Spanish Journal of Psychiatry and Mental Health最新文献

{"title":"Content validation using Aiken methodology through expert judgment of the first Spanish version of the Eppendorf Schizophrenia Inventory (ESI) in Peru: A brief qualitative report","authors":"Victor Anculle-Arauco ,&nbsp;Hever Krüger-Malpartida ,&nbsp;Martin Arevalo-Flores ,&nbsp;Liany Correa-Cedeño ,&nbsp;Reinhard Mass ,&nbsp;Wolfgang Hoppe ,&nbsp;Bruno Pedraz-Petrozzi","doi":"10.1016/j.rpsm.2022.11.004","DOIUrl":"10.1016/j.rpsm.2022.11.004","url":null,"abstract":"<div><h3>Background</h3><p>The main objective of this study was the validation through the expert judgment of the first Spanish version of the Eppendorf Schizophrenia Inventory (ESI-Sp).</p></div><div><h3>Materials and methods</h3><p>A translation and cultural adaptation procedure as a first stage was carried out, which was evaluated by four psychiatrists with clinical experience. In a second stage, we recruited a group of clinical psychiatrists to evaluate the translated instrument by judging the items’ clarity and relevance. Content validity was performed using the Aiken methodology (Aiken's <em>V</em>).</p></div><div><h3>Results</h3><p>For the first stage, we did not find any items that needed alteration during translation and adaptation. Concerning the raters’ stage, 30 clinical psychiatrists (47.07<!--> <!-->±<!--> <!-->13.62 years) completed the rating of the ESI-Sp. Of them, the majority worked in an institute (10/30; 33.33%) and had “15 or more” years of experience (12/30; 40.00%). The null hypothesis was rejected for all items and demonstrated the content validity of each item. Similar results were found for the factors of the ESI. Finally, the total Aiken's <em>V</em> for the ESI did not include the values of the null hypothesis in the confidence intervals (<em>V</em> <!-->=<!--> <!-->0.78; CI95 [0.70; 0.85]), demonstrating content validity.</p></div><div><h3>Conclusions</h3><p>ESI-Sp is a valid and representative instrument to determine subjective experiences in patients with a high risk of schizophrenia. The construct validation of the ESI-Sp is pending, which our research group will carry out after this first step.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 2","pages":"Pages 110-113"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41238293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Basic quality indicators for clinical care of patients with major depression, schizophrenia, and bipolar disorder","authors":"Eduard Vieta ,&nbsp;José Manuel Menchón Magriña ,&nbsp;Miguel Bernardo Arroyo ,&nbsp;Víctor Pérez Sola ,&nbsp;Carmen Moreno Ruiz ,&nbsp;Celso Arango López ,&nbsp;Julio Bobes García ,&nbsp;Manuel Martín Carrasco ,&nbsp;Diego Palao Vidal ,&nbsp;Ana González-Pinto Arrillaga","doi":"10.1016/j.rpsm.2023.03.001","DOIUrl":"10.1016/j.rpsm.2023.03.001","url":null,"abstract":"<div><h3>Objective</h3><p><span>To identify a set of indicators to monitor the quality of care for patients with major depression, schizophrenia, or </span>bipolar disorder.</p></div><div><h3>Methods</h3><p>A group of 10 experts selected the most automatically applicable indicators from a total of 98 identified in a previous study. Five online sessions and 5 discussion meetings were performed to select the indicators that met theoretical feasibility criteria automatically. Subsequently, feasibility was tested in a pilot study conducted in two hospitals of the Spanish Health Service.</p></div><div><h3>Results</h3><p><span><span>After evaluating its measurement possibilities in the Spