{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:44:34Z","timestamp":1787244274335,"version":"build-2736575974"},"reference-count":57,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T00:00:00Z","timestamp":1629849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005068","name":"jimma university","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005068","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Suicidal ideation (SI) among pregnant women is a major public health concern worldwide and is associated with a higher risk of completed suicide. However, there are limited studies that determined the prevalence and the potential determinants of suicidal ideation in Sub-Saharan Africa, including Ethiopia. Therefore, this study aimed to explore the prevalence of suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma, Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An institutional-based cross-sectional study was conducted among 423 pregnant women attending Jimma medical center in Southwest, Ethiopia. A systematic random sampling technique was used to select the study participants. Suicidal ideation assessed using the Suicidality Module of the World Mental Health survey initiative version of the World Health Organization Composite International Diagnostic Interview (CIDI). Other tools used are EPDS, Abuse Assessment Scale (AAS), DASS -21, PSS, Maternity Social Support Scale (MSSS), and Pittsburgh Sleep Quality Index (PSQI). A multivariable logistic regression analysis was used to explore the potential determinants of suicidal ideation among the participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>The prevalence of SI among women who are on antenatal care was found to be 13.3% (95% CI (10.1,16.4). In multivariable analysis, marital status with lack of cohabiting partners (AOR = 2.80,95%CI:1.23,6.37), history of abortion (AOR = 2.45,95% CI:1.03,5.93), having depression (AOR = 4.28,95% CI:1.75,10.44),anxiety(AOR = 2.99,95% CI:1.24,7.20), poor sleep quality (AOR = 2.85,95% CI:1.19,6.79), stress (AOR = 2.50, 95% CI:1.01,5.67), and intimate partner violence (AOR = 2.43, 95% CI:1.07,5.47) were found to be significant predictors of suicidal ideation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The prevalence of SI among pregnant women was found to be huge. Lack of cohabiting partners, previous history of abortion, depression, anxiety, intimate partner violence, poor sleep quality, and stress were variables that are independent predictors of suicidal ideation. Screening and interventions of antenatal SI are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0255746","type":"journal-article","created":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T13:41:58Z","timestamp":1629898918000},"page":"e0255746","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":24,"title":["Suicidal ideation and associated factors among pregnant women attending antenatal care in Jimma medical center, 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and Sadock\u2019s Synopsis of Psychiatry","volume":"70","author":"ES Rofman","year":"2009","journal-title":"J Clin Psychiatry"},{"key":"pone.0255746.ref002","article-title":"Practice Guideline for the Assessment and Treatment of Patients With Suicidal Behaviors","year":"2007","journal-title":"APA Practice Guidelines for the Treatment of Psychiatric Disorders: Comprehensive Guidelines and Guideline Watches"},{"key":"pone.0255746.ref003","article-title":"Preventing suicide.","author":"WH Reid","year":"2010","journal-title":"Journal of Psychiatric Practice"},{"key":"pone.0255746.ref004","article-title":"2005-Updated_projections_of_global_mortality_and_burden_of_disease_2002\u20132030_data_sources_methods_and_results","author":"CD Mathers","year":"2002"},{"key":"pone.0255746.ref005","first-page":"2013","article-title":"Life cycle and suicidal behavior among women","author":"P Mendez-Bustos","year":"2013","journal-title":"Sci World J."},{"key":"pone.0255746.ref006","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1192\/bjp.183.4.279","article-title":"Suicide: the leading cause of maternal death","volume":"183","author":"M Oates","year":"2003","journal-title":"Br J Psychiatry"},{"key":"pone.0255746.ref007","doi-asserted-by":"crossref","first-page":"233","DOI":"10.4103\/0019-5545.161484","article-title":"Suicide in women","volume":"57","author":"L Vijayakumar","year":"2015","journal-title":"Indian J Psychiatry"},{"key":"pone.0255746.ref008","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1007\/s00737-007-0192-x","article-title":"Suicidal ideation in pregnancy: Assessment and clinical implications","volume":"10","author":"DJ Newport","year":"2007","journal-title":"Arch Womens Ment Health"},{"key":"pone.0255746.ref009","first-page":"2012","article-title":"Practice Clinical images\u2014Lingua plicata","volume":"184","author":"L Nisa","year":"2012","journal-title":"Cmaj"},{"key":"pone.0255746.ref010","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1007\/s00737-016-0706-5","article-title":"Perinatal suicidal ideation and behaviour: psychiatry and adversity","volume":"20","author":"MN Onah","year":"2017","journal-title":"Arch Womens Ment Health"},{"key":"pone.0255746.ref011","doi-asserted-by":"crossref","first-page":"216","DOI":"10.21608\/ZUMJ.2019.26922","article-title":"Prevalence and Associated Factors of Suicide Among Pregnant Women At Zagazig University Hospitals","volume":"25","author":"M Moustafa","year":"2019","journal-title":"Zagazig Univ Med J"},{"key":"pone.0255746.ref012","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.genhosppsych.2011.09.017","article-title":"Mental health, substance use and intimate partner problems among pregnant and postpartum suicide victims in the National Violent Death Reporting System","volume":"34","author":"KJ 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Gynecol"},{"key":"pone.0255746.ref016","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1007\/s00737-016-0646-0","article-title":"Suicidal ideation in pregnancy: an epidemiologic review","volume":"19","author":"B Gelaye","year":"2016","journal-title":"Arch Womens Ment Health"},{"key":"pone.0255746.ref017","doi-asserted-by":"crossref","first-page":"501.e1","DOI":"10.1016\/j.ajog.2016.04.052","article-title":"Childhood abuse and suicidal ideation in a cohort of pregnant Peruvian women","volume":"215","author":"QY Zhong","year":"2016","journal-title":"Am J Obstet Gynecol"},{"key":"pone.0255746.ref018","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1007\/s00737-015-0515-2","article-title":"Intimate partner violence and suicidal ideation in pregnant women","volume":"18","author":"JL Alhusen","year":"2015","journal-title":"Arch Womens Ment Health"},{"key":"pone.0255746.ref019","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13033-019-0262-2","article-title":"Help-seeking behaviour for depressive disorders among adult cardiovascular outpatient cardiac clinic Jimma University Teaching Hospital, Jimma, South-West Ethiopia: Crosssectional study","volume":"13","author":"A Belete","year":"2019","journal-title":"Int J Ment Health Syst."},{"key":"pone.0255746.ref020","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1192\/bjp.150.6.782","article-title":"Detection of Postnatal Depression: Development of the 10-item Edinburgh Postnatal Depression scale","volume":"150","author":"JL Cox","year":"1987","journal-title":"Br J Psychiatry"},{"key":"pone.0255746.ref021","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1080\/02646839008403615","article-title":"Screening for Depression During Pregnancy with the Edinburgh Depression Scale (EPDS).","volume":"8","author":"D Murray","year":"1990","journal-title":"J Reprod Infant Psychol"},{"key":"pone.0255746.ref022","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1016\/j.ijnurstu.2010.02.005","article-title":"Validation of the Mainland Chinese version of the Edinburgh Postnatal Depression Scale in Chengdu mothers","volume":"47","author":"Y Lau","year":"2010","journal-title":"Int J Nurs Stud"},{"key":"pone.0255746.ref023","doi-asserted-by":"crossref","first-page":"414","DOI":"10.3109\/08039488.2011.590606","article-title":"The Swedish validation of Edinburgh Postnatal Depression Scale (EPDS) during pregnancy","volume":"65","author":"C Rubertsson","year":"2011","journal-title":"Nord J Psychiatry"},{"key":"pone.0255746.ref024","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/j.jad.2007.10.023","article-title":"Detecting perinatal common mental disorders in Ethiopia: Validation of the self-reporting questionnaire