The Relationship Between Mother–Child Bonding Impairment and Suicidal Ideation in São Paulo, Brazil.

STATISTICS; POSTPARTUM depression; CONFIDENCE intervals; PSYCHOLOGY of mothers; CROSS-sectional method; RESEARCH methodology; MULTIVARIATE analysis; MOTHER-infant relationship; INTERVIEWING; FISHER exact test; PARENT-infant relationships; SUICIDAL ideation; RISK assessment; SOCIOECONOMIC factors; MENTAL depression; QUESTIONNAIRES; DESCRIPTIVE statistics; RESEARCH funding; CHI-squared test; LOGISTIC regression analysis; ODDS ratio; DATA analysis software; SECONDARY analysis; PREGNANCY

Objectives: To evaluate the association between mother–child bonding at 6–9 months after birth and suicidal ideation Methods: A cross-sectional study embedded in a clinical trial with 358 low-income postpartum women who had antenatal depression in São Paulo, Brazil. The Postpartum Bonding Questionnaire and the Patient Health Questionnaire-9 were used Results: The percentage of the main outcome, suicidal ideation (SI) was 10.3%. Using logistic regression models, bonding impairment (BI) was associated with SI even after controlling for postpartum depression and other covariates. Conclusions for Practice: SI affects 10% of vulnerable postpartum women. BI is independently associated with SI. Treating BI may prevent SI [ABSTRACT FROM AUTHOR]

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