Lara Germán Alejandro García, Zúñiga Jesús Ocaña, Pérez Oscar Cruz, Solís Soledad Hernández, Jiménez Carlos Eduardo Pérez, Méndez Martín Cabrera
Facultad de Ciencias Humanas y Sociales, Universidad de Ciencias y Artes de Chiapas, Mexico,
Cien Saude Colet. 2018 Apr;23(4):1089-1096. doi: 10.1590/1413-81232018234.14492016.
The aim of this study was to assess the presence of suicidal ideation and depressive symptoms among adolescents in Chiapas, Mexico based on predictor variables. A cross-sectional study adopting an ex post facto design was conducted with a non-probability sample of 4,759 students of both sexes with an average age of 18.4 years and using the following tools: the Center for Epidemiologic Studies Depression Scale, Roberts' Suicidal Ideation Scale, the Impulsiveness Scale (IS), and the Rosenberg Self-Esteem Scale. The mean score obtained by the suicidal ideation scale was 0.2, which is lower than that reported by other studies, while the mean score for depressive symptoms was similar to those in the literature. The prevalence of suicidal ideation was 7.8%, which is lower than reported in national and international studies. Multivariable logistic regression showed that impulsiveness (OR = 1.907) and depressive symptoms (OR = 9.006) lead to a twofold and ninefold increase in the likelihood of suicidal ideation, respectively. The findings also showed a strong association between suicidal ideation and depressive symptoms, showing that the latter is a predictor of suicidal ideation among adolescents.
本研究旨在基于预测变量评估墨西哥恰帕斯州青少年中自杀意念和抑郁症状的存在情况。采用事后回溯设计进行了一项横断面研究，以4759名平均年龄为18.4岁的男女学生为非概率样本，并使用了以下工具：流行病学研究中心抑郁量表、罗伯茨自杀意念量表、冲动性量表（IS）和罗森伯格自尊量表。自杀意念量表的平均得分是0.2，低于其他研究报告的得分，而抑郁症状的平均得分与文献中的得分相似。自杀意念的患病率为7.8%，低于国内和国际研究报告的患病率。多变量逻辑回归显示，冲动性（OR = 1.907）和抑郁症状（OR = 9.006）分别使自杀意念的可能性增加两倍和九倍。研究结果还显示自杀意念与抑郁症状之间存在很强的关联，表明后者是青少年自杀意念的一个预测因素。
