Variables related to suicide attempt in a Spanish province over a three-year period (2009-2011)
Autor: | Jose-Antonio Muela-Martinez, Ana García-León, María-Remedios Fernández-Amela y Herrera, Manuel González-Cabrera, David Sánchez-Teruel |
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Jazyk: | Spanish; Castilian |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Epidemiology media_common.quotation_subject Urgencias Salud mental 03 medical and health sciences 0302 clinical medicine Suicide attempt Medicine Epidemiología 030212 general & internal medicine Young adult media_common Intento de suicidio business.industry Emergency department Health Policy Addiction lcsh:Public aspects of medicine Public Health Environmental and Occupational Health lcsh:RA1-1270 Mental health 030227 psychiatry Anxiety medicine.symptom business Psychopathology Demography |
Zdroj: | Ciência & Saúde Coletiva, Volume: 23, Issue: 1, Pages: 277-286, Published: JAN 2018 Ciência & Saúde Coletiva, Vol 23, Iss 1, Pp 277-286 Ciência & Saúde Coletiva v.23 n.1 2018 Ciência & Saúde Coletiva Associação Brasileira de Saúde Coletiva (ABRASCO) instacron:ABRASCO |
Popis: | Resumen Se trató de detectar y describir variables socio-demográficas y clínicas en personas que han realizado una tentativa suicida. Se llevó a cabo un análisis de los registros telemáticos sobre personas admitidas en los servicios de Urgencias del distrito sanitario norte durante el periodo 2009-2011 por trastornos mentales. Se seleccionaron 826 registros de personas, donde 485 eran mujeres, entre 14 y 94 años. Del total, 412 habían realizado un intento de suicidio, y fueron comparadas con otras personas sin tentativa suicida previa. Se aplicó un análisis de regresión logística binaria para examinar los factores más predictivos del intento de suicidio. Los resultados muestran que el riesgo de realizar un intento de suicidio aumenta con la edad, donde el periodo de mayor riesgo es el de 34 a 53 años (p < 0,001; OR = 6,99), ser de género femenino (p < 0,05; OR = 2,70) y encontrarse desempleada (p < 0,05; OR = 4,98). Los diagnósticos psicopatológicos más predictivos para la tentativa suicida fueron los trastornos de ansiedad (p < 0,01; OR = 3,95) y los trastornos del control de impulsos/adicciones (p < 0,01; OR = 3,76). Se discute la importancia de crear perfiles de riesgo y protección concretos para la puesta en marcha de políticas sanitarias contextualizadas de prevención de la tentativa suicida. Abstract The aim was to identify and describe socio demographic and clinical variables in individuals who have made a suicide attempt. An analysis of electronically stored records on persons admitted to the emergency departments of a northern health district during the period 2009-2011 for mental disorders was conducted. The records of 826 patients (30.1% of the total), where 485 (58.7%) were female, aged between 14 and 94 years (M = 49.3; SD = 12.7), were selected. This amounted to 412 individuals (49.9%) who had made a suicide attempt, and were compared with others without prior suicide attempt. A binary logistic regression analysis was performed to examine the strongest predictors of suicide attempt. The results show that the risk of making a suicide attempt increases with age, those most at risk being aged 34 to 53 years (p < 0.01; OR = 6.99), female (p < 0.05; OR = 2.70) and unemployed (p < 0.05; OR = 4.98). The most predictive psychopathological diagnoses for suicide attempt were anxiety disorders (p < 0.01; OR = 3.95) and impulse control disorders/addictions (p < 0.01; OR = 3.76). The importance of creating specific risk and protection profiles when implementing contextualized health policies on suicide attempt prevention is discussed. |
Databáze: | OpenAIRE |
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