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Survey study, 2026

Are PMS and PMDD linked to suicidal thoughts and violence toward family?

Yes. Women with moderate-to-severe PMS had 1.76 times higher risk of suicidal thoughts, and women with PMDD had 1.88 times higher risk. Women with PMDD had 3.04 times higher likelihood of violence toward family.

Moderate study design 5439 Japanese women aged 18-44 who menstruated within the past year

What they did

A nationwide online survey of 5439 Japanese women aged 18-44 who had menstruated in the past year. Researchers assessed PMS and PMDD and asked about suicidal thoughts and violence toward family in the past year.

What they found

10.7% had moderate-to-severe PMS and 4.8% had PMDD. 20.0% reported suicidal thoughts and 3.2% reported violence toward family. Moderate-to-severe PMS was linked to 1.76-fold higher suicidal ideation risk (95% CI 1.55-1.99) and 1.90-fold higher violence odds (95% CI 1.25-2.88). PMDD was linked to 1.88-fold higher suicidal ideation (95% CI 1.62-2.17) and 3.04-fold higher violence odds (95% CI 1.88-4.91).

What it means for you

PMS and especially PMDD are linked to serious mental health and safety concerns. The main limitation is this is an observational study, so we cannot prove PMS causes these outcomes.

1.76

fold higher suicidal ideation with moderate-to-severe PMS

3.04

fold higher violence odds with PMDD

4.8%

women with PMDD diagnosis

About the study

Original title
Association of premenstrual syndrome and premenstrual dysphoric disorder with suicidal ideation and violence toward family members in Japan
Authors
Furuya M, Maeda Y, Tani Y et al.
Journal
Journal of affective disorders
Year
2026
Study design
Survey study
Participants
5,439
What was tested
None - observational study

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