---
title: Are PMS and PMDD linked to suicidal thoughts and violence toward family?
description: 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.
url: https://niyora.com/research/papers/association-of-premenstrual-syndrome-and-premenstrual-dysphoric-disorder-with-2026/
---

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

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 Read the paper [doi.org/10.1016/j.jad.2026.121474](https://doi.org/10.1016/j.jad.2026.121474)

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Suicidality](https://niyora.com/research/topics/symptom-suicidality/)[Legal and forensic](https://niyora.com/research/topics/life-area-legal-crime/)

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## Related studies

Interview study, 2025

How common is suicidal thinking in women with PMDD?

Systematic review, 2021

Are women with PMS or PMDD more likely to think about or attempt suicide?

Systematic review, 2021

Does PMDD increase the risk of suicidality?

Survey study, 2026

How common are PMS and PMDD in teenagers, and can a new questionnaire measure their impact?

Cohort study, 2026

Does suicidal thinking and self-harm follow the menstrual cycle in PMDD?

Cohort study, 2023

Does the menstrual cycle affect how often women have suicidal thoughts?

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