<p><span class="fontstyle0">Pregnancy is a period in the life of a woman that requires special attention due to the various physical, hormonal, psychological and social insertion changes. In this context, we thought about the following guiding question: Do high-risk pregnant women in Alagoas have high levels of anxiety trait and/or state, risk of depression and suicidal ideation? This study aims to evaluate the levels of anxiety trait and state, risk of depression and suicidal ideation in high-risk pregnant women, assisted by the health service of Alagoas, Brazil. It is a cross-sectional, descriptive study with quantitative approach. The research was conducted with a sample of 247 high-risk pregnant women in the four and only reference ambulatory clinics for high-risk pregnancy in the State of Alagoas. Four data collection instruments were used: Identification form, Anxiety Inventory, Depression Scale and Suicidal Ideation Scale. Descriptive Analysis through relative frequency, bivariate analysis through chi-square, Kolmogorov-Smirnov, Mann-Whitney and Pearson’s correlation. Regarding the level of anxiety, state anxiety was classified as high (9.7%), moderate (53.4%) and low (36.8%) and trait anxiety was classified as high 7.7%, moderate 59.5% and low 32.8%. A total of 62.8% pregnant women at risk for depression and 2.4% with suicidal ideation were identified. The higher the risk for depression, the greater the risk of having anxiety trait/state moderate and high (p &lt; 0.00). The main risk factors found in this study are low schooling, low family income and non-pregnancy planning.<br />There was no relationship between depression and suicide attempt in high-risk pregnant women. The study shows that<br />high-risk pregnant women have moderate/high trait/state anxiety and risk for depression</span> <br /><br /></p>