Intento de suicidio en adolescentes: factores asociados

Dávila-Cervantes, Claudio Alberto; Luna-Contreras, Marisol

doi:10.32641/andespediatr.v90i6.1012

Cited by 20 publications

(19 citation statements)

References 24 publications

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“…In recent years, NSSI and suicide have attracted attention as major public health concerns in young adults due to their growing trend in this age group with MDD [ 40 , 41 ]. Along with the extensive studies on the psychosocial correlates of NSSI and SAs [ 42 ], the longitudinal risk factors for NSSI and SA have also been recently researched [ 43 – 46 ]. However, NSSI and SAs are distinct behaviors in terms of clinical presentation and history, despite having a high co-occurrence rate in adolescents and young adults.…”

Section: Discussionmentioning

confidence: 99%

Distinct correlation network of clinical characteristics in suicide attempters having adolescent major depressive disorder with non-suicidal self-injury

Peng,

Wang,

Zuo

et al. 2024

Transl Psychiatry

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Suicidal behavior and non-suicidal self-injury (NSSI) are common in adolescent patients with major depressive disorder (MDD). Thus, delineating the unique characteristics of suicide attempters having adolescent MDD with NSSI is important for suicide prediction in the clinical setting. Here, we performed psychological and biochemical assessments of 130 youths having MDD with NSSI. Participants were divided into two groups according to the presence/absence of suicide attempts (SAs). Our results demonstrated that the age of suicide attempters is lower than that of non-attempters in participants having adolescent MDD with NSSI; suicide attempters had higher Barratt Impulsiveness Scale (BIS-11) impulsivity scores and lower serum CRP and cortisol levels than those having MDD with NSSI alone, suggesting levels of cortisol and CRP were inversely correlated with SAs in patients with adolescent MDD with NSSI. Furthermore, multivariate regression analysis revealed that NSSI frequency in the last month and CRP levels were suicidal ideation predictors in adolescent MDD with NSSI, which may indicate that the increased frequency of NSSI behavior is a potential risk factor for suicide. Additionally, we explored the correlation between psychological and blood biochemical indicators to distinguish suicide attempters among participants having adolescent MDD with NSSI and identified a unique correlation network that could serve as a marker for suicide attempters. Our research data further suggested a complex correlation between the psychological and behavioral indicators of impulsivity and anger. Therefore, our study findings may provide clues to identify good clinical warning signs for SA in patients with adolescent MDD with NSSI.

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Section: Discussionmentioning

confidence: 99%

Distinct correlation network of clinical characteristics in suicide attempters having adolescent major depressive disorder with non-suicidal self-injury

Peng,

Wang,

Zuo

et al. 2024

Transl Psychiatry

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“…The occurrence of NSSI was 2.007 times (OR = 2.007, 95% CI 1.383–2.911) higher in drinking students than in nondrinking students. Smoking and alcohol consumption are associated with adverse life events ( 47 , 48 ). And these events can increase the risk of self-injury ( 49 ).…”

Section: Discussionmentioning

confidence: 99%

The relationship between depressive mood and non-suicidal self-injury among secondary vocational school students: the moderating role of borderline personality disorder tendencies

Lu,

Chen,

Yan

et al. 2023

Front. Psychiatry

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BackgroundNon-suicidal self-injury (NSSI) has become an important public health issue of global concern, often occurring in adolescents, and depressive mood is closely related to NSSI. In addition, NSSI is considered a symptom of borderline personality disorder. It has been found that adolescents in secondary vocational schools are more vulnerable to behavior and emotional disorders than those in general high schools. This study investigated the risk factors associated with NSSI affecting secondary vocational school students and analyzed the role of borderline personality disorder tendencies in promoting the occurrence of NSSI among students with depressive moods.MethodsA total of 1,848 Chinese secondary vocational students completed a self-report questionnaire. The homemade NSSI behavior questionnaire, Patient Health Questionnaire-9 and Personality Diagnostic Questionnaire-4 were used in this survey. Binary logistic regression and PROCESS software analysis were used to explore the influencing factors associated with NSSI and to test for moderating effects.ResultsFemale (OR = 3.412, 95% CI 2.301–5.060), drinking history (OR = 2.007, 95% CI 1.383–2.911), history of suicidal death exposure (OR = 3.161, 95% CI 1.999–4.999), depressive mood (OR = 2.436, 95% CI 1.668–3.558) and borderline personality disorder tendencies (OR = 2.558, 95% CI = 1.764–3.711) were independent risk factors for NSSI. Borderline personality disorder tendencies (B = 0.047, p = 0.000) moderated the relationship between depressive mood and NSSI. The stronger the borderline personality tendencies, the more NSSI behavior occurred when they were depressive.ConclusionsBorderline personality disorder tendencies in secondary vocational school adolescents significantly enhance the association of depressive mood with NSSI. There is a moderating role for borderline personality disorder tendencies in depressive mood and NSSI.

