Negrín CY, Toledo PJL, Cabrales EJA, Carpio ME, Muro GA, Oria BE

Language: Spanish
References: 32
Page: 60-67
PDF size: 320.23 Kb.

ABSTRACT

Background: suicide has remained among the ten leading causes of death in Cuba. Nevertheless, its determinants have not been established yet.
Objective: to identify risk factors associated with suicide in people over 19 years of age.
Methods: a study of 81 cases and 162 witnesses older than 19 years was conducted in the municipality of Sancti Spiritus from 2005 to 2009. The variables analyzed were age, sex, skin color, marital status, family history of schizophrenia (among parents, uncles and siblings), psychotic affective disorders, personality disorders and suicidal behaviour as well as personal diagnoses of schizophrenia, psychotic affective disorders, neurotic depression, personality disorders, alcoholism, personal history of suicidal ideation in the last five years, previous suicide attempts and limitations or sequelae of somatic disease. Data was collected from notifiable disease cards, medical records and personal interviews with witnesses in addition to patients’ and witnesses’ close relatives. The odd ratio (OR) was used as measurement of association. Confusing factors were controlled through dichotomous logistic regression.
Results: multivariate analysis showed a significant association among suicide and schizophrenia (OR 8,10; CI 95 % 1,48-44,36), neurotic depression (OR 3,16; CI 95 % 1,19-8,35), personality disorders (OR 7,22; CI 95 % 2,40-21,72), alcoholism (OR 4,72; CI 95 % 1,46-15,26), suicidal ideation in the past five years (OR 7,35; CI 95 % 2,77-19,72) and limitations or sequelae of somatic disease (OR 3,87; CI 95 % 1,75-8,58).
Conclusions: schizophrenia, neurotic depression, alcoholism, personality disorders, suicidal ideation in the last five years as well as the limitations or sequelae of somatic disease were identified as independent risks factors in adults over 19 years of age.

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