Dávila Cervantes Claudio A, Luna Contreras Marisol
Facultad Latinoamericana de Ciencias Sociales, Ciudad de México, Mexico.
Rev Chil Pediatr. 2019 Dec;90(6):606-616. doi: 10.32641/rchped.v90i6.1012.
Attempted suicide is the main risk factor for completed suicides.
To analyze the prevalen ce of attempted suicide in junior high school and high school students in Mexico City, and its asso ciated factors.
Observational, cross-sectional and descriptive study conducted with data from the Mexico National Survey on Drug Use Among Students (ENCODE) 2012. The validated survey was anonymous, structured and self-applied, and contains seven sections: Sociode mographic; Tobacco, alcohol and drug use; Problems related to drug use; Antisocial behavior; Social sphere; Interpersonal sphere and Personal sphere. Family atmosphere, communication with parents, and self-esteem indexes were created using principal component analysis. A binomial logistic regres sion model was adjusted, and the odds ratio (OR) were analyzed.
The estimated prevalence of attempted suicide was 6.8%. The factors that increased the attempted suicide possibility were: being a woman (OR 3.1), be under 16 years old (OR 1.6), living in an unfavorable family atmosphere (OR 1.5) or having a poor communication with parents (OR 1.8), having low self-esteem (OR 1.9), behavioral or learning problems (OR 1.4) or suffering a mental illness (OR 3.6); having been forced into sexual contact (OR 2.6); or drugs use, smoking or alcohol consumption (OR 1.7, 1.2 and 1.7).
The attempted suicide prevention should be focused on women younger than 16 years, with any psychiatric disorder, behavioral problem or low self-esteem, who live in an unfavorable family atmosphere, with risky behavior such as smoking, or alcohol or drugs consumption, or who have been forced into sexual contact.
自杀未遂是导致自杀身亡的主要风险因素。
分析墨西哥城初中生和高中生自杀未遂的患病率及其相关因素。
采用2012年墨西哥全国学生药物使用情况调查(ENCODE)的数据进行观察性、横断面和描述性研究。该经过验证的调查为匿名、结构化且自我施测的,包含七个部分:社会人口统计学;烟草、酒精和药物使用;与药物使用相关的问题;反社会行为;社会领域;人际领域和个人领域。使用主成分分析创建家庭氛围、与父母的沟通和自尊指数。调整二项逻辑回归模型,并分析比值比(OR)。
估计自杀未遂的患病率为6.8%。增加自杀未遂可能性的因素包括:女性(OR 3.1)、16岁以下(OR 1.6)、生活在不良家庭氛围中(OR 1.5)或与父母沟通不良(OR 1.8)、自尊水平低(OR 1.9)、行为或学习问题(OR 1.4)或患有精神疾病(OR 3.6);曾被迫进行性接触(OR 2.6);或使用药物、吸烟或饮酒(OR 1.7、1.2和1.7)。
自杀未遂的预防应聚焦于16岁以下的女性,她们患有任何精神疾病、行为问题或自尊水平低,生活在不良家庭氛围中,有吸烟、饮酒或使用药物等危险行为,或曾被迫进行性接触。