FACTORES PSICOPATOLÓGICOS DE RIESGO EN INTENTOS DE SUICIDIO
DOI:
https://doi.org/10.22235/cp.v11i2.1350Palabras clave:
, intento de suicidio, factores de riesgo, psicopatología, autolisis, urgencias médicasResumen
Este estudio caracterizó el factor psicopatológico de riesgo en intentos suicidas asistidos en el servicio de urgencia de un hospital general de Jujuy, Argentina. El estudio fue de tipo epidemiológico, de diseño descriptivo transversal. Las fuentes de datos fueron los registros de asistencias psicológicas durante 2007-2008 y 2011-2012. Del total de intentos suicidas (N = 481), el 19.54% había intentado suicidarse anteriormente, mientras que el 28.07% tenía diagnóstico de trastorno mental, de los cuales el 56.30% recibía tratamiento al momento del intento suicida. Trastornos del ánimo, especialmente depresivos, y Trastornos relacionados con sustancias fueron los diagnósticos más frecuentes. Se hallaron diferencias significativas según marcadores demográficos (sexo-edad) que deben ser consideradas en investigaciones futuras. Los resultados mostraron que el factor psicopatológico de riesgo suicida es mucho menos prevalente en la casuística local comparado con reportes en poblaciones foráneas. Los hallazgos relativizan la importancia del factor psicopatológico de riesgo en intentos suicidas.
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Álvarez Cáceres, R. (2007). Estadística aplicada a las ciencias de la salud. Madrid: Ediciones Díaz de Santos.
Arsenault-Lapierre, G., Kim, C. & Turecki, G. (2004). Psychiatric diagnoses in 3275 suicides: a meta-analysis. BioMed Central Psychiatry, 4(37). Recuperado de http://www.biomedcentral.com/1471-244X/4/37. doi: 10.1186/1471-244x-4-37
Asociación Americana de Psiquiatría (2002). Manual Diagnóstico y Estadístico de los Trastornos Mentales, texto revisado (DSM-IV-TR). Buenos Aires: Masson.
Baldessarini, R. J., Pompili, M., & Tondo, L. (2006). Suicide in bipolar disorder: Risks and management. CNS Spectrums, 11(6), 465-471. doi: 10.1017/S1092852900014681
Basterra Gabarró, M. (1999). El cumplimiento terapéutico. Pharmaceutical Care España, 1, 97-106.
Beautrais, A. L. (2000). Risk factors for suicide and attempted suicide among young people. Australian and New Zealand Journal of Psychiatry, 34(3), 420-436. doi: 10.1007/0-306-47150-7_23
Beautrais, A. L. (2001). Suicides and serious suicide attempts: Two populations or one? Psychological Medicine, 31(5), 837-845. doi: 10.1017/s0033291701003889
Beautrais, A. L., Joyce, P. R., Mulder, R. T., Fergusson, D. M., Deavoll, B. J., & Nightingale, S. K. (1996). Prevalence and comorbidity of mental disorders in persons making serious suicide attempts: A case-control study. The American Journal of Psychiatry, 153(8), 1009-1014. doi: 10.1176/ajp.153.8.1009
Bener, A., Dafeeah, E. E., & Salem, M. O. (2013). A study of reasons of non-compliance of psychiatric treatment and patients’ attitudes towards illness and treatment in Qatar. Issues in Mental Health Nursing, 34(4), 273-280. doi: 10.3109/01612840.2012.745039
Bolton, J. M., Pagura, J., Enns, M. W., Grant, B. & Sareen, J. (2010). A population-based longitudinal study of risk factors for suicide attempts in major depressive disorder. Journal of Psychiatric Research, 44(13), 817-826. doi: 10.1016/j.jpsychires.2010.01.003
Brent, D. A., Perper, J. A., Goldstein, C. E., Kolko, D. J., Allan, M. J., Allman, C. J., & Zelenak, J. P. (1988). Risk factors for adolescent suicide: A comparison of adolescent suicide victims with suicidal inpatients. Archives of General Psychiatry, 45(6), 581-588. doi: 10.1001/archpsyc.1988.01800300079011
Bridge, J. A., Goldstein, T. R., & Brent, D. A. (2006). Adolescent suicide and suicidal behavior. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 47(3-4), 372-394. doi: 10.1111/j.1469-7610.2006.01615.x
Carlborg, A., Winnerbäck, K., Jönsson, E. G., Jokinen, J. & Nordström, P. (2010). Suicide in schizophrenia. Expert Review of Neurotherapeutics, 10(7), 1153-1164. doi: 10.1586/ern.10.82
Colborn, V. A., La Croix, J. M., Neely, L. L., Tucker, J., Perera, K., Daruwala, S. E.,… Ghahramanlou-Holloway, M. (2017). Motor impulsivity differentiates between psychiatric inpatients with multiple versus single lifetime suicide attempts. Psychiatry Research, 253, 18-21. doi: 10.1016/j.psychres.2017.03.026
Diekstra, R. F. & Gulbinat, W. (1993). The epidemiology of suicidal behavior: A review of three continents. World Health Statistics Quarterly, 46(1), 52-68.
DiMatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment. Archives of Internal Medicine, 160(14), 2101-2107. doi: 10.1001/archinte.160.14.2101
Fergusson, D. M., Woodward, L. J., & Horwood, L. J. (2000). Risk factors and life processes associated with the onset of suicidal behavior during adolescence and early adulthood. Psychological Medicine, 30(1), 23-39. doi: 10.1017/s003329179900135x
Ferreri, F., Agbokou, C., Nuss, P., & Peretti, C. S. (2006). Clinique des états dépressifs. Encyclopédie Médico-Chirurgicale - Psychiatrie, E-37-110-A-10, 1-21.
Forman, E. M., Berk, M. S., Henriques, G. R., Brown, G. K., & Beck, A. T. (2004). History of multiple suicide attempts as a behavioral marker of severe psychopathology. The American Journal of Psychiatry, 161(3), 437-443. doi: 10.1176/appi.ajp.161.3.437
Franko, D. L. & Keel, P. K. (2006). Suicidality in eating disorders: Occurrence, correlates, and clinical implications. Clinical Psychology Review, 26(6), 769-782. doi: 10.1016/j.cpr.2006.04.001
Gaudiano, B. A., Weinstock, L. M., & Miller, I. W. (2008). Improving treatment adherence in bipolar disorder: A review of current psychosocial treatment efficacy and recommendations for future treatment development. Behavior Modification, 32(3), 267-301. doi: 10.1177/0145445507309023
González Pinto, A., Mosquera, F., Alonso, M., López, P., Ramírez, F., Vieta, E., & Baldessarini, R. J. (2006). Suicide risk in bipolar I disorder patients and adherence to long-term lithium treatment. Bipolar Disorders, 5(Pt 2), 618-624. doi: 10.1111/j.1399-5618.2006.00368.x
Groholt, B. & Ekeberg, O. (2009). Prognosis after adolescent suicide attempt: Mental health, psychiatric treatment, and suicide attempts in a nine-year follow-up study. Suicide & Life-Threatening Behavior, 39(2), 125-136. doi: 10.1521/suli.2009.39.2.125
Harris, E. C. & Barraclough, B. (1997). Suicide as an outcome for mental disorders: A meta-analysis. The British Journal of Psychiatry, 170(3), 205-228. doi: 10.1192/bjp.170.3.205
Haukka, J., Suominen, K., Partonen, T., & Lönngvist, J. (2008). Determinants and outcomes of serious attempted suicide: A nationwide study in Finland, 1996-2003. American Journal of Epidemiology, 167(10), 1155-1163. doi: 10.1093/aje/kwn017
Hawton, K., Casañas i Comabella, C., Haw, C. & Saunders, K. (2013). Risk factors for suicide in individuals with depression: A systematic review. Journal of Affective Disorders, 147(1-3), 17-28. doi: 10.1016/j.jad.2013.01.004
Hawton, K., Sutton, L., Haw, C., Sinclair, J., & Deeks, J. J. (2005). Schizophrenia and suicide: Systematic review of risk factors. The British Journal of Psychiatry, 187, 9-20. doi: 10.1192/bjp.187.1.9
Hawton, K. & Van Heeringen, K. (2009). Suicide. The Lancet, 373(9672), 1372-1381. doi: 10.1016/s0140-6736(09)60372-x
Hishinuma, E. S., Smith, M. D., McCarthy, K., Lee, M., Goebert, D. A., Sugimoto-Matsuda, J. J.,… Andrade, J. K. L. (2017). Longitudinal prediction of suicide attempts for a diverse adolescent sample of native Hawaiians, Pacific peoples, and Asian Americans. Archives of Suicide Research, 10 Jan 2017, 1-24. doi: 10.1080/13811118.2016.1275992
