unit 5 Flashcards
What are protective factors that reduce the likelihood of self-harm behaviors?
Strong social support, effective coping skills, mental health treatment, positive relationships, and cultural or religious beliefs that discourage suicide.
What is meant by suicidal ideation?
Suicidal ideation refers to thoughts or plans about self-harm or suicide, ranging from fleeting thoughts to detailed planning.
What is the significance of having a plan and the means to enact the plan?
Having a specific plan and means increases the risk of suicide, indicating a higher likelihood of acting on suicidal thoughts.
What components of suicidal ideation would lead you to send someone to the hospital?
A clear plan, access to means, recent suicidal gestures, history of attempts, or significant psychosocial stressors.
How can peripartum depression develop?
It can occur abruptly or develop over time, sometimes preceded by subclinical or full depression during pregnancy.
Why is peripartum depression a concern?
It poses risks for both the woman and the fetus/infant.
what are stong risk factors for PPD?
depression or anxiety during pregnancy, stressful recent life events, poor social support, and a previous history of depression.
What are the potential impacts of maternal depression on child development?
It can affect the child’s emotional, cognitive, and social development.
what are moderate predictors of PPD?
are childcare stress, low self-esteem, maternal neuroticism, and difficult infant temperament.
what are small predictors of PPD?
obstetric and pregnancy complications, negative cognitive attributions, single marital status, poor relationship with partner, and lower socioeconomic status including income.
What is the primary goal of health promotion in relation to peripartum depression?
To reduce the risk of peripartum depression through supportive environments, increased self-efficacy, and stress reduction.
What additional strategies can help women in the postpartum period to reduce peripartum depression?
Facilitating parenting skills, enhancing self-efficacy, and providing ongoing support and guidance.
What depression screening tools are commonly used during pregnancy?
Typical depression screening tools can be used, with the Edinburgh Postnatal Depression Scale being most common in the postpartum period.
What successful strategies are employed in health promotion for peripartum depression?
Creating supportive environments, focusing on social determinants of health, improving health literacy, stabilizing relationships, and enhancing family support.
Up to how long after delivery can the Edinburgh Postnatal Depression Scale be used for screening?
up to 1 year after delivery
What EPDS score indicates a higher risk of postpartum depression?
a score of 10 or above
What is the CPS recommendation regarding the observation of babies with late-trimester SSRI exposure?
They should be observed in the hospital for neurobehavioral or respiratory symptoms for a minimum of 48 hours.
When do symptoms of post-partum psychosis typically onset?
Symptoms can begin from two to three days post-partum, up to three months after delivery (Schadewald & Friedrich, 2013).
What is the strongest risk factor for developing post-partum psychosis?
history of bipolar disorder (Schadewald & Friedrich, 2013).
What are the main presentations of post-partum psychosis?
Delusions, hallucinations, and disturbances in thought, mood, and behavior; depression is not always present.
What medications are used to treat post-partum psychosis?
Lithium, valproic acid, and carbamazepine; Electroconvulsive Therapy (ECT) may also be used.
Describe the tri-phasic pattern of post-partum psychosis.
1) Manic phase: racing thoughts, mood liability, hyperactivity.
2) Delirium: mental confusion, dissociative episodes, anxiety, agitation, hostility.
3) Psychotic depression: suicidal and homicidal ideation, psychomotor retardation.
What are the categories of symptoms for PMDD?
Affective symptoms (mood swings, irritability, depressed mood, anxiety) and physical/behavioral symptoms (lack of energy, appetite changes, sleep issues).
What are the DSM-5 criteria for PMDD?
Symptoms must occur in the luteal phase, include five specified symptoms, cause significant distress, and not be due to another disorder or substance abuse.
