People with premenstrual dysphoric disorder—a more serious form of premenstrual syndrome—are more likely to experience suicidal thoughts and behaviors than people without it, according to a systematic review published in Administration and Policy in Mental Health and Mental Health Services Research. The review examined 18 studies spanning more than 2 million people who menstruate.
In a study of adolescents with PMDD, almost one-third of participants reported suicidal thoughts or behaviors. Similarly, in a study of adult women with the condition, a quarter of respondents reported thinking about, considering or planning suicide. Rates were high in women who lived with PMDD alongside other mood disorders, such as depression. Reported rates of suicidal thoughts and behaviors varied considerably—from as low as 0.011% in a large group of people with premenstrual disorders to as high as 86% in a worldwide group of patients with confirmed PMDD—suggesting that results depend heavily on how studies were conducted, who was included, and how the disorder was measured.
PMDD is a long-term condition, officially recognized in 2013, that may affect up to 6% of people who have periods. A formal diagnosis requires that people track their symptoms and rate them against specific criteria over at least two menstrual cycles. Evidence-based treatments for PMDD can improve well-being, including antidepressants, hormonal contraceptives, hormone-blocking agents, cognitive behavioral therapy and lifestyle changes such as dietary modifications and exercise. For people living with PMDD and their caregivers, seeking support is essential. The 988 Suicide & Crisis Lifeline offers free, confidential support available 24/7.
This article is an AI-assisted summary. All facts and figures are drawn from the original report: https://www.arcamax.com/healthtips/s-4093006