2023, Number 4
<< Back Next >>
salud publica mex 2023; 65 (4)
Effect of stressful life events in suicidal behavior in women during the Covid-19 pandemic in Mexico
Rivera-Rivera L, Palacios-Hernández B, Austria-Corrales F, Séris-Martínez M, Pérez-Amezcua B, Jiménez-Tapia A, Reynales-Shigematsu LM, Toledano-Toledano F, Gómez-García JA, Astudillo-García CI
Language: Spanish
References: 33
Page: 344-352
PDF size: 341.90 Kb.
ABSTRACT
Objective. To assess the factorial structure and convergent
and divergent validity of the Columbia Suicide Severity Scale
(CSSRS) and the Questionnaire of Stressful Life Events (SLE)
in a sample of Mexican women and to analyze the association
between stressful life events (SLE) and suicidal behavior
(SB) in Mexican women during the Covid-19 pandemic.
Materials and methods. Data from 2 398 women who
participated in a multicenter study were used. The study was
carried out in Mexico between May and October 2021. The
information was collected through an online questionnaire
that included the CSSRS and the SLE. A confirmatory factor
analysis was performed to assess the goodness of fit of
both questionnaires.
Results. The final model showed an
association between CB and SLE and identified violence as
the central variable. The model had a good fit (CFI = 0.950,
IFI = 0.950, MFI = 0.975, RMSEA = 0.031, CI RMSEA = 0.026-
0.036).
Conclusions. The Covid-19 pandemic evidenced
the need to create and implement strategies to promote
mental health care, reduce exposure to violence, and facilitate
mourning processes to prevent SB in Mexican women.
REFERENCES
Organización Mundial de la Salud. Prevención del suicidio: un imperativoglobal. Ginebra: Organización Mundial de la Salud, 2014.
O’Connor R, Pirkis J. The international handbook of suicide prevention.West Sussex: Wiley Blackwell, 2016:823.
World Health Organization. Suicide worldwide in 2019: globalhealth estimates. Ginebra: World Health Organization, 2021 [citadoenero 30, 2023]. Disponible en: https://www.who.int/publications/i/item/9789240026643
Kim MJ, Paek SH, Kwon JH, Park SH, Chung HJ, Byun YH. Changes insuicide rate and characteristics according to age of suicide attempters beforeand after Covid-19. Children. 2022;9(2):151. https://doi.org/10.3390/children9020151
Dubé JP, Smith MM, Sherry SB, Hewitt PL, Stewart SH. Suicidebehaviors during the Covid-19 pandemic: A meta-analysis of 54 studies.Psychiatry Research. 2021;301:113998. https://doi.org/10.1016/j.psychres.2021.113998
Valdez-Santiago R, Villalobos A, Arenas-Monreal L, González-FortezaC, Hermosillo-de-la-Torre AE, Benjet C, et al. Comparison of suicideattempts among nationally representative samples of Mexican adolescents12 months before and after the outbreak of the Covid-19 pandemic. JAffect Disord. 2022;298:65-8. https://doi.org/10.1016/j.jad.2021.10.111
Borges G, Garcia JA, Pirkis J, Spittal MJ, Gunnell D, Sinyor M, et al. Astate level analyses of suicide and the Covid-19 pandemic in Mexico. BMCPsychiatry. 2022;22:460. https://doi.org/10.1186/s12888-022-04095-8
Gómez-García JA, Rivera-Rivera L, Astudillo-García CI, Castillo-CastilloLE, Morales-Chainé S, Tejadilla-Orozco DI. Determinantes sociales asociadoscon ideación suicida durante la pandemia por Covid-19 en México.Salud Publica Mex. 2023;65(1):1-9 [citado enero 30, 2023] https://doi.org/10.21149/13744
Boeff DF. Agenda 2030 en México. Pandemia de Covid-19 aseveradesigualdades de género. revSOCIAL. 2022;11(1):25-45. https://doi.org/10.37467/gkarevsocial.v11.3285
Huarcaya-Victoria J. Consideraciones sobre la salud mental en la pandemiade Covid-19. Rev Peru Med Exp Salud Publica. 2020;37(2):327-34.https://doi.org/10.17843/rpmesp.2020.372.5419
Valdez-Santiago R, Villalobos-Hernández A, Arenas-Monreal L, FloresK, Ramos-Lira L.Violencia en el hogar contra mujeres adultas duranteel confinamiento por la pandemia de Covid-19 en México. Salud PublicaMex. 2021;63:782-8. https://doi.org/10.21149/13244
Villarreal-Sotelo K, Peña-Cárdenas F, Zamorano-González B, Vargas-Orozco CM, Hernández-Rodríguez I, Landero-Pérez C. Prevalence ofsuicidal behavior in a northeastern Mexican border population duringthe Covid-19 pandemic. Front Psychol. 2023;13:984374. https://doi.org/10.3389/fpsyg.2022.984374
