medigraphic.com
Instituto Nacional de Salud Pública

2020, Number 6

<< Back Next >>

salud publica mex 2020; 62 (6)

Prevalence and psychological factors associated with suicidal behavior in adolescents. Ensanut 2018-19

Rivera-Rivera L, Fonseca-Pedrero E, Séris-Martínez M, Vázquez-Salas A, Reynales-Shigematsu LM

Language: Spanish
References: 37
Page: 672-681
PDF size: 431.02 Kb.


ABSTRACT

Objective. To estimate the prevalence of suicidal behavior and its association with psychological factors in Mexican adolescents. Materials and methods. Cross-sectional study based on the National Survey of Health and Nutrition (Ensanut 2018-19), with a sample of 17 995 adolescents (10-19 years). Adjusted logistic regression models were estimated, obtaining Odds Ratio (OR) and 95% confidence intervals (95%CI). Results. Prevalence of suicidal ideation and suicide attempt in Mexico were 5.1 and 3.9%, respectively; the highest prevalence was in Guanajuato (ideation: 9.0%, attempt: 7.8%). Associated factors. Suicidal ideation: tobacco (OR= 2.19; 95%CI: 1.56-3.09), alcohol (OR= 1.98; 95%CI: 1.53-2.60), depressive symptoms (OR= 5.67; 95%CI: 4.56- 7.07), sexual abuse (OR= 6.67; 95%CI: 4.60-9.66). Suicidal attempt: tobacco (OR= 2.09; 95%CI: 1.42-3.07), alcohol (OR= 2.15; 95%CI:1.65-2.80), depressive symptoms (OR= 6.05; 95% CI: 4.75-7.73), sexual abuse (OR= 6.86; 95%CI: 4.65-10.13). Conclusions. By increasing suicidal behavior in Mexican adolescents, it is necessary to implement preventive public policies that articulate mental health, addiction and violence programs.


REFERENCES

  1. O’Connor R, Pirkis J. The international handbook of suicide prevention. 2nd ed. Chichester, Hoboken: Wiley, 2016.

  2. Organización Mundial de la Salud. Prevención del suicidio, un imperativo global: Epidemiología mundial del suicidio y de los intentos de suicidio. Washington: OMS, 2014. https://doi.org/10.1002/9780470774120

  3. Fonseca-Pedrero E, Inchausti F, Pérez-Gutiérrez L, Aritio Solana R, Ortuño- Sierra J, Sánchez-García MÁ, et al. Suicidal ideation in a community-derived sample of Spanish adolescents. Revista de Psiquiatría y Salud Mental. 2018;11(2):76-85. https://doi.org/10.1016/j.rpsmen.2018.02.008

  4. Fadel SA, Boschi-Pinto C, Yu S, Reynales-Shigematsu LM, Menon GR, Newcombe L, et al. Trends in cause-specific mortality among children aged 5-14 years from 2005 to 2016 in India, China, Brazil, and Mexico: an analysis of nationally representative mortality studies. Lancet. 2019;393(10176):1119-27. https://doi.org/10.1016/S0140-6736(19)30220-X

  5. Naghavi M. Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016. BMJ. 2019;l94. https://doi.org/10.1136/bmj.l94

  6. Lim K-S, Wong CH, McIntyre RS, Wang J, Zhang Z, Tran BX, et al. Global lifetime and 12-month prevalence of suicidal behavior, deliberate self-harm and non-suicidal self-injury in children and adolescents between 1989 and 2018: a meta-analysis. Int J Environ Res Public Health. 2019;16(22):4581. https://doi.org/10.3390/ijerph16224581

  7. Miranda-Mendizabal A, Castellví P, Parés-Badell O, Alayo I, Almenara J, Alonso I, et al. Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. Int J Public Health. 2019;64(2):265-83. https://doi.org/10.1007/s00038-018- 1196-1

  8. Borges G, Orozco R, Benjet C, Medina-Mora ME. Suicidio y conductas suicidas en México: retrospectiva y situación actual. Salud Publica Mex. 2010;52(4):292-304 [citado abril, 2020]. Disponible en: http://www.scielo. org.mx/scielo.php?script=sci_arttext&pid=S0036-3634201000040000

