{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T04:33:03Z","timestamp":1792989183895,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Suicide in the peripartum is a leading cause of death in Australia. Appropriate screening and response to self\u2010harm and suicidality during antenatal appointments is key to reducing the risk of suicide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The study explores the knowledge, confidence and behavioural changes resulting from an educational intervention for midwives in assessing and making appropriate referrals based on self\u2010harm and suicide risks in antenatal women, as screened by question ten of the Edinburgh Postnatal Depression Scale (EPDS) eliciting thoughts of self\u2010harm in the previous 7\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Educational workshops aimed at improving midwives' confidence and capabilities in conducting suicide risk assessments, developing safety plans and understanding referral pathways were completed. Changes to medical documentation in relation to risk assessment and follow\u2010up actions were reviewed pre\u2010 and post\u2010 the education sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Midwives' (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009115) self\u2010reported knowledge and confidence increased from pre\u2010 to post\u2010education. Pre\u2010intervention, 86 (5.87%) antenatal women answered question ten positively on the EPDS. Medical documentation revealed that more midwives were able to screen for the frequency and persistence of suicidal thoughts following the training.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While education enhanced knowledge and confidence as well as resulted in improvements to some risk assessment practices, further systemic and organisational support may be necessary to achieve consistent and comprehensive risk assessments and adherence to recommended follow\u2010up actions in clinical practice. The study underscores the critical role of continuous training for midwives in self\u2010harm\/suicide assessment, particularly given the significant maternal mortality associated with suicide.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70180","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T03:27:06Z","timestamp":1788492426000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self\u2010Harm and Suicidal Ideation in Pregnancy: The Impact of Education on Knowledge, Confidence and Documentation Related to Screening and Follow\u2010Up to Question Ten\u2010Positive on the Edinburgh Postnatal Depression Scale"],"prefix":"10.1111","volume":"66","author":[{"given":"Wee Ming","family":"Wong","sequence":"first","affiliation":[{"name":"Mental Health and Specialist Services Gold Coast Health  Southport Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9920-3845","authenticated-orcid":false,"given":"Ching Mei","family":"Loo","sequence":"additional","affiliation":[{"name":"Mental Health and Specialist Services Gold Coast Health  Southport Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Roberts","sequence":"additional","affiliation":[{"name":"Mental Health and Specialist Services Gold Coast Health  Southport Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6578-2718","authenticated-orcid":false,"given":"Grace","family":"Branjerdporn","sequence":"additional","affiliation":[{"name":"Mental Health and Specialist Services Gold Coast Health  Southport Australia"},{"name":"Faculty of Health Sciences and Medicine Bond University, University Drive  Robina Australia"},{"name":"Mater Research Institute, the University of Queensland  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/00048674221101517"},{"key":"e_1_2_9_3_1","unstructured":"M. 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