2013, Número 5
<< Anterior Siguiente >>
Salud Mental 2013; 36 (5)
Frecuencia de autolesiones y características clínicas asociadas en adolescentes que acudieron a un hospital psiquiátrico infantil
Ulloa FRS, Contreras HC, Paniagua NK, Victoria FG
Idioma: Español
Referencias bibliográficas: 27
Paginas: 417-420
Archivo PDF: 210.74 Kb.
RESUMEN
Introducción:Aunque los estudios de autolesiones en adolescentes han señalado a
la psicopatología como un factor de riesgo, existe poca información
del fenómeno en población clínica en México.
Método:El presente estudio examinó las características demográficas y clínicas,
así como los tipos, frecuencia y motivos para autolesionarse de
556 adolescentes que acudieron a un hospital psiquiátrico infantil de
2005 a 2011 por medio de la revisión de su expediente.
Resultados:Dentro de las características que se encontraron con mayor frecuencia
fueron el sexo femenino, el nivel socioeconómico bajo, la violencia
intrafamiliar y el antecedente de abuso sexual. Los diagnósticos más
frecuentes fueron los trastornos afectivos, los trastornos de conducta y el
abuso de sustancias. El corte fue el método más empleado y los principales
motivos para autolesionarse incluían la baja tolerancia a la frustración,
el llamar la atención de otros, los síntomas afectivos y ansiosos.
Se observó un incremento de casos a lo largo del tiempo, en particular
aquellos asociados a trastornos afectivos y abuso de sustancias.
Conclusiones:Las autolesiones en adolescentes con psicopatología se han incrementado
y están frecuentemente asociadas a trastornos depresivos y
de conducta. Es importante determinar la presencia de autolesiones
durante la evaluación inicial de estos pacientes.
REFERENCIAS (EN ESTE ARTÍCULO)
Walsh B. Treating self-injury: A practical guide. New York: Tercera edición; Guilford Press; 2005.
Taylor A, Martin G, Dal Grande E, Swannell S et al. Methodological issues associated with collecting sensitive information over the telephone- experience from an Australian non-suicidal self-injury (NSSI) prevalence study. BMC Med Res Methodol 2011;11:20.http://www. ncbi.nlm.nih.gov/pmc/articles/PMC3049141/?tool=pubmed. Consultado el 8 de mayo de 2012.
Jacobson C, Gould M. The epidemiology and phenomenology of nonsuicidal self-injurious behavior among adolescents: a critical review of the literature. Arch Suicide Res 2007;11:129-147.
Wilkinson S, Taylor G, Templeton L, Mistral W et al. Admissions to hospital for deliberate self-harm in England 1995-2000: an analysis of hospital episode statistics. J Public Health Med 2002;24:179-183.
MacAniff L, Kiselica M. Understanding and counseling self-mutilation in female adolescents and young adults. J Counseling Development 2001;79:46-52.
Claes L, Jiménez-Murcia S, Agüera Z, Castro R et al. Male eating disorder patients with and without non-suicidal self-injury: A comparison of psychopathological and personality features. Eur Eat Disord Rev 2011. http://dx.doi.org/10.1002/erv.1161. Consultado el 24 de febrero de 2012.
Groholt B, Ekeberg O, Haldorsen T. Adolescents hospitalised with deliberate self-harm: the significance of an intention to die. Eur Child Adolesc Psychiatry 2000;9:244-254.
Rodham K, Hawton K, Evans E. Reasons for deliberate self-harm: comparison of self-poisoners and self-cutters in a community sample of adolescents. J Am Acad Child Adolesc Psychiatry 2004;43:80-87.
Scoliers G, Portzky G, Madge N, Hewitt A et al. Reasons for adolescent deliberate self-harm: a cry of pain and/or a cry for help? Findings from the child and adolescent self-harm in Europe (CASE) study. Soc Psychiatry Psychiatr Epidemiol 2009;44:601-607.
Ayton A, Rasool H, Cottrell D. Deliberate self-harm in children and adolescents: association with social deprivation. Eur Child Adolesc Psychiatry 2003;12:303-307.
Shawn MH, Ali B, Bossarte RM, Van Dulmen M et al. Self-harm and suicide attempts among high-risk, urban youth in the US: Shared and unique risk and protective factors. Int J Environ Res Public Health 2012;9:178-191.
Haw C, Hawton K, Houston K, Townsend E. Psychiatric and personality disorders in deliberate self-harm patients. Br J Psychiatry 2001;178:48-54.
Madge N, Hawton K, McMahon E, Corcoran P et al. Psychological characteristics, stressful life events and deliberate self-harm: findings from the Child & Adolescent Self-harm in Europe (CASE) Study. Eur Child Adolesc Psychiatry 2011;10:499-508.
Kirkcaldy B, Brown J, Siefen R. Disruptive behavioural disorders, self harm and suicidal ideation among German adolescents in psychiatric care. Int J Adolesc Med Health 2006;18:597-614.
Csorba J, Dinya E, Plener P, Nagy E et al. Clinical diagnoses, characteristics of risk behaviour, differences between suicidal and non-suicidal subgroups of Hungarian adolescent outpatients practising selfinjury. Eur Child Adolesc Psychiatry 2009;18:309-320.
Cerutti R, Manca M, Presaghi F, Gratz K. Prevalence and clinical correlates of deliberate self-harm among a community sample of Italian adolescents. J Adolesc 2011;34:337-347.
Morey C, Corcoran P, Arensman E, Perry I. The prevalence of self-reported deliberate self harm in Irish adolescents. BMC Public Health 2008;8:79. doi: 10.1186/1471-2458-8-79. Consultado el 2 de junio de 2012.
Nichols P. Bad body fever and deliberate self-injury. Reclaiming Children Youth 2000;9:151-156.
Skegg K. Self-harm. Lancet 2005;366:1471-1483.
Boxer P. Variations in risk and treatment factors among adolescents engaging in different types of deliberate self-harm in an inpatient sample. J Clin Child Adolesc Psychol 2010;39:470-480.
Romans S, Martin J, Anderson J, Herbison G et al. Sexual abuse in childhood and deliberate self-harm. Am J Psychiatry 1995;152:1336-1342.
Gladstone G, Parker G, Mitchell P, Malhi G et al. Implications of childhood trauma for depressed women: an analysis of pathways from childhood sexual abuse to deliberate self-harm and revictimization. Am J Psychiatry 2004;161:1417-1425.
Johnson J, Cohen P, Gould M, Kasen S et al. Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. Arch Gen Psychiatry 2002;59:741-749.
Portzky G, De Wilde E, van Heeringen K. Deliberate self-harm in young people: differences in prevalence and risk factors between the Netherlands and Belgium. Eur Child Adolesc Psychiatry 2008;17:179-186.
Verona E, Sachs-Ericsson N, Joiner TJ. Suicide attempts associated with externalizing psychopathology in an epidemiological sample. Am J Psychiatry 2004;161:444-451.
Shin Y, Chung Y, Lim K, Lee Y et al. Childhood predictors of deliberate self-harm behavior and suicide ideation in Korean adolescents: a prospective population-based follow-up study. J Korean Med Sci 2009;24:215-222.
O’Loughlin S, Sherwood J. A 20-year review of trends in deliberate self-harm in a British town, 1981-2000. Soc Psychiatry Psychiatr Epidemiol 2005;40:446-453.