Taniguchi Y, Miyawaki A, Tsugawa Y, Murayama H, Tamiya N, Tabuchi T.Family caregiving and changes in mental health status in Japan during theCovid-19 pandemic. Arch Gerontol Geriatr. 2022; 98:104531. https://doi.org/10.1016/j.archger.2021.104531
Kikuchi K, Anzai T, Takahashi K. The unusual increase in suicides amongwomen in Japan during the Covid-19 pandemic: a time-series analysis untilOctober 2021. J Epidemiol. 2023;33(1):45-51. https://doi.org/10.2188/jea.JE20220186
Bouza E, Arango C, Moreno C, Gracia D, Martín M, Pérez V, et al.Impact of the Covid-19 pandemic on the mental health of the generalpopulation and health care workers. Rev Esp Quimioter. 2023;36(2):125-43. https://doi.org/10.37201/req/018.2023
World Health Organization. The impact of Covid-19 on mental, neurologicaland substance use services: results of a rapid assessment. Ginebra:World Health Organization, 2020 [citado enero 30, 2023]. Disponible en:https://www.who.int/publications/i/item/978924012455
Posner K, Brown GK, Stanley B, Brent DA, Yershova KV, Oquendo MA,et al. The Columbia-Suicide Severity Rating Scale: initial validity and internalconsistency findings from three multisite studies with adolescents and adults.AJP. 2011;168(12):1266-77. https://doi.org/10.1176/appi.ajp.2011.10111704
Spurgeon A. The Life Events Inventory: re-scaling based on an occupationalsample. Occup Med. 2001;51(4):287-93. https://doi.org/10.1093/occmed/51.4.287
Satorra A, Bentler P. Scaling corrections for statistics in covariancestructure analysis. Los Ángeles: UCLA, 1999 [citado enero 30, 2023].Disponible en: https://escholarship.org/uc/item/3141h70c
Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structureanalysis: Conventional criteria versus new alternatives. Struct Equ Modeling.1999;6(1):1-55. https://doi.org/10.1080/10705519909540118
Kline RB. Principles and Practice of Structural Equation Modeling. NuevaYork: The Guilford Press, 2005.
Raj S, Ghosh D, Singh T, Verma SK, Arya YK. Theoretical mappingof suicidal risk factors during the Covid-19 pandemic: a minireview.Front Psychiatry. 2021;11:589614. https://doi.org/10.3389/fpsyt.2020.589614
Sher L. The impact of the Covid-19 pandemic on suicide rates. QJM.2020;113(10):707-12. https://doi.org/10.1093/qjmed/hcaa202
Lee SA, Neimeyer RA. Pandemic Grief Scale: A screening tool fordysfunctional grief due to a Covid-19 loss. Death Studies. 2022;46(1):14-24. https://doi.org/10.1080/07481187.2020.1853885
Seeman N, Reilly DK, Fogler S. Suicide risk factors in US collegestudents: perceptions differ in men and women. Suicidol Online.2017;8:24-30 [citado enero 30, 2023]. Disponible en: https://oarklibrary.com/file/2/79eef323-1562-4f9a-b179-6c0982b642f1/d107b8b9-9a43-40c7-a953-b25f75f0ff47.pdf#page=24
Krug E. World report on violence and health. Ginebra: World HealthOrganization, 2002 [citado enero 30, 2023]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/42495/9241545615_eng.pdf
Kallakuri S, Devarapalli S, Tripathi AP, Patel A, Maulik PK. Commonmental disorders and risk factors in rural India: baseline data from theSMART mental health project. BJPsych Open. 2018;4(4):192-8. https://doi.org/10.1192/bjo.2018.28
Turecki G, Brent DA, Gunnell D, O’Connor RC, Oquendo MA,Pirkis J, Stanley BH. Suicide and suicide risk. Nat Rev Dis Primers.2019;5(1):1-22 [citado enero 30, 2023]. Disponible en: https://eprints.gla.ac.uk/195722/1/195722.pdf
Ulfa M, Bunaiya M. The effect of the Covid-19 pandemic on the highdivorce rate in Kabupaten Lima Puluh Kota. Jurnal Hunafa: Studia Islamika.2021;18(1):114-37. https://doi.org/10.24239/jsi.v18i1.617.114-137
Zhu Y, Xie J, Yu Y. Effect of home isolation on domestic violenceand divorce in China during Covid-19 pandemic. Psychiatry Res.2021;306:114234. https://doi.org/10.1016/j.psychres.2021.114234
Cabello-Rangel H, Santiago-Luna JA. Demanda de atención en unhospital psiquiátrico público de la Ciudad de México en el entorno de lapandemia por Covid-19. Arch Neurocien. 2022;27(4):17-22. https://doi.org/10.31157/an.v27i4.372
Vijayakumar L. Suicide in women. Indian J Psychiatry. 2015;57(6):233.https://doi.org/10.4103/0019-5545.161484
MacIsaac MB, Bugeja LC, Jelinek GA. The association betweenexposure to interpersonal violence and suicide among women: asystematic review. Aust N Z J Public Health. 2017;41(1):61-9. https://doi.org/10.1111/1753-6405.12594