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“…En Colombia se han desarrollado estrategias transectoriales para fomentar la salud mental y disminuir los casos de intentos de suicidio y de suicidios en todas las etapas del ciclo vital, como es el caso de la Política Nacional de Salud Mental del año 2018, la cual incluye la salud mental en la niñez y adolescencia, considerando a la conducta suicida, como una de las afectaciones de salud mental de mayor relevancia (15). De igual manera, como parte central de la Política Nacional de Infancia y Adolescencia 2018 -2030, se integran los temas relacionados con la salud mental, con un enfoque dirigido hacia la protección y el desarrollo integral de esta población (16).…”

Section: Discussionunclassified

Comportamiento epidemiológico del intento de suicidio en niños y adolescentes, Colombia 2016-2020

et al. 2022

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Antecedentes: El intento de suicidio es un evento de interés en salud pública, en vigilancia desde el año 2016 en Colombia y se caracteriza como una conducta lesiva auto infringida sin resultado fatal, que necesita ser estudiada más ampliamente en niños y adolescentes. Objetivo: Analizar el comportamiento epidemiológico del intento de suicidio en niños y adolescentes en Colombia durante los años 2016 al 2020. Métodos: Estudio cuantitativo-descriptivo de tipo ecológico. Se analizaron 14 651 reportes de infantes y adolescentes (de 6 a 17 años) con intento de suicidio en Colombia entre los años 2016 a 2020. Resultados: El intento de suicidio se presentó con mayor frecuencia en población de 15 a 17 años (n=11 931; 81.4 %), de régimen subsidiado (n=7.881; 53.8 %), de cabecera municipal (n=11 624; 79.3 %); la condición de vulnerabilidad más frecuente fue la discapacidad (n=363; 43.5 %); los factores de riesgo identificados fueron el ser mujer (OR=3.69; IC – 95 %: 3.83 – 3.88) y vivir en cabecera municipal (OR=1.48; IC – 95 %: 1.42 – 1.54). La prevalencia de intento de suicidio oscilo entre 0.004 % y 0.051 %; la tasa de intento de suicidio oscila entre 0.4 y 5.3 casos por cada 10 000 habitantes. Los departamentos con mayor número de reportes son Antioquia (n=2 246; 15.3 %) y Valle del Cauca (n=1 449; 9.9 %). Conclusiones: El intento de suicidio en niños y adolescentes se caracteriza por la presencia de determinantes sociales desfavorables como el pertenecer al régimen subsidiado, el ser mujer y vivir en la cabecera municipal, la pertenencia étnica y ser parte de poblaciones con condiciones de vulnerabilidad (ser migrante, víctima de la violencia, desplazado, entre otras); estas características requieren considerarse en todas las estrategias en la prevención de este fenómeno.

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Intento de suicidio en adolescentes: factores asociados

Cited by 20 publications

References 24 publications

Distinct correlation network of clinical characteristics in suicide attempters having adolescent major depressive disorder with non-suicidal self-injury

Distinct correlation network of clinical characteristics in suicide attempters having adolescent major depressive disorder with non-suicidal self-injury

The relationship between depressive mood and non-suicidal self-injury among secondary vocational school students: the moderating role of borderline personality disorder tendencies

Comportamiento epidemiológico del intento de suicidio en niños y adolescentes, Colombia 2016-2020

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