Factors Associated With Suicidal Ideation in Older Adults From Three Cities in Colombia, 2016.

Autor: Ramírez Arango YC; Universidad CES, Medellín, Colombia. Electronic address: catherine.ramirez@gmail.com., Flórez Jaramillo HM; Institución Universitaria Tecnológico de Antioquia, Medellín, Colombia., Cardona Arango D; Universidad CES, Medellín, Colombia., Segura Cardona ÁM; Universidad CES, Medellín, Colombia., Segura Cardona A; Universidad CES, Medellín, Colombia., Muñoz Rodríguez DI; Universidad CES, Medellín, Colombia., Lizcano Cardona D; Universidad CES, Medellín, Colombia., Morales Mesa SA; Universidad CES, Medellín, Colombia., Arango Álzate C; Universidad CES, Medellín, Colombia., Agudelo Cifuentes MC; Universidad CES, Medellín, Colombia.
Jazyk: English; Spanish; Castilian
Zdroj: Revista Colombiana de psiquiatria (English ed.) [Rev Colomb Psiquiatr (Engl Ed)] 2020 Jul - Sep; Vol. 49 (3), pp. 142-153. Date of Electronic Publication: 2018 Nov 01.
DOI: 10.1016/j.rcp.2018.09.004
Abstrakt: Introduction: Suicidal ideation refers to thoughts that range from a vague idea of committing suicide to a specific suicide plan.
Objective: To explore factors such as demographic, social, family, abuse, risk of depression, habits and health conditions, which influence suicidal ideation in the elderly people in the cities of Medellín, Barranquilla, and Pasto (Colombia), with the intention to identify those associated factors that can be used in public health programs focused on this population.
Methods: Cross-sectional analytical study was conducted using a secondary source, demographic, social, clinical variables, social support, discrimination, abuse, happiness, depression, functional capacity, and as a dependent variable were asked the question: "Have you ever thought about committing suicide?" A descriptive, bivariate and multivariate analysis was performed.
Results: The median age was ≤ 69 [interquartile range, 11] years, and 58.2% were women. The prevalence of suicidal ideation was 6.4%, and of these, 28.7% had made plans to end their lives, and 66.7% had tried at least once. A statistical association was found with informal employment, cigarette consumption, alcohol and psychoactive substances, risk of depression, having a disability, dissatisfaction with their quality of life, with their health, with their economic situation, as well as feeling unhappy, bad treatment and bad relationships among family members, poor social support, sexual and economic abuse, and finally, discrimination.
Conclusions: Suicidal ideation in older adults in three cities of Colombia is explained by the sexual and economic abuse that this population is suffering, as well as bad personal relationships between the members of the family of the older adult. The risk of depression increases the probability of having thoughts against one's life.
(Copyright © 2018 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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