  9. Borges G, Orozco R, Villatoro J, Medina-Mora ME, Fleiz C, Díaz-Salazar J. Suicide ideation and behavior in Mexico: Encodat 2016. Salud Publica Mex. 2018;61(1):6-15. https://doi.org/10.21149/9351

  10. Hidalgo-Solórzano E, Váldez-Santiago R. La medición del intento de suicidio en adolescentes en las encuestas nacionales de salud: evidencia para el diseño de políticas de salud pública. En: Váldez-Santiago R, Arenas Monreal L,eds. Simplemente quería desaparecer. México: INSP; 2019:103-110.

  11. Valdez-Santiago R, Solórzano EH, Iñiguez MM, Burgos LÁ, Gómez Hernández H, Martínez González Á. Attempted suicide among adolescents in Mexico: prevalence and associated factors at the national level. Inj Prev. 2018;24(4):256-61. https://doi.org/10.1136/injuryprev-2016-042197

  12. Pérez-Amezcua B, Rivera-Rivera L, Atienzo E, De Castro F, Leyva- López A, Chávez-Ayala R. Prevalencia y factores asociados a la ideación e intento suicida en adolescentes de educación media superior de la República mexicana. Salud Publica Mex. 2010;52(4):324-33 [citado abril, 2020]. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_artte xt&pid=S0036-3634201000040000

  13. Turecki G, Brent DA. Suicide and suicidal behaviour. Lancet. 2016;387(10024):1227-39. https://doi.org/10.1016/S0140-6736(15)00234-2

  14. Espandian A, González M, Reijas T, Florez G, Ferrer E, Saiz PA, et al. Factores predictores de riesgo de repetición de intento de suicidio en una muestra de pacientes ambulatorios. Revista de Psiquiatría y Salud Mental. 2020;13(1):11-21. https://doi.org/10.1016/j.rpsm.2019.03.003

  15. Franklin JC, Ribeiro JD, Fox KR, Bentley KH, Kleiman EM, Huang X, et al. Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin. 2017;143(2):187-232. https://doi. org/10.1037/bul0000084

  16. Huang X, Ribeiro JD, Musacchio KM, Franklin JC. Demographics as predictors of suicidal thoughts and behaviors: A meta-analysis. PLoS One. 2017;12(7):e0180793. https://doi.org/10.1371/journal.pone.0180793

  17. Borges G, Bagge CL, Orozco R. A literature review and meta-analyses of cannabis use and suicidality. J Affect Disord. 2016;195:63-74. https://doi. org/10.1016/j.jad.2016.02.007

  18. Borges G, Bagge CL, Cherpitel CJ, Conner KR, Orozco R, Rossow I. A meta-analysis of acute use of alcohol and the risk of suicide attempt. Psychol Med. 2017;47(5):949-57. https://doi.org/10.1017/ S0033291716002841

  19. Agrawal A, Tillman R, Grucza RA, Nelson EC, McCutcheon VV, Few L, et al. Reciprocal relationships between substance use and disorders and suicidal ideation and suicide attempts in the Collaborative Study of the Genetics of Alcoholism. J Affect Disord. 2017;213:96-104. https://doi. org/10.1016/j.jad.2016.12.060

  20. Mars B, Heron J, Klonsky ED, Moran P, O’Connor RC, Tilling K, et al. What distinguishes adolescents with suicidal thoughts from those who have attempted suicide? A population-based birth cohort study. J Child Psychol Psychiatr. 2019;60(1):91-9. https://doi.org/10.1111/jcpp.12878

  21. Nock MK, Green JG, Hwang I, McLaughlin KA, Sampson NA, Zaslavsky AM, et al. Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry. 2013;70(3):300-10. https://doi.org/10.1001/2013.jamapsychiatry.55

  22. Borges G, Benjet C, Orozco R, Medina-Mora M-E, Menendez D. Alcohol, cannabis and other drugs and subsequent suicide ideation and attempt among young Mexicans. J Psychiatr Res. 2017;91:74-82. https:// doi.org/10.1016/j.jpsychires.2017.02.025