and Edinburgh Postnatal Depression Scale","volume":"108","author":"C Hanlon","year":"2008","journal-title":"J Affect Disord"},{"key":"pone.0255746.ref025","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1007\/s10995-009-0459-0","article-title":"Prevalence and correlates of depression in pregnancy among Turkish women","volume":"14","author":"Z Golbasi","year":"2010","journal-title":"Matern Child Health J"},{"key":"pone.0255746.ref026","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/0005-7967(94)00075-U","article-title":"The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories","volume":"33","author":"PF Lovibond","year":"1995","journal-title":"Behav Res Ther"},{"key":"pone.0255746.ref027","doi-asserted-by":"crossref","first-page":"3176","DOI":"10.1001\/jama.1992.03480230068030","article-title":"Assessing for Abuse During Pregnancy: Severity and Frequency of Injuries and Associated Entry Into Prenatal Care","volume":"267","author":"J McFarlane","year":"1992","journal-title":"JAMA J Am Med Assoc"},{"key":"pone.0255746.ref028","doi-asserted-by":"crossref","first-page":"33","DOI":"10.3922\/j.psns.2014.1.06","article-title":"Psychological adjustment in children with episodic migraine: A population-based study","volume":"7","author":"MA Arruda","year":"2014","journal-title":"Psychol Neurosci"},{"key":"pone.0255746.ref029","doi-asserted-by":"crossref","first-page":"2","DOI":"10.2307\/2136404","article-title":"Cohen Perceived Stress.","volume":"24","author":"S Cohen","year":"1983","journal-title":"J Heal Soc Behav"},{"key":"pone.0255746.ref030","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13104-019-4383-0","article-title":"Perceived stress and its associated factors among pregnant women in Bale zone Hospitals, Southeast Ethiopia: A cross-sectional study","volume":"12","author":"NA Engidaw","year":"2019","journal-title":"BMC Res Notes"},{"key":"pone.0255746.ref031","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13104-020-4901-0","article-title":"Perceived work-related stress and its associated factors among public secondary school teachers in Gondar city: A cross-sectional study from Ethiopia","volume":"13","author":"GG Kabito","year":"2020","journal-title":"BMC Res Notes."},{"key":"pone.0255746.ref032","first-page":"1","article-title":"Assessment of Perceived Stress Level and Associated Factors among Health Science Students at Debre Birehane University, North Shoa Zone of Amhara Region, Ethiopia","volume":"4","author":"WE Madebo","year":"2016","journal-title":"Heal Care Curr Rev"},{"key":"pone.0255746.ref033","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1046\/j.1523-536x.2000.00097.x","article-title":"Measuring social support in pregnancy: Can it be simple and meaningful?","volume":"27","author":"J Webster","year":"2000","journal-title":"Birth"},{"key":"pone.0255746.ref034","first-page":"193","article-title":"PSQI article.pdf","volume":"28","author":"DJ Buysse","year":"1998","journal-title":"Psychiatry Res"},{"key":"pone.0255746.ref035","first-page":"13","article-title":"The World Mental Health (WMH) Sur v e y Initiati v e Version of the World Health Organi z ation (WHO) Composite International Diagnostic Inter v ie w (CIDI).","author":"RC Kessler","year":"1981","journal-title":"Int J Methods Psychiatr Res"},{"key":"pone.0255746.ref036","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2019\/4149806","article-title":"Suicidal Ideation, Attempt, and Associated Factors among Patients with Tuberculosis in Ethiopia: A Cross-Sectional Study.","volume":"2019","author":"A Molla","year":"2019","journal-title":"Psychiatry J"},{"key":"pone.0255746.ref037","first-page":"1","article-title":"Suicide ideation and attempts among people with epilepsy in Addis Ababa, Ethiopia.","volume":"17","author":"K Haile","year":"2018","journal-title":"Ann Gen Psychiatry"},{"key":"pone.0255746.ref038","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2017\/2301524","article-title":"Prevalence and Associated Factors of Suicidal Ideation and Attempt among People Living with HIV\/AIDS at Zewditu Memorial Hospital, Addis Ababa, Ethiopia: A Cross-Sectional Study","volume":"2017","author":"EH Gebremariam","year":"2017","journal-title":"Psychiatry J."