medigraphic.com
Instituto Nacional de Salud Pública

2023, Número 1

Siguiente >>

salud publica mex 2023; 65 (1)


Determinantes sociales asociados con ideación suicida durante la pandemia por Covid-19 en México

Gómez-García JA, Rivera-Rivera L, Astudillo-García CI, Castillo-Castillo LE, Morales-Chainé S, Tejadilla-Orozco DI

Idioma: Español
Referencias bibliográficas: 41
Paginas: 1-9
Archivo PDF: 323.78 Kb.


RESUMEN

Objetivo. Estimar la prevalencia de la ideación suicida (IS) y su asociación con los determinantes sociales (DS) en la población mexicana durante la pandemia de Covid-19. Material y métodos. Datos de la encuesta de Atención Psicológica a Distancia para la Salud Mental debido a la Contingencia por Covid-19 obtenidos durante 2020. La muestra fue de 79 665. Se realizaron modelos de regresión logística obteniendo razones de momios (RM) con intervalos de confianza del 95% (IC95%). Resultados. La prevalencia de IS fue de 17.1% (mujeres:18.8% y hombres: 14.4%). Principales DS asociados fueron: ser mujer (RM=1.11; IC95% 1.06,1.13), mujeres jóvenes (RM=1.30; IC95% 1.09,1.54), escolaridad (RM=1.89; IC95% 1.14,3.12), soltera(o) (RM= 1.31; IC95% 1.24,1.38), desempleo (RM= 2.33; IC95% 2.21,2.45), distanciamiento social (RM 1.81; IC95%1.68,1.96), vivir solo (RM 1.18; IC95% 1.10,1.27), pérdida de familiar por Covid-19 (RM= 1.41; IC95%1.30,1.54), tener un diagnóstico de depresión (RM= 5.72; IC95% 5.41,6.05), ser víctima de violencia física (RM=2.71; IC95% 2.49,2.95), consumo excesivo de alcohol (RM=1.68; IC95%1.58,1.79) y drogas (RM= 3.13; IC95% 2.88,3.41), y sospecha o diagnóstico de Covid-19 (RM=1.79; IC95% 1.67,1.89). Conclusiones. La prevalencia de IS durante la pandemia por Covid-19 fue elevada; se discute la relevancia de los DS estructurales e intermedios que influyen en la IS.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Liu RT, Bettis AH, Burke TA. Characterizing the phenomenology ofpassive suicidal ideation: a systematic review and meta-analysis of its prevalence,psychiatric comorbidity, correlates, and comparisons with activesuicidal ideation. Psychol Med. 2020;50(3):367. https://doi.org/10.1017/S003329171900391X

  2. Organización Panamericana de la Salud, Organización Mundial de la Salud.Prevención de la conducta suicida. Washington, DC: OPS/OMS, 2016.

  3. Organización Panamericana de la Salud, Organización Mundial de laSalud. Prevención del suicidio: un imperativo global. Washington, DC: OPS/OMS, 2014.

  4. Lim KS, Wong CH, McIntyre RS, Wang J, Zhang Z, Tran BX, et al. Globallifetime and 12-month prevalence of suicidal behavior, deliberate self-harmand non-suicidal self-injury in children and adolescents between 1989 and2018: A meta-analysis. Int J Environ Res Public Health. 2019;16(22). https://doi.org/10.3390/ijerph16224581

  5. Czeisler MÉ, Lane RI, Petrosky E, Wiley JF, Christensen A, Njai R, et al.Mental health, substance use, and suicidal ideation during the COVID-19Pandemic — United States, June 24-30, 2020. MMWR Morb Mortal WklyRep. 2020;69(32):1049-57. https://doi.org/10.15585/mmwr.mm6932a1

  6. Wathelet M, Duhem S, Vaiva G, Baubet T, Habran E, Veerapa E, et al.Factors associated with mental health disorders among university studentsin France confined during the Covid-19 pandemic. JAMA Netw Open.2020;3(10):e2025591. https://doi.org/10.1001/jamanetworkopen.2020.25591

  7. Iob E, Steptoe A, Fancourt D. Abuse, self-harm and suicidal ideation inthe UK during the COVID-19 pandemic. Br J Psychiatry. 2020;217(4):543-6. https://doi.org/10.1192/bjp.2020.130

  8. Rivera-Rivera L, Fonseca-Pedrero E, Vázquez-Salas A, Reynales-ShigematsuLM. Prevalencia y factores psicológicos asociados con conducta suicidaen adolescentes. Ensanut 2018-19. Salud Publica Mex. 2020;62(6):672-81.https://doi.org/10.21149/11555

  9. Shamah-Levy T, Romero-Martinez M, Barrientos-Gutierrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero M, et al. Encuesta Nacional deSalud y Nutrición 2020 sobre Covid-19 Resultados nacionales. Cuernavaca,México: INSP, 2021.

