latest examine, the diagnosis of PMDD was confirmed prospectively according to DSM diagnostic requirements and suicidal ideation was calculated concurrently.  While the examine does not evaluate suicidal ideation in a local community sample of females with PMDD, the findings of this study counsel that suicidal ideation is frequent amid gals trying to find therapy for PMDD.  

Ruta Nonacs, MD PhD

Wikman A, Sacher J, Bixo M, Hirschberg AL, Kopp Kallner H, Epperson CN, Comasco E, Sundström Poromaa I. Prevalence and correlates of present suicidal ideation in girls with premenstrual dysphoric dysfunction. BMC Womens Wellness. 2022 Feb 1122(1):35.

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