Interaction of Supportive Staff with Patients Based on Lessons Learned from Cases of Suicide and Planned Suicide During Pregnancy and the Postnatal Period Ikumi NAKAITA 1 , Shinya SANO 2 1National Institute of Public Health, Department of Public Health Nursing 2National Defense Medical College, Psychology Keyword: 妊娠期 , 産褥期 , 産後うつ病 , 自殺 , 児童虐待 , pregnancy period , postnatal period , postnatal depression , suicide , child abuse&neglect pp.33-41
Published Date 2009/10/1
DOI https://doi.org/10.11477/mf.7011200011
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To review the assistance of public health nurses provided to patients suffering from psychiatric conditions during pregnancy and the postnatal period and to clarify the role to be played and the assistance to be provided by supportive staff.


A public health nurse with much experience conducted interviews of public health nurses who have dealt with cases of planned suicide during pregnancy and the postnatal period (September 2007 to January 2008).


Reports were received of 7 patients who committed suicide and 1 patient that attempted suicide and remains in a coma. Seven of the 8 patients were recognized to have had previous incidents of depression or depressive symptoms during pregnancy and 6 of those patients had a history of psychiatric treatments. In all cases they exhibited signs of planning suicide. Five of the patients had unwanted pregnancies. Many of the patients lacked a sufficient support system from family members during pregnancy and the postnatal period and had interpersonal conflicts with relatives. Four did not want to go home but were forced to return to their parent's home around the time of the birth. Five were involved in unsuitable childcare or child abuse which was attributed to their family environment.


1) Understand the signs of psychiatric disorders in mothers during pregnancy and the postnatal period and, in particular, be aware of involvement that crosses government administrative borders when information is received that a patient has a history of psychiatric disorders or is having an unwanted pregnancy and must return to her parent's home for a long period of time. 2) Public health nurses will share information with obstetrics department, pediatric department, and psychiatry department to create an environment that will allow evaluation of the treatment environment.

Copyright © 2009, The Japan Maternal and Infant Caring Association All rights reserved.


電子版ISSN 印刷版ISSN 1882-2495 日本母子看護学会