Arenas Alvaro, Gómez-Restrepo Carlos, Rondón Martin
Departamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Bogotá, Colombia.
Departamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Bogotá, Colombia; Departamento de Epidemiología Clínica y Bioestadística, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia.
Rev Colomb Psiquiatr. 2016 Dec;45 Suppl 1:68-75. doi: 10.1016/j.rcp.2016.03.006. Epub 2016 Jun 11.
Suicidal behaviour leads to a significant cause of mortality in the world. It is important to know the factors associated with this behaviour in order to design public health policies that may decrease its incidence.
Describe the results of the Colombian National Survey of Mental Health related to suicidal behaviour in adults.
It was observed that 5.5% (95% CI, 4.5-6.7) of men and 7.6% (95% CI, 6.6-8.7) of women had suicidal thoughts. A suicide plan was reported in 2.7% of women (95% CI, 2.1-3.0), and attempted suicide observed in 1.9% of men (95% CI, 1.4-2.5) and 3.3% of women (95% CI, 2.6-4.1). The region with the highest frequency of suicidal ideation was Bogotá, with 10.3% (95% CI, 7.6-13.8) and was the lowest in the Atlantic region with 3.8% (95% CI, 3.0-4.8). It was found that the presence of any mental illness, especially depressive, anxiety disorders and borderline personality traits, as well as people who have been displaced by violence at least once in life, are associated with serious suicidal ideation. No differences were found in suicidal ideation as regards poverty or problems arising from alcohol consumption.
Suicidal behaviour is common in the Colombian adult population, which warrants the design and implementation of interventions in the most vulnerable groups in order to reduce this risk.
自杀行为是全球一个重要的死亡原因。了解与这种行为相关的因素对于制定可能降低其发生率的公共卫生政策至关重要。
描述哥伦比亚全国成年人心理健康调查中与自杀行为相关的结果。
观察到5.5%（95%置信区间，4.5 - 6.7）的男性和7.6%（95%置信区间，6.6 - 8.7）的女性有自杀念头。报告有自杀计划的女性占2.7%（95%置信区间，2.1 - 3.0），观察到有自杀未遂情况的男性占1.9%（95%置信区间，1.4 - 2.5），女性占3.3%（95%置信区间，2.6 - 4.1）。自杀意念发生率最高的地区是波哥大，为10.3%（95%置信区间，7.6 - 13.8），最低的是大西洋地区，为3.8%（95%置信区间，3.0 - 4.8）。研究发现，患有任何精神疾病，尤其是抑郁症、焦虑症和边缘型人格特质，以及一生中至少有一次因暴力而流离失所的人，都与严重的自杀意念有关。在自杀意念方面，未发现贫困或饮酒问题有差异。
自杀行为在哥伦比亚成年人口中很常见，这就需要针对最脆弱群体设计并实施干预措施，以降低这种风险。
