2006, Number 4
<< Back Next >>
Bol Med Hosp Infant Mex 2006; 63 (4)
Self-inflicted violence in adolescence: the suicide attempt.
Sauceda-García JM, Lara-Muñoz MC, Fócil-Márquez M
Language: Spanish
References: 19
Page: 223-231
PDF size: 152.18 Kb.
ABSTRACT
Introduction. Objective: our aim was to compare degrees of depression and impulsivity in a clinical sample of adolescents with suicide attempts.
Material and methods. We studied adolescents of both sexes who attempted suicide and were brought to a psychiatric hospital in Mexico City in a semester. Clinical diagnosis were included in 3 possible groups: group I (behavioral disorders), group II (affective disorders) and group III (mixed disorders). Patients also responded scales in order to measure depression and other types of psychological problems.
Results. A total of 65 patients (56 girls and 9 boys), with first or repeated suicide attempts, were evaluated. Depressive type diagnosis were present in 75% and impulsiveness in 42%. Impulsivity was significantly higher in boys than in girls. Overdosing was the most employed method in the suicide attempts of female patients. Psychopatology was more severe among depressed adolescents.
Conclusions: There is more depression than impulsivity among adolescents who attempt suicide. Depressed adolescents show more psychopathology and family problems than non-depressed adolescents, with statistical significance. So far, this is the largest study in a clinical sample of Mexican adolescents who attempted suicide.
REFERENCES
Drug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R. Informe mundial sobre la violencia y la salud. Washington: Organización Panamericana de la Salud; 2003. p. 201.
Cannetto SS, Lester D. Women and suicidal behavior. New York, NY: Springer; 1995.
World Health Organization (1997-1999). World Health Statistic Annual. Geneve: World Health Organization. www.who.int/whosis
Platt S, Billie-Brahe U, Kerkoff A. Parasuicide in Europe: the WHO/EURO multicentre study on parasuicide. I. Introduction and preliminary analysis for 1989. Acta Psychiatr Scand. 1992; 85: 97-104
Pfeffer CR. Suicidal behavior in children and adolescents: causes and management. En: Lewis M, editor. Child and adolescent psychiatry. Third ed. Philadelphia: Lippincott Williams & Wilkins; 2002. p. 796-805.
Piacentini J, Rotheram-Borus MJ, Trautman P, Graae F. Psychosocial correlates of treatment compliance in adolescent suicide attempters. Congress of the Association for Advancement of Behavior Therapy. New York; 1991.
Shaffer D, Gutstein J. Suicide and attempted suicide. En: Rutter M, Taylor E, editores. Child and Adolescent Psychiatry. 4th ed. Oxford: Blackwell Science; 2002. p. 529-54.
Spirito A, Overholser J, Ashworth S, Morgan J, Benedict-Drew C. Evaluation of a suicide awareness curriculum for high school students. J Am Acad Child Adolesc Psychiatry.1988; 27: 705-11.
Shaffer D, Garland A, Gould M, Fisher P, Trautman P. Preventing teenage suicide: a critical review. J Am Acad Child Adolesc Psychiatry.1988; 27: 675-87.
Mondragón L, Borges G, Gutiérrez RA. La medición de la conducta suicida en México: Estimaciones y procedimientos. Salud Mental. 2001; 24: 4-15.
González-Forteza C, Villatoro-Velázquez J, Alcántar-Escalera I, Medina-Mora ME, Bleiz-Bautista C, Bermúdez-Lozano P, et al. Prevalencia de intento suicida en estudiantes adolescentes de la ciudad de México: 1997 y 2000. Salud Mental. 2002; 25: 1-12.
Sauceda-García JM, Montoya-Cabrera MA, Higuera-Romero FH, Maldonado-Durán JM, Anaya-Segura A, Escalante-Galindo P. Intento suicida en la niñez y la adolescencia: ¿síntoma de depresión o de impulsividad agresiva? Bol Med Hosp Infant Mex. 1997; 54: 169-75.
Platas-Vargas EC, Sauceda-García JM, Higuera-Romero FH, Cuevas-Urióstegui ML. Funcionamiento psicosocial en menores que intentan el suicidio. Psiquiatría. 1998; 14: 51-5.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. (DSM-IV). Washington, DC: American Psychiatric Association; 1994.
De la Peña F, Lara-Muñoz MC, Cortés J. Traducción al español y validez de la escala de Birleson (DSRC) para el trastorno depresivo mayor en la adolescencia. Salud Mental. 1996; 19 Supl 3: 17-23.
Conners CK, Wells K. Escala del Reporte Personal de Conners-Wells. Toronto: Multi-Health Systems, Inc.; 1997.
Lara-Muñoz MC, de la Peña F, Castro A, Puente A. Consistencia y validez de las subescalas del cuestionario de Conners para la evaluación de psicopatología en niños – versión larga para padres. Bol Med Hosp Infant Mex. 1998; 55: 712-20.
Caballero-Gutiérrez MA, Ramos-Lira L, González-Forteza C, Saltijeral-Méndez MT. Violencia familiar en adolescentes y su relación con el intento de suicidio y la sintomatología depresiva. Psiquiatría. 2002; 18: 131-9.
Pérez-Silva C, Romero-Ogawa T, Lara-Muñoz MC. Relación familiar e intentos de suicidio en una cohorte de estudiantes de secundaria. Psiquiatría. 2005; 21: 38-44.