ArticlePloS one2025
Premenstrual dysphoric disorder and its co-existence with depression, anxiety, and stress as risk factors for suicidal ideation and suicide attempts among university students in Bangladesh: A single-site survey.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Prevalence and severity of premenstrual tension syndrome and its impact on academic performance among female university students in Bangladesh: a cross-sectional study.BMC public health · 2026Article
- The Correlation between BASNEF Model Constructs, Mental Health, and Severity of Premenstrual Syndrome in Adolescents: A Structural Equation Modeling.International journal of school health · 2026Article
- Prevalence and severity of anxiety, depression, and stress among optometry students in Nigeria: A cross-sectional study.PloS one · 2026Article
- Fear of childbirth in primipara women and its correlation with premenstrual syndrome: A cross-sectional study.PloS one · 2025Article
- Prevalence of premenstrual syndrome, premenstrual dysphoric disorder, and dysmenorrhea in nursing students: a systematic review, meta-analysis, and evidence-based recommendations.Frontiers in global women's health · 2025Review
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Abstract
backgroundPremenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) have been identified as potential risk factors for various mental health issues, such as suicidal ideation and attempts. However, few studies have examined this association among Bangladeshi university students. This study aimed to examine the potential associations between PMDD and its co-existence with depression, anxiety, stress, and various suicidal behaviors, including suicidal ideation and attempts.
methodsA cross-sectional survey involving 516 university students was conducted between September and October 2023. The survey was carried out in person and employed a structured questionnaire that comprised demographic information; the Depression, Anxiety, and Stress Scale (DASS-21); and the Premenstrual Symptoms Screening Tool (PSST), a 19-item screening tool for premenstrual symptoms. Multivariable logistic regression analyses were conducted to examine the relationships between variables.
resultsIn the present study, participants with PMDD reported a prevalence of 38.8% for past-year suicidal ideation and 28.6% for suicide attempts. Through logistic regression analysis, we found a significant association between moderate/severe PMS and PMDD and a higher likelihoods of reporting suicidal ideation (AOR = 4.73; 95% CI 2.08-10.73 and AOR = 5.42; 95% CI 2.02-10.52) and suicide attempts (AOR = 3.77; 95% CI 1.36-10.50 and AOR = 4.07; 95% CI 1.22-15.56). The association between suicidal behaviors and PMS/PMDD was mediated by co-existing conditions such as depression, anxiety, and stress.
conclusionsA notable proportion of individuals diagnosed with PMDD reported experiencing suicidal ideation or engaging in suicide attempts at some point in their lives. The findings of this research support the importance of conducting regular assessments of suicidal risk among women experiencing moderate to severe premenstrual disturbance. Furthermore, it is crucial to integrate mental health screenings and implement psychosocial interventions specifically designed for women diagnosed with PMS or PMDD and those with co-existing depression, anxiety, and stress alongside PMS/PMDD.
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