Prevalencia y factores de riesgo de comportamientos relacionados con suicidio en el Estudio Nacional de Salud Mental, Colombia 2003 (ENSM)

Prevalencia y factores de riesgo de comportamientos relacionados con suicidio en el Estudio Nacional de Salud Mental, Colombia 2003 (ENSM)

Suicide is an important public health issue in Colombia. Nevertheless, little is known about the prevalence, riskfactors, and the main behaviors related to it. The present article tries to show to the prevalence and suicide risk factors based on the results of the national survey of mental health of Colombia. The evaluated parameters werethe thought, plans, and suicide attempts in a survey of homes, made face to face, with a representative sample atnational level of 4426 adults, which makes part is of the World-wide Survey of Mental Health of the World HealthOrganization. The prevalence of thought, plans, and attempts of suicide is 12,4% (0.7); 4,1% (0.4); and 4,7% (0.4)respectively. The highest risk of both suicide ideation and attempt is in the 18-29 age group. In Colombia, and in theworld, suicide is an issue to care about because it has an important prevalence. In Colombia, suicide preventionefforts are unfortunately necessary to diminish the numbers shown by this study. Therefore, future investigationsmust define the determinants of the behaviors related to suicide.

1. Instituto Nacional de Medicina Legal y Ciencias Forenses. Forensis 2003. Bogotá: Imprenta Nacional.
2. WHO World Mental Health Consortium. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 2004;291:2581-2590.
3. Kessler R, Ustun T. The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res. 2004;13:93-121.
4. Posada-Villa J, Aguilar-Gaxiola, S., Magaña, C, Gómez L. Prevalencia de trastornos mentales y uso de servicios: Resultados preliminares del Estudio Nacional de Salud Mental Colombia, 2003 Rev Colomb Psiquiatr. 2004;33:241-26.
5. Kessler R, Abelson J, Demler O, Escobar J. Gibbon M, Guyer M, Howes M, Jin R, Vega W, Walters E, Wang P, Zaslavsky A, Zheng H. Clinical Calibration of DSM-IV Diagnoses in the World Mental Health (WMH) Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res 2004;13:122-139.
6. Posada-Villa J, Trevisi C. Prevalencia, severidad y necesidades no satisfechas del tratamiento de los trastornos de ansiedad, relacionados con sustancias, del estado de ánimo y del control de los impulsos en adultos según el Estudio Nacional de Salud Mental, Colombia 2003. MedUNAB, 2004;7:65-72.
7. Kessler R, Berglund P, Demler O, Jin R, Walters E. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Arch Gen Psychiatry. 2005:62:593-602.
8. Hosmer DW, Lemeshow S. Applied Logistic Regression. New York: Wiley Sons, 1989.
9. Wolter K. Introduction to Variance Estimation. New York, Springer-Verlag, 1985.
10. SUDAAN: Professional Software for Survey Data Analysis (program). 8.01 version. Research Triangle Park, NC: Research Triangle Institute, 2002.
11. Brewin C, Andrews B, Gotlib I. Psychopathology and early experience: a reappraisal of retrospective reports. Psychol Bull. 1993;113:82-98.
12. Hardt J, Rutter M. Validity of adult retrospective reports of adverse childhood experiences: review of the evidence. J Child Psychol Psychiatry. 2004;45:260-273.
13. Kendler K, Gallagher T, Abelson J, Kessler R. Lifetime prevalence, demographic risk factors, and diagnostic validity of nonaffective psychosis as assessed in a US community sample. The National Comorbidity Survey. Arch Gen Psychiatry. 1996;53:1022-1031.
14. Nock M, Kessler R. Prevalence of and risk factors for suicide attempts versus suicide gestures: Analysis of the National Comorbidity Survey. J Abnorm Psychol. 2006;115:616-623.
15. Nock M, Prinstein M. Contextual features and behavioral functions of self-mutilation among adolescents J Abnorm Psychol. 2005;114:140-146.
16. Kessler R, Borges G, Walters E. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999;56:617-626.
17. Moscicki E. Epidemiology of suicide. In: Jacobs DG (ed). The Harvard Medical School guide to suicide assessment and intervention. San Francisco, Jossey-Bass, 1999; 40-51.
18. -----------------------------------------------------------------------------------
19. DOI: http://dx.doi.org/10.22490/24629448.378