Zulic-Agramunt Christianne Milena, Guzmán-Guzmán Iris Paola, Delgado-Floody Pedro, Saavedra Monserrat Belén Cerda, De La Fuente Patricio Gutierrez, Solano Mario Meza, Berrios Claudia Sagredo, Testor Carles Pérez
Departament of Mental Health and Psychiatry, Universidad de La Frontera, Temuco 4811230, Chile.
FPCEE Blanquerna, Universitat Ramon Llull, 08022 Barcelona, Spain.
Children (Basel). 2022 Aug 8;9(8):1185. doi: 10.3390/children9081185.
Background: Suicidality in adolescents is a growing concern and is currently a public health issue in Chile and the world. Objective: To determine the association between the risk of suicidality with self-harm, sociodemographic parameters (that is, gender and type of school), psychosocial variables, and social and family support in Chilean adolescents. Methods: In a cross-sectional study, 829 (377, 45.5% girls) children/adolescents between 10 and 19 years of age participated. Suicidality, self-esteem, health-related quality of life (HRQoL), and social support perception were evaluated by standard, validated questionnaires. The presence of self-harm, dating violence, and family dysfunction was also evaluated through a self-report survey. Results: Suicidality risk was related to low self-esteem (OR = 9.73; 95%; CI = 6.62−14.28; p < 0.001), low HRQoL (OR = 5.0; 95%; CI = 3.51−7.13; p < 0.001), low social support (OR; 3.38, 95%; CI; 2.48−4.6; p < 0.001), and self-harm (OR = 8.03; 95%; CI = 5.69−11.33; p < 0.001). In family terms, suicidality risk was associated with exposure to physical (OR = 2.47, 95%CI; 1.69−3.6; p < 0.001) and psychological (OR = 1.78, 95; 1.33−2.39; p < 0.001) aggression between parents, and with considering their family dysfunctional (OR = 2.41 95%; CI = 1.69−3.41; p < 0.001). Finally, suicidality was associated with feeling mistreated by a boyfriend/girlfriend (OR = 2.18; 95% CI = 1.19−3.98; p = 0.011). Conclusion: Suicidality was associated with self-harm, low social, psychological and family well-being, and/or feeling mistreated by a boyfriend/girlfriend.
青少年自杀倾向日益受到关注，目前已成为智利乃至全球的一个公共卫生问题。目的：确定智利青少年自杀倾向风险与自我伤害、社会人口学参数（即性别和学校类型）、心理社会变量以及社会和家庭支持之间的关联。方法：在一项横断面研究中，829名10至19岁的儿童/青少年（377名女孩，占45.5%）参与其中。通过标准的、经过验证的问卷对自杀倾向、自尊、健康相关生活质量（HRQoL）和社会支持感知进行评估。还通过自我报告调查评估了自我伤害、约会暴力和家庭功能障碍的存在情况。结果：自杀倾向风险与低自尊（OR = 9.73；95%；CI = 6.62−14.28；p < 0.001）、低健康相关生活质量（OR = 5.0；95%；CI = 3.51−7.13；p < 0.001）、低社会支持（OR；3.38，95%；CI；2.48−4.6；p < 0.001）以及自我伤害（OR = 8.03；95%；CI = 5.69−11.33；p < 0.001）相关。在家庭方面，自杀倾向风险与父母之间遭受身体暴力（OR = 2.47，95%CI；1.69−3.6；p < 0.001）和心理暴力（OR = 1.78，95%；1.33−2.39；p < 0.001）以及认为家庭功能失调（OR = 2.41，95%；CI =
