Suicide attempt and completed suicide in adolescents and young people on from the social health determinants: A systematic review.

IF 0.4 Q4 NURSING
Revista Cuidarte Pub Date : 2025-04-29 eCollection Date: 2025-01-01 DOI:10.15649/cuidarte.4184
Ladini Sunanda Hernández Bello, Andrés Mauricio Ríos Paternina, Fernando de la Hoz Restrepo
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引用次数: 0

Abstract

Introduction: Suicidal behavior is an important health problem, frequently studied from a risk perspective. Evidence that transcends this hegemonic view is required.

Objective: To identify the structural and intermediate social health determinants associated with attempted suicide and completed suicide in Latin American adolescents and youth, according to published literature.

Materials and methods: Systematic review following PRISMA recommendations, performed in LILACS, Google academic and Pubmed using keywords. Primary ecological studies performed in Latin America were included, which were evaluated for confounding bias, data quality and ecological fallacy.

Results: Initially, 23,770 documents were located, and 10 were finally included. The structural determinants associated with suicide include being male, aged 15-24 years, having a high Gini index, having a low Gross Domestic Product (GDP) per capita, and being Catholic or Evangelical. While the suicide attempt was due to educational backwardness, being a woman, and living in the municipal seat. The intermediate determinants for suicide attempts were tobacco and alcohol consumption, violent episodes, and depression.

Discussion: The proposed theoretical model offers a novel view of the problem, moving away from individual responsibility and giving an active role to lifestyle-related conditions contributing to health inequities.

Conclusion: Social determinants offer a novel view for developing new prevention actions; however, empirical evidence from Latin America remains contradictory, and half of the studies reviewed were affected by confounding bias. Therefore, these associations should be interpreted with caution.

从社会健康决定因素看青少年和年轻人的自杀企图和自杀完成:一项系统回顾。
导言:自杀行为是一个重要的健康问题,经常从风险角度进行研究。我们需要超越这种霸权观点的证据。目的:根据已发表的文献,确定与拉丁美洲青少年自杀未遂和自杀未遂相关的结构性和中间社会健康决定因素。材料和方法:根据PRISMA建议,在LILACS,谷歌学术和Pubmed中使用关键词进行系统评价。包括在拉丁美洲进行的初级生态学研究,这些研究被评估为混杂偏差、数据质量和生态谬误。结果:最初,找到了23,770份文献,最终纳入了10份。与自杀相关的结构性决定因素包括男性、年龄在15-24岁之间、基尼系数高、人均国内生产总值(GDP)低、是天主教徒或福音教徒。而自杀的原因是教育落后,是女性,住在市政府。自杀企图的中间决定因素是烟酒消费、暴力事件和抑郁。讨论:提出的理论模型提供了一种新的问题观点,远离个人责任,并对导致健康不平等的与生活方式有关的条件给予积极的作用。结论:社会决定因素为制定新的预防措施提供了新的视角;然而,来自拉丁美洲的经验证据仍然相互矛盾,所审查的研究中有一半受到混杂偏倚的影响。因此,这些关联应该谨慎解释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Revista Cuidarte
Revista Cuidarte NURSING-
CiteScore
0.70
自引率
25.00%
发文量
53
审稿时长
19 weeks
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