  10. Allen J, Balfour R, Bell R, Marmot M. Social determinants of mentalhealth. Int Rev Psychiatry. 2014;26(4):392-407. https://doi.org/10.3109/09540261.2014.928270

  11. World Health Organization. A conceptual framework for action on thesocial determinants of health. Geneva: WHO, 2010 [citado abril 13, 2021].Disponible en: https://apps.who.int/iris/handle/10665/44489

  12. Miranda-Mendizabal A, Castellví P, Parés-Badell O, Alayo I, Almenara J,Alonso I, et al. Gender differences in suicidal behavior in adolescents andyoung adults: systematic review and meta-analysis of longitudinal studies. IntJ Public Health. 2019;64:265-83. https://doi.org/10.1007/s00038-018-1196-1

  13. Kaess M, Parzer P, Haffner J, Steen R, Roos J, Klett M, et al. Explaininggender differences in non-fatal suicidal behaviour among adolescents:a population-based study. BMC Public Health. 2011;11:597. https://doi.org/10.1186/1471-2458-11-597

  14. Rhodes AE, Boyle MH, Bridge JA, Sinyor M, Links PS, Tonmyr L, et al.Antecedents and sex/gender differences in youth suicidal behavior. WorldJ Psychiatry. 2014;4(4):120. https://doi.org/10.5498/wjp.v4.i4.120

  15. Organización Mundial de la Salus. Mortalidad por suicidioen la Región de las Américas. Ginebra: OMS, 2010. https://doi.org/10.37774/9789275323304

  16. Sher L. The impact of the COVID-19 pandemic on suicide rates. QJMAn Int J Med. 2020;113(10):707-12. https://doi.org/10.1093/qjmed/hcaa202

  17. Lund C, Brooke-Sumner C, Baingana F, Baron EC, Breuer E, ChandraP, et al. Social determinants of mental disorders and the SustainableDevelopment Goals: a systematic review of reviews. The Lancet Psychiatry.2018;5(4):357-69. https://doi.org/10.1016/S2215-0366(18)30060-9

  18. Turecki G, Brent DA. Suicide and suicidal behaviour. Lancet (London,England). 2016;387(10024):1227. https://doi.org/10.1016/S0140-6736(15)00234-2

  19. Borges G, Orozco R, Villatoro J, Medina-Mora ME, Fleiz C, Díaz-SalazarJ. Suicide ideation and behavior in Mexico: Encodat 2016. Salud PublicaMex. 2019;61(1):6-15. https://doi.org/10.21149/9351

  20. Borges G, Orozco R, Benjet C, Medina-Mora ME. Suicidio y conductassuicidas en México: retrospectiva y situación actual. Salud Publica Mex.2010;52(4):292-304.

  21. Morales-Chainé S, López-Montoya A, Bosch-Maldonado A, Beristain-Aguirre A, Robles-García R, López-Rosales F, et al. Condiciones de saludmental durante la pandemia por COVID-19. Rev Int Investig en Adicciones.2020;6(2):11-24. https://doi.org/https://doi.org/10.28931/riiad.2020.2.03

  22. Reger MA, Stanley IH, Joiner TE. Suicide mortality and coronavirusdisease 2019-a perfect storm? JAMA Psychiatry. 2020;77(11):1093. https://doi.org/10.1001/jamapsychiatry.2020.1060

  23. Papadopoulou A, Efstathiou V, Yotsidi V, Pomini V, Michopoulos I, MarkopoulouE, et al. Suicidal ideation during COVID-19 lockdown in Greece:Prevalence in the community, risk and protective factors. Psychiatry Res.2021;297:113713. https://doi.org/10.1016/j.psychres.2021.113713

  24. Sara-Canetto S. Women and suicidal behavior: a cultural analysis. Am JOrthopsychiatry. 2008;78(2):259-66. https://doi.org/10.1037/a0013973

  25. Silva M, Loureiro A, Cardoso G. Social determinants of mental health:A review of the evidence. - PsycNET. Eur J Psychiatry. 2016;30(4):259-92 [citado mayo, 2021]. Disponible en: https://psycnet.apa.org/record/2017-05809-003