  23. Chávez-Hernández AM, Macías-García LF. Understanding suicide in socially vulnerable contexts: psychological autopsy in a small town in Mexico. Suicide Life Threat Behav. 2016;46(1):3-12. https://doi.org/10.1111/ sltb.12166

  24. Instituto Nacional de Estadística y Geografía. Encuesta Nacional de Salud y Nutrición 2018 ENSANUT: Informe operativo y de procesamiento. México: INEGI, 2019 [citado abril, 2020]. Disponible en: https://www. inegi.org.mx/contenidos/programas/ensanut/2018/doc/ensanut_2018_informe_ operativo.pdf

  25. Romero-Martínez M, Shamah-Levy T,Vielma-Orozco E, Heredia-Hernández O, Mojica-Cuevas J, Cuevas-Nasu L, Rivera-Dommarco J. Encuesta Nacional de Salud y Nutrición 2018-19: metodología y perspectivas. Salud Publica Mex. 2019;61(6):917-23. https://doi.org/10.21149/11095

  26. Guerrero-López CM, Muños-Hernández JA, De Miera-Juárez BS. Consumo de tabaco, mortalidad y política fiscal en México. Salud Publica Mex. 2013;55(Supl 2):276-81. https://doi.org/10.21149/spm.v55s2.5125

  27. González-Bautista E, Zavala-Arciniega L, Rivera-Rivera L, Leyva-López A, Natera-Rey G, Reynales-Shigematsu LM.Factores sociales asociados con el consumode tabaco y alcohol en adolescentes mexicanos de poblaciones menores a 100 000 habitantes. Salud Publica Mex. 2019;61(6):764- 74. https://doi.org/10.21149/10563

  28. Salinas-Rodríguez A, Manrique-Espinoza B, Acosta-Castillo I, Ma. Téllez-Rojo M, Franco-Núñez A, Gutiérrez-Robledo LM, et al. Validación de un punto de corte para la Escala de Depresión del Centro de Estudios Epidemiológicos, versión abreviada (CESD-7). Salud Publica Mex. 2013;55(3):267. https://doi.org/10.21149/spm.v55i3.7209

  29. Rivera-Dommarco J, Shamah-Levy T, Barrientos-Gutiérrez T, Bautista- Arredondo S, Romero-Martínez M, Pelcastre-Villafuerte B,Torres-Pereda P. La salud de los mexicanos que habitan enlocalidades de menos de 100 000 habitantes. Salud Publica Mex. 2019;61(6):709-15. https://doi. org/10.21149/10980

  30. Hosmer DW, Hjort NL. Goodness-of-fit processes for logistic regression: simulation results. Statist Med. 2002;21(18):2723-38. https://doi. org/10.1002/sim.1200

  31. Center For Open Science. Prevalence and psychological factors associated with suicidal behavior in adolescents: ENSANUT 2018-2019. México: OSF, 2020 Disponible en: https://osf.io/236b7/

  32. Kessler R, Angermeyer M, Anthony J, De Graaf R, Demyttenaere K, Gasquet I, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the world health organization’s world mental health survey initiative. World Psychiatry. 2007;6(3):168.

  33. Castellvi-Obiols P, Piqueras JA. El suicidio en la adolescencia: un problema de salud pública que se puede y debe prevenir. Revista de Estudios de Juventud. 2018;121:45-59.

  34. Cha CB, Franz PJ, M. Guzmán E, Glenn CR, Kleiman EM, Nock MK. Annual Research Review: Suicide among youth – epidemiology, (potential) etiology, and treatment. J Child Psychol Psychiatr. 2018;59(4):460-82. https://doi.org/10.1111/jcpp.12831

  35. Fonseca-Pedrero E, Díez A, Pérez A, Inchausti F, Enesco A, Pérez M. Prevención del suicidio en los centros educativos. En: Lucas-Molina B, Jiménez-Dasi M. Promoción de la salud a través de programas de intervención en contexto educativo. Madrid: Pirámide, 2019:157-84.

  36. 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):74. https://doi.org/10.1038/s41572-019-0121-0

  37. Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, Sarchiapone M, et al. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry. 2016;3(7):646-59. https://doi.org/10.1016/ S2215-0366(16)30030-X




2020     |     www.medigraphic.com