Suicide in teenagers during the COVID-19 pandemic in Cuba: actions for its prevention

Claudia Elvira Casamayor Leiza, Julio César Pérez Yero, M. Inerárity, Brayan Chávez Miguel
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Abstract

Introduction: Suicidal behavior in teenagers constitutes a health problem that, given the necessary measures of social isolation taken by the global emergency of the COVID-19 pandemic, must generate timely actions for its prevention and control from the public health services. Objective: To propose an action plan for the prevention of suicide in teenagers of the Remedios municipality, subjected to voluntary home confinement during the COVID-19 pandemic. Methods: an observational, descriptive, cross-sectional study was carried out in the “XXX Anniversary” Teaching Community Polyclinic of the municipality Remedios. We worked with the population of 25 teenagers between 12 and 19 years old who made suicide attempts in the period 2019-2021. The empirical methods used were: bibliographic and documentary review, participant observation, focus group, semi-structured interview and questionnaire. Results: The suicide attempt was common in female teenagers aged 17 to 19 years not identified as risk, the lack of motivation due to the study activity and the previous suicide attempts by ingesting psychotropic drugs without serious intention of dying predominated. The most frequent psychological disorders were emotional disorders, stress, depression, irritability, apathy and insomnia. Actions are presented for the prevention of suicide and promote behaviors that contribute to mental health in the context of COVID-19. Conclusion: The prevention of suicidal behavior in teenagers in conditions of social isolation due to COVID-19, must include actions that facilitate the coping with stress, intra-family communication and resilience.
2019冠状病毒病大流行期间古巴青少年自杀:预防行动
导言:青少年自杀行为是一个健康问题,鉴于2019冠状病毒病(COVID-19)大流行的全球紧急情况采取了必要的社会隔离措施,公共卫生服务部门必须及时采取行动,预防和控制青少年自杀行为。目的:提出预防2019冠状病毒病大流行期间雷麦麦斯市自愿居家隔离青少年自杀的行动计划。方法:在雷麦黛斯市“XXX周年”教学社区综合诊所进行观察性、描述性、横断面研究。我们研究了25名12至19岁的青少年,他们在2019-2021年期间有自杀企图。实证方法采用文献法、参与式观察法、焦点小组法、半结构式访谈法和问卷法。结果:17 ~ 19岁未被确定为高危人群的女性青少年自杀倾向较多,因学习活动而缺乏自杀动机和既往因服用精神药物而自杀未遂,且无严重死亡意图为主。最常见的心理障碍是情绪障碍、压力、抑郁、易怒、冷漠和失眠。提出了在2019冠状病毒病背景下预防自杀和促进有助于精神健康的行为的行动。结论:预防因COVID-19而处于社会隔离状态的青少年的自杀行为,必须包括有助于应对压力、家庭内部沟通和复原力的行动。
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