Psychosocial and epidemiological aspects of suicide attempts in children
Keywords:
intento de suicidio, adolescente, niño, pediatríaAbstract
Introduction:
Suicide has been classified as a human tragedy and that of adolescents generates devastation for the family, friends and the community.
Objective:
To determine the epidemiological and psychosocial aspects related to suicide attempts in children.
Methods:
An observational, descriptive, cross-sectional study was carried out during the period from January 2019 to December 2020 at the ¨Piti Fajardo¨ Maternal and Child Hospital in the municipality of Güines, Mayabeque province. The study universe consisted of 68 children admitted for suicide attempts. The variables age, sex, schooling, predisposing factors, associated conflicts and psychiatric illnesses in children and family members were analyzed. Absolute frequencies and percentages were used as statistical techniques and percentages were compared using the X2 test and Duncan's multiple comparison test.
Results:
Suicide attempts were predominant in children aged 13 to 15 years at 54.4%, female at 85.3%, 48.6% with secondary schooling, the predisposing factor that prevailed was previous depression in 48.5% and 45.6% had family problems. The most frequent diagnosis was adjustment disorder in 69.1%.
Conclusions:
Adolescents aged 13 to 15 years, female with secondary schooling and previous depression, predominated, more than half of the children were diagnosed with an adjustment disorder and most of the family members had some psychiatric illness and the most prevalent conflicts were family problems.
Downloads
References
Mojica-Walteros CM, Hoyos-Gómez LK, Vanegas-Gama HS, Muñoz-Torres LD, Fernández-Ávila DG. Intento de suicidio pediátrico e ingreso a Unidad de Cuidado Intensivos, antes y después de la pandemia, en un hospital universitario en Boyacá, Colombia. Pediatr. 2023;56(2):e388. doi: https://doi.org/10.14295/rp.v56i2.388
Sarmiento-Ardebol NR, Fernández-Carballo JA, Fernández-Sarmiento DM, Hernández- Velázquez FM. Caracterización clínico-epidemiológica de pacientes pediátricos con intento suicida en el Hospital Pediátrico Provincial de Holguín. Medisur [Internet]. 2023 [citado 17 Feb 2024]; 21(2): 348-54. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727897X2023000200348&lng=es
Cwik MF, O'Keefe VM, Haroz EE. Suicide in the pediatric population: screening, risk assessment and treatment. Int Rev Psychiatry.2020;32(3):254-64.doi: https://10.1080/09540261.2019.1693351
Rojas-Hernández JC, Chaves-Guerrero JF, Mosquera-Bahamón Y, Borbón-Ramos M. Análisis espacial del comportamiento del intento de suicidio de casos notificados en Cali y Medellín, Colombia, 2021. Rep Epidemiol Nac [Internet]. 2022 [citado 21 May 2024];1(2):19. Disponible en: https://epidemiologiains.org/index.php/ren/article/view/86https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENT/boletin-conducta-suicida.pdf
Vázquez-López P, Armero-Pedreira P, Martínez-Sánchez L. Autolesiones y conducta suicida en niños y adolescentes. Lo que la pandemia nos ha desvelado. Anales Pediatría. 2023; 98: 204-12. doi: https://doi.org/10.1016/j.anpedi.2022.11.006
Zhu S, Li X, Wong PWC. Factores de riesgo y protectores en la conducta suicida entre jóvenes de Hong Kong: un estudio comparativo entre niños y adolescentes. Res Psiquiatría. 2023; 321:1–11. doi: https://doi.org/10.1016/j.psychres.2023.115059
González-Borges M, Silva-Rojas M, Torres-Martínez E. Intento suicida en edad pediátrica, un problema de salud actual. Medimay [Internet]. 2020 [citado 17 Feb 2024 ];27(3):288-98. Disponible en: http://www.medimay.sld.cu/index.php/rcmh/article/view/1729
García-López LE, Quevedo-Navarro M, Boyeros-Fernández I, Ravelo-Pérez ER. Actitud de riesgo y funcionamiento familiar en adolescentes con antecedentes de intento suicida. Medimay [Internet]. 2021 [citado 17 Feb 2024]; 28(3):312-23. Disponible en: http://www.medimay.sld.cu/index.php/rcmh/article/view/1526
Rodríguez-Ricardo A, Ochoa-Salas T, Same-Herrera N, Borjas-Reyes M. Conducta suicida en edad pediátrica. Municipio Mayarí. Período 2020-2021. Holguin: MedfamilarHLG2023, XXI Jornada Científica Provincial de Medicina Familiar. 1-30 Sept 2023, Holguín: MedfamilarHLG2023; 2023. Disponible en: https://apsgibara2023.sld.cu/index.php/medfamiliarhlg2023/2023/rt/metadata/341/424
Elia J. Suicidal Behavior in Children and Adolescents. [Internet]. New Jersey: Manual DMS; 2023 [citato 21 May 2024]. Disponible en: https://www.msdmanuals.com/home/children-s-health-issues/mental-health-disorders-in-children-and-adolescents/suicidal-behavior-in-children-and-adolescents?query=Suicidal%20Behavior%20in%20Children%20and%20Adolescents
Ivey-Stephenson AZ, Demissie Z, Crosby AE, Stone DM, Gaylor E, Wilkins N, Lowry R, Brown M. Suicidal Ideation and Behaviors Among High School Students — Youth Risk Behavior Survey, United States, 2019. MMWR Supplements.2020; 69(1): 47–55. doi: http://dx.doi.org/10.15585/mmwr.su6901a6
Murillo-Gutiérrez LC, Quemba-Mesa MP, Vargas-Rodríguez LY, Florez-EscobarI C, Contreras-Briceño JI. Epidemiological behavior of suicide attempt in Colombian adolescents years 2016-2019: An ecological study. Revista Latino-Americana Enfermagem. 2020; 30:12-24. doi: https://doi.org/10.1590/1518-8345.6240.3807
Quemba-Mesa MP, Herrera-Tarapues JC, Mendoza-Ortiz A, Mendoza-Ortiz B. Comportamiento epidemiológico del intento de suicidio en niños y adolescentes, Colombia 2016-2020. Pediatr. 2022; 55(1):3-10. doi: https://doi.org/10.14295/rp.v55i1.355
Barrueto-Peña D, Corrales-Gongora Y, González-Arteaga A. Comportamiento suicida: algunos aspectos psicosociales y epidemiológicos en adolescentes del municipio las tunas. Didáctica y Educación [Internet]. 2020 [citado 22 May 2024];11(4):87-98. Disponible en: https://revistas.ult.edu.cu/index.php/didascalia/article/view/1059
Solis-Espinoza M, Mancilla-Díaz JM, Vázquez-Arévalo R. Suicidio: autolesión e insatisfacción corporal en adolescentes. Cuad Hispanoam Psicol [Internet]. 2022 [citado 21 May 2024];22(1):1-15. Disponible en: https://revistas.unbosque.edu.co/index.php/CHP/article/view/suicidio-autolesion
Benton-Tami D. Suicide and Suicidal Behaviors Among Minoritized Youth. Child Adolescent Psychiatric Clinics North America [Internet]. 2022 [citado 21 May 2024]; 31(2): 211-21. Disponible en: https://www.binasss.sa.cr/ped23/12.pdf
Wasserman D, Carli V, Iosue Ml. Prevención del suicidio en la niñez y la adolescencia: una revisión narrativa del conocimiento actual sobre factores de riesgo y protección y efectividad de las intervenciones. Psiquiatría Asia Pac. 2021; 13 (3): 1–17. doi: https://doi.org/10.1111/appy.12452
Becker M, Correll CU. Suicidalidad en la Infancia y la Adolescencia. Dtsch Arzteb lInt. 2020; 117 (15):261-7. doi: https://doi.org/10.3238/arztebl.2020.0261
Xu M; Rosario-Williams B; Kline-Emily A, Miranda R. Social cognitive mechanisms between psychological maltreatment and adolescent suicide ideation: Race/ethnicity and gender as moderators. Psychology Violence. 2022; 12(6):393-402. doi: https://doi.org/10.1037/vio0000447
Published
How to Cite
Issue
Section
License
Medimay protects copyright from the very first moment the submission is made, but upon publication it assumes a Creative Commons 4.0 (cc-by-nc) license, which allows the use of the work to share (copy and redistribute the material in any medium or format) and adapt (remix, transform and build from the material) as long as exclusive mention is made of the publication in the journal as a primary source, prohibiting its commercialization. The author always retains his/her right.