  26. Yoshikawa H, Aber JL, Beardslee WR. The effects of poverty on themental, emotional, and behavioral health of children and youth. AmPsychol. 2012;67(4):272-84. https://doi.org/10.1037/a0028015

  27. Rosoff DB, Kaminsky ZA, McIntosh AM, Davey-Smith G, Lohoff FW.Educational attainment reduces the risk of suicide attempt among individualswith and without psychiatric disorders independent of cognition:a bidirectional and multivariable Mendelian randomization study withmore than 815,000 participants. Transl Psychiatry. 2020;10(1). https://doi.org/10.1038/s41398-020-01047-2

  28. Fitzpatrick KM, Harris C, Drawve G. How bad is it? Suicidality inthe middle of the COVID-19 pandemic. Suicide Life Threat Behav.2020;50(6):1241-9. https://doi.org/10.1111/sltb.12655

  29. Calati R, Ferrari C, Brittner M, Oasi O, Olié E, Carvalho AF, et al.Suicidal thoughts and behaviors and social isolation: A narrative review ofthe literature. J Affect Disord. 2019;245:653-67. https://doi.org/10.1016/j.jad.2018.11.022

  30. Caycho-Rodríguez T, Valencia PD, Vilca LW, Lee SA, Carbajal-León C, Vivanco-Vidal A, et al. COVID-19 bereavement in ten LatinAmerican countries: measurement invariance of the pandemic griefscale and its relation to suicidal ideation. Omega. 2021. https://doi.org/10.1177/00302228211048566

  31. Eisma MC, Tamminga A, Smid GE, Boelen PA. Acute grief after deathsdue to COVID-19, natural causes and unnatural causes: An empiricalcomparison. J Affect Disord. 2021;278:54-6. https://doi.org/10.1016/j.jad.2020.09.049

  32. Gesi C, Carmassi C, Cerveri G, Carpita B, Cremone IM, Dell’Osso L.Complicated grief: what to expect after the coronavirus pandemic Frontiersin Psychiatry. Front Psychiatry. 2020;11:489. https://doi.org/10.3389/fpsyt.2020.00489

  33. Rossom RC, Coleman KJ, Ahmedani BK, Beck A, Johnson E, Oliver M,et al. Suicidal ideation reported on the PHQ9 and risk of suicidal behavioracross age groups. J Affect Disord. 2017;215:77-84. https://doi.org/10.1016/j.jad.2017.03.037

  34. Ribeiro JD, Huang X, Fox KR, Franklin JC. Depression and hopelessnessas risk factors for suicide ideation, attempts and death: metaanalysisof longitudinal studies. Br J Psychiatry. 2018;212(5):279-86. https://doi.org/10.1192/bjp.2018.27

  35. Asociación Americana de Psiquiatría. Guía de consulta de los criteriosdiagnósticos del DSM-5. Archives of Neurology And Psychiatry. Arlington,VA: Asociación Americana de Psiquiatría, 2013;9:636.

  36. Abrahamyan A, Soares S, Peres F, Fraga S. Exposure to violence and suicidalideation among school-going adolescents. J Child Adolesc Ment Health.2020;32(2-3):99-109. https://doi.org/10.2989/17280583.2020.1848849

  37. Brignone E, Sorrentino A, Roberts C, Dichter M. Suicidal ideation andbehaviors among women veterans with recent exposure to intimate partnerviolence. Gen Hosp Psychiatry. 2018;55:60-4. https://doi.org/10.1016/j.genhosppsych.2018.10.006

  38. Usher K, Bhullar N, Durkin J, Gyamfi N, Jackson D. Family violence andCOVID-19: Increased vulnerability and reduced options for support. Int JMent Health Nurs. 2020;29(4):549-52. https://doi.org/10.1111/inm.12735

  39. Organización Mundial de la Salud. COVID-19 y violencia contra lamujer. Lo que el sector y el sistema de salud pueden hacer. Ginebra: OMS/OPS, 2020 [citado junio 28, 2021]. Disponible en: https://iris.paho.org/handle/10665.2/52034

  40. Breet E, Goldstone D, Bantjes J. Substance use and suicidal ideation andbehaviour in low- and middle-income countries: a systematic review. BMCPublic Health. 2018;18(1):549. https://doi.org/10.1186/s12889-018-5425-6

  41. Borges G, Bagge C, Cherpitel CJ, Conner K, Orozco R, Rossow I. Ameta-analysis of acute alcohol use and the risk of suicide attempt. PsycholMed. 2017;47(5):949. https://doi.org/10.1017/S0033291716002841




2020     |     www.medigraphic.com