Johnson Fridell, E., Ojehagen, A., & Träskman-Bendz, L. (1996). A 5-year follow-up study of suicide attempts. Acta Psychiatrica Scandinavica, 93(3), 151-157. doi : 10.1111/j.1600-0447.1996.tb10622.x
Joiner, T. E. Jr. & Rudd, M. D. (2000). Intensity and duration of suicidal crises vary as a function of previous suicide attempts and negative life events. Journal of Consulting and Clinical Psychology, 68(5), 909-916. doi: 10.1037//0022-006x.68.5.909
Joiner, T. E. Jr., Rudd, M. D., Rouleau, M. R., & Wagner, K. D. (2000). Parameters of suicidal crises vary as a function of previous suicide attempts in youth inpatients. Journal of the American Academy of Child and Adolescent Psychiatry, 39(7), 876-880. doi: 10.1097/00004583-200007000-00016
Kulkarni, R. R., Rao, K. N., & Begum, S. (2013). Comorbidity of psychiatric and personality disorders in first suicide attempters: a case-control study. Asian Journal of Psychiatry, 6(5), 410-416. doi: 10.1016/j.ajp.2013.05.004
López Steinmetz, L. C. (2015). Marcadores temporales de riesgo supuesto en casos asistidos psicológicamente en un Servicio de Guardia: Descripción de sus distribuciones y confrontación de la hipótesis de asociación entre temporalidad y conductas suicidas. Investigaciones en Psicología, 20(2), 79-93.
López Steinmetz, L. C. (2017). Caracterización de riesgo diferencial-demográfico en urgencias psicológicas: intento de suicidio y otros motivos de consulta. Revista Argentina de Ciencias del Comportamiento, 9(1), 44-53.
López Steinmetz, L. C. (n.d.). Coyunturas desencadenantes de urgencias suicidas: un enfoque psicoanalítico y epidemiológico (Tesis de Doctorado). Buenos Aires: Universidad de Buenos Aires, Facultad de Psicología.
Miranda, R., Scott, M., Hicks, R., Wilcox, H. C., Harris Munfakh, J. L., & Shaffer, D. (2008). Suicide attempts characteristics, diagnoses, and future attempts: Comparing multiple attempters to single attempters and ideators. Journal of the American Academy of Child and Adolescent Psychiatry, 47(1), 32-40. doi: 10.1097/chi.0b013e31815a56cb
Móscicki, E. K. (1994). Gender differences in completed and attempted suicides. Annals of Epidemiology, 4(2), 152-158. doi: 10.1016/1047-2797(94)90062-0
Narendorf, S. C. & Palmer, A. (2016). Perception of need and receipt of mental health treatment: A three-group comparison of young adults with psychological distress. Psychiatric Services, 67(8), 924-927. doi: 10.1176/appi.ps.201500230
Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30(1), 133-154. doi: 10.1093/epirev/mxn002
Nock, M. K., Hwang, I., Sampson, N. A., & Kessler, R. C. (2010). Mental disorders, comorbidity and suicidal behavior: Results from the National Comorbidity Survey Replication. Molecular Psychiatry, 15(8), 868-876. doi: 10.1038/mp.2009.29
Nock, M. K., Hwang, I., Sampson, N. A., Kessler, R. C., Angermeyer, M., Beautrais, A.,… Williams, D. R. (2009). Cross-national analysis of the associations among mental disorders and suicidal behavior: Findings from the WHO World Mental Health Surveys. PLoS Medicine, 6(8), e1000123. doi: 10.1371/journal.pmed.1000123
O’Carroll, P. W., Berman, A. L., Maris, R. W., Moscicki, E. K., Tanney, B. L., & Silverman, M. M. (1996). Beyond the Tower of Babel: A nomenclature for suicidology. Suicide & Life-Threatening Behavior, 26(3), 237-252.
