[Evaluation of risk factors for suicide attempt in a hospital clinical population in the Community of Madrid.]

IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Revista Espanola De Salud Publica Pub Date : 2020-09-10
Ángel Felipe García-Martín, Andrés Santiago-Sáez, Elena Labajo-González, María Elena Albarrán-Juan, Enrique Olivares-Pardo, Bernardo Perea-Pérez
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Abstract

Objective: Suicide attempts have increased considerably in recent decades. They are multifactorial in nature with preventable biopsychosocial components. Suicide attempt constitutes a vital event that affects the family and socioeconomic systems with important repercussions on public health. It is important to identify and analyze the associated risk factors, so that health professionals can consider them in their clinical practice in order to prevent them. The objective of this study was to identify the risk and protection factors that were associated with suicide attempt in the hospital population of an area of the Community of Madrid.

Methods: An analytical study of paired case-controls of patients who attended the reference hospital in Area 6 of the Community of Madrid during 2016 was carried out. Percentages were calculated and chi-square tests were used to establish an association and calculation of odds ratio with its confidence intervals and for a statistical significance of p≤0.05.

Results: An association was identified between the suicide attempts of the following variables: depression, couple conflict, psychiatric history and high anxiety, among others. Influence of insufficient economic income and low educational level was found. Of the 67 cases, 59.7% were female, with a predominance of the age groups 21-30 and 31-40 years with 28.36% in both. 82.2% had low income. 35.8% used drugs. 62.7% had some chronic disease. 59.7% presented high anxiety, 53.7% major depression and 67.1% high impulsivity.

Conclusions: There are psychopathological and personal behavioral factors related to suicide attempts, as well as a high percentage of people who attempt to commit suicide by factors of socio-economic and cultural deprivation.

[马德里社区医院临床人群自杀未遂风险因素评估]。
目的:近几十年来,企图自杀的人数大幅增加。自杀未遂的性质是多因素的,其中包含可预防的生物-心理-社会因素。自杀未遂是影响家庭和社会经济系统的重要事件,对公众健康有重要影响。重要的是要识别和分析相关的风险因素,以便医疗专业人员在临床实践中考虑这些因素,从而预防自杀。本研究的目的是在马德里社区的医院人群中找出与自杀未遂相关的风险和保护因素:对2016年期间在马德里社区第6区参考医院就诊的患者进行了配对病例对照分析研究。研究计算了百分比,并通过卡方检验确定了关联性,计算了几率及其置信区间,统计学意义为P≤0.05:结果:自杀企图与以下变量之间存在关联:抑郁、夫妻冲突、精神病史和高度焦虑等。经济收入不足和受教育程度低也有影响。在 67 个病例中,59.7% 为女性,主要集中在 21-30 岁和 31-40 岁年龄段,这两个年龄段的比例均为 28.36%。82.2%的人收入较低。35.8%的人吸毒。62.7% 的人患有某种慢性疾病。59.7%的人有高度焦虑,53.7%的人有严重抑郁,67.1%的人有高度冲动:与自杀未遂有关的心理病理学因素和个人行为因素,以及社会经济和文化贫困因素在自杀未遂者中所占的比例都很高。
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 Espanola De Salud Publica
Revista Espanola De Salud Publica PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.00
自引率
0.00%
发文量
106
审稿时长
12 weeks
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