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[青少年自杀行为的患病率及相关心理因素。2018 - 19年全国健康与营养调查(Ensamut)]

[Prevalence and psychological factors associated withsuicidal behavior in adolescents. Ensanut 2018-19].

作者信息

Rivera-Rivera Leonor, Fonseca-Pedrero Eduardo, Séris-Martínez Marina, Vázquez-Sala Argelia, Reynales-Shigematsu Luz Myriam

机构信息

Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.

Dirección del Departamento de Ciencias de la Educación, Universidad de La Rioja. La Rioja, España.

出版信息

Salud Publica Mex. 2020 Nov-Dec;62(6):672-681. doi: 10.21149/11555.

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 high-est prevalence was in Guanajuato (ideation: 9.0%, attempt: 7.8%). Associated factors. Suicidal ideation: tobacco (OR= 2.26; 95%CI: 1.62-3.16), alcohol (OR= 2.12; 95%CI: 1.65-2.73), depressive symptoms (OR= 6.04; 95%CI: 4.71-7.73), sexual abuse (OR= 6.57; 95%CI: 4.57-9.45). Suicidal attempt: tobacco (OR= 2.17; 95%CI: 1.49-3.15), alcohol (OR= 2.32; 95%CI:1.77-3.03), depressive symptoms (OR= 6.47; 95% CI: 4.91-8.51), sexual abuse (OR= 6.76; 95%CI: 4.60-9.96).

CONCLUSIONS

By increasing suicidal behavior in Mexican adolescents, it is necessary to implement preventive public policies that articulate mental health, addiction and violence programs.

摘要

目的

评估墨西哥青少年自杀行为的患病率及其与心理因素的关联。

材料与方法

基于全国健康与营养调查(2018 - 19年Ensanut)开展横断面研究,样本为17995名青少年(10 - 19岁)。估计调整后的逻辑回归模型,得出比值比(OR)和95%置信区间(95%CI)。

结果

墨西哥自杀意念和自杀未遂的患病率分别为5.1%和3.9%;患病率最高的是瓜纳华托州(意念:9.0%,未遂:7.8%)。相关因素。自杀意念:烟草(OR = 2.26;95%CI:1.62 - 3.16)、酒精(OR = 2.12;95%CI:1.65 - 2.73)、抑郁症状(OR = 6.04;95%CI:4.71 - 7.73)、性虐待(OR = 6.57;95%CI:4.57 - 9.45)。自杀未遂:烟草(OR = 2.17;95%CI:1.49 - 3.15)、酒精(OR = 2.32;95%CI:1.77 - 3.03)、抑郁症状(OR = 6.47;95%CI:4.91 - 8.51)、性虐待(OR = 6.76;95%CI:4.60 - 9.96)。

结论

鉴于墨西哥青少年自杀行为增多,有必要实施预防性公共政策,整合心理健康、成瘾和暴力项目。

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