CISS, National Institute of Public Health (INSP), Cuernavaca 62100, Mexico.
Department of Epidemiology and Psychosocial Research, National Institute of Psychiatry (INP), Mexico City 14370, Mexico.
Int J Environ Res Public Health. 2021 May 19;18(10):5419. doi: 10.3390/ijerph18105419.
To compare the occurrence of suicide attempts across nationally representative samples of the Mexican adolescent population over the past 12 years, and to analyze its association with sociodemographic, lifestyle and mental-health indicators.
Data were drawn from the 2006, 2012 and 2018 National Health and Nutrition Surveys ( = 25,056; 21,509; and 17,925 adolescents, respectively). Estimates were based on standardized measurements.
The estimated lifetime prevalence rates of suicide attempts were 1.1% in 2006, 2.7% in 2012, and 3.9% in 2018, indicating a 3.4-fold increase. Across the three survey periods, women yielded rates nearly three times higher than men. Lifetime prevalence grew the most among adolescents aged 13-15 years. Compared to the other respondents, the odds of lifetime suicide attempts proved seven times as high for those who had been sexually abused during their childhood, five times as high for those who had been diagnosed with a depressive disorder, three times as high for those who had suffered physical aggression and twice as high for those who had smoked 100+ cigarettes in their lifetimes and those who consumed alcohol.
The sharp increase in suicide attempts in Mexico calls for an urgent public-health response via universal and targeted interventions supported by national policy and sustained federal funding.
比较过去 12 年来墨西哥青少年人群中全国代表性样本的自杀未遂发生率,并分析其与社会人口统计学、生活方式和心理健康指标的关联。
数据来自 2006 年、2012 年和 2018 年全国健康和营养调查(分别为 25056、21509 和 17925 名青少年)。估计值基于标准化测量。
自杀未遂的终生患病率估计值在 2006 年为 1.1%,2012 年为 2.7%,2018 年为 3.9%,表明增加了 3.4 倍。在三个调查期间,女性的发生率几乎是男性的三倍。13-15 岁青少年的终生患病率增长最大。与其他受访者相比,童年时期遭受过性虐待的青少年自杀未遂的可能性高出七倍,被诊断患有抑郁症的青少年自杀未遂的可能性高出五倍,遭受过身体攻击的青少年自杀未遂的可能性高出三倍,终生吸烟 100 支以上的青少年自杀未遂的可能性高出两倍,饮酒的青少年自杀未遂的可能性高出两倍。
墨西哥自杀未遂率的急剧上升需要通过国家政策支持的普遍和有针对性的干预措施,以及持续的联邦资金提供紧急的公共卫生应对。