Oquendo, M. A., Dragatsi, D., Harkavy-Friedman, J., Dervic, K., Currier, D., Burke, A. K.,… Mann, J. J. (2005). Protective factors against suicidal behavior in Latinos. The Journal of Nervous and Mental Disease, 193(7), 438-443. doi: 10.1097/01.nmd.0000168262.06163.31
Organización Mundial de la Salud (2014). Prevención del suicidio: Un imperativo global. Ginebra: Organización Mundial de la Salud.
Polewka, A., Groszek, B., Targosz, D., Szkolnicka, B., Chrostek Maj, J., Kroch, S., & Pach, J. (2004). The frequency of suicide attempts depending on gender and the age structure. Przeglad Lekarski, 61(4), 265-268.
Pompili, M., Girardi, P., Tatarelli, G., Ruberto, A., & Tatarelli, R. (2006). Suicide and attempted suicide in eating disorders, obesity and weight-image concern. Eating Behaviors, 7(4), 384-394. doi: 10.1016/j.eatbeh.2005.12.004
Porta, M. S. (Ed.) (2014). A dictionary of epidemiology (6th ed.). New York, United States of America: Oxford University Press.
Portzky, G., Van Heeringen, K., & Vervaet, M. (2014). Attempted suicide in patients with eating disorders. Crisis, 35(6), 378-387. doi: 10.1027/0227-5910/a000275
Ribeiro, J. D., Franklin, J. C., Fox, K. R., & Bentley, K. H. (2016). Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: A meta-analysis of longitudinal studies. Psychological Medicine, 46(2), 225-236. doi: 10.1017/s0033291715001804
Ruengorn, C., Sanichwankul, K., Niwatananun, W., Mahatnirunkul, S., Pumpaisalchai, W., & Patumanond, J. (2012). A risk-scoring scheme for suicide attempts among patients with bipolar disorder in a Thai patient cohort. Psychology Research and Behavior Management, 5, 37-45. doi: 10.2147/prbm.s30878
Schmidtke, A., Bille-Brahe, U., Deleo, D., Kerkhof, A., Bjerke, T., Crepet, P.,… Sampaio-Faria, J. G. (1996). Attempted suicide in Europe: Rates, trends and sociodemographic characteristics of suicide attempters during the period 1989-1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatrica Scandinavica, 93(5), 327-338. doi: 10.1111/j.1600-0447.1996.tb10656.x
Scoliers, G., Portzky, G., Van Heeringen, K., & Audenaert, K. (2009). Sociodemographic and psychopathological risk factors for repetition of attempted suicide: A 5-year follow-up study. Archives of Suicide Research, 13(3), 201-213. doi: 10.1080/13811110902835130
Shapiro, S., Skinner, E. A., Kessler, L. G., Von Korff, M., German, P. S., Tischler, G. L.,… Regier, D. A. (1984). Utilization of health and mental health services: Three Epidemiologic Catchment Area sites. Archives of General Psychiatry, 41(10), 971-978. doi: 10.1001/archpsyc.1984.01790210053007
Suominen, K., Isometsä, E., Suokas, J., Haukka, J., Achte, K., & Lönngvist, J. (2004). Completed suicide after a suicide attempt: A 37-year follow-up study. The American Journal of Psychiatry, 161(3), 562-563. doi: 10.1176/appi.ajp.161.3.562
Teti, G. L., Rebok, F., Rojas, S. M., Grendas, L., & Daray, F. M. (2014). Systematic review of risk factors for suicide and suicide attempt among psychiatric patients in Latin America and Caribbean. Revista Panamericana de Salud Pública, 36(2), 124-133.
Wunderlich, U., Bronisch, T., & Wittchen, H. U. (1998). Comorbidity patterns in adolescents and young adults with suicide attempts. European Archives of Psychiatry and Clinical Neuroscience, 248(2), 87-95. doi: 10.1007/s004060050023
Yoshimasu, K., Kiyohara, C., Miyashita, K., & The Stress Research Group of the Japanese Society for Hygiene (2008). Suicidal risk factors and completed suicide: Meta-analyses based on psychological autopsy studies. Environmental Health and Preventive Medicine, 13(5), 243-256. doi: 10.1007/s12199-008-0037-x
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