},{"key":"pone.0255746.ref039","first-page":"2016","article-title":"Suicidal Ideation, Attempt, and Determining Factors among HIV\/AIDS Patients, Ethiopia","author":"H Bitew","year":"2016","journal-title":"Depress Res Treat"},{"key":"pone.0255746.ref040","doi-asserted-by":"crossref","first-page":"2856","DOI":"10.1109\/TMTT.2006.875454","article-title":"Reconfigurable circularly polarized antenna for short-range communication systems","volume":"54","author":"H A\u00efssat","year":"2006","journal-title":"IEEE Trans Microw Theory Tech"},{"key":"pone.0255746.ref041","doi-asserted-by":"crossref","first-page":"387","DOI":"10.2190\/PM.46.4.e","article-title":"Diagnostic validity of the composite international diagnostic interview (CIDI) depression module in an east African population","volume":"46","author":"B Gelaye","year":"2013","journal-title":"Int J Psychiatry Med"},{"key":"pone.0255746.ref042","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/0376-8716(89)90062-8","article-title":"The reliability and validity of the WHO student drug-use questionnaire among Nigerian students","volume":"24","author":"ML Adelekan","year":"1989","journal-title":"Drug Alcohol Depend"},{"key":"pone.0255746.ref043","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0924-9338(13)77287-0","article-title":"2660 \u2013Suicidal ideation during pregnancy and risk factors for depressive symptoms in postpartum: a cohort study in a disadvantaged population in brazil","volume":"28","author":"AP Pinheiro","year":"2013","journal-title":"Eur Psychiatry"},{"key":"pone.0255746.ref044","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.3109\/00016349.2010.526185","article-title":"Prevalence of suicidal thoughts and attempts among pregnant Pakistani women","volume":"89","author":"N Asad","year":"2010","journal-title":"Acta Obstet Gynecol Scand"},{"key":"pone.0255746.ref045","first-page":"1241","article-title":"Parental bonding and suicidality in pregnant teenagers: A population-based study in southern Brazil.","volume":"49","author":"FMDC Coelho","year":"2014","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"pone.0255746.ref046","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1007\/s10597-012-9495-0","article-title":"Suicidality and associated factors in pregnant women in Brazil.","volume":"48","author":"RA Da Silva","year":"2012","journal-title":"Community Ment Health 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clinic","volume":"256","author":"KM Tabb","year":"2019","journal-title":"J Affect Disord"},{"key":"pone.0255746.ref050","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1007\/s00737-016-0660-2","article-title":"Suicidality in early pregnancy among antepartum mothers in urban India","volume":"19","author":"TA Supraja","year":"2016","journal-title":"Arch Womens Ment Health"},{"key":"pone.0255746.ref051","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1007\/s00737-015-0552-x","article-title":"Suicidality among pregnant women in Brazil: prevalence and risk factors","volume":"19","author":"T Castro e Couto","year":"2016","journal-title":"Arch Womens Ment Health"},{"key":"pone.0255746.ref052","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.genhosppsych.2015.04.014","article-title":"Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women","volume":"37","author":"B Gelaye","year":"2015","journal-title":"Gen Hosp Psychiatry"},{"key":"pone.0255746.ref053","doi-asserted-by":"crossref","first-page":"e2083","DOI":"10.25248\/reas.e2083.2020","article-title":"The pregnancy as protection for suicidal behavior: a population-based study in south Brazil","volume":"12","author":"JP Trettim","year":"2020","journal-title":"Rev Eletr\u00f4nica Acervo Sa\u00fade"},{"key":"pone.0255746.ref054","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1038\/sj.mp.4000856","article-title":"Association between violent suicidal behavior and the low activity allele of the serotonin transporter gene","volume":"6","author":"P Courtet","year":"2001","journal-title":"Mol Psychiatry"},{"key":"pone.0255746.ref055","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1080\/17437199.2012.752659","article-title":"Coping during pregnancy: a systematic review and recommendations","volume":"8","author":"CM Guardino","year":"2014","journal-title":"Health Psychol 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