Vilugrón Aravena Fabiola, Molina Temístocles, Gras Pérez María Eugenia, Font-Mayolas Sílvia
Departamento de Salud, Comunidad y Gestión, Facultad de Ciencias de la Salud, Universidad de Playa Ancha, Valparaíso, Chile.
Centro de Medicina Reproductiva y Desarrollo Integral de la Adolescencia, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Rev Med Chil. 2022 Aug;150(8):1036-1045. doi: 10.4067/S0034-98872022000801036.
Suicidal behavior is a public health problem, and adolescents are one of the main risk groups.
To analyze the association among suicidal behavior, consumption of psychoactive substances, and Health Related Quality of Life (HRQoL) in adolescents attending schools in Valparaiso, Chile.
Five hundred-fifty adolescents enrolled in a public school participated in the study. HRQoL was evaluated through KIDSCREEN-27, while suicidal behavior and the consumption of psychoactive substances were measured with the Global School-based Student Health Survey (GSHS).
The prevalence of suicidal behavior was higher in women and in those who used tobacco or marijuana in the last month. Respondents with a bad perception of physical well-being reported a higher frequency of suicidal ideation than those with a good perception (Odds ratio (OR): 2.24; 95% confidence: 1.49-3.36). Likewise the frequency of suicidal ideation was higher in those with a bad perception of psychological well-being (OR: 3.87; 95%CI: 2.09-7.71), and a bad perception of autonomy and relation with parents (OR:2.46; 95%CI: 1.34-4.54). Suicide planning was also associated with dimensions of autonomy and relation with parents (OR: 2.32; 95% CI: 1.23-4.38) and dimensions of friends and social support (OR: 1.86; 95%CI:1.05-3.28). Suicide attempt was associated with the dimensions of friendship and social support (OR: 1.83; 95%CI: 1.02-3.28) and school environment (OR: 1,92; 95%CI: 1,23-3,01).
Suicide ideation is associated with worse physical and psychological well-being. Suicide planning and suicide attempt is associated with a worse perception about the relation with parents or friends, social support, and school environment.
自杀行为是一个公共卫生问题，青少年是主要的风险群体之一。
分析智利瓦尔帕莱索市在校青少年的自杀行为、精神活性物质使用与健康相关生活质量（HRQoL）之间的关联。
550名就读于一所公立学校的青少年参与了该研究。通过儿童生活质量量表（KIDSCREEN - 27）评估健康相关生活质量，而自杀行为和精神活性物质使用情况则通过全球学校学生健康调查（GSHS）进行测量。
女性以及上个月使用烟草或大麻的青少年中自杀行为的患病率更高。对身体健康状况感知较差的受访者报告的自杀意念频率高于感知良好者（优势比（OR）：2.24；95%置信区间：1.49 - 3.36）。同样，对心理健康状况感知较差者（OR：3.87；95%置信区间：2.09 - 7.71）以及对自主性和与父母关系感知较差者（OR：2.46；95%置信区间：1.34 - 4.54）的自杀意念频率更高。自杀计划还与自主性和与父母关系的维度（OR：2.32；95%置信区间：1.23 - 4.38）以及朋友和社会支持的维度（OR：1.86；95%置信区间：1.05 - 3.28）相关。自杀未遂与友谊和社会支持的维度（OR：1.83；95%置信区间：1.02 - 3.28）以及学校环境（OR：1.92；95%置信区间：1.23 - 3.01）相关。
自杀意念与较差的身体和心理健康状况相关。自杀计划和自杀未遂与对与父母或朋友关系、社会支持以及学校环境的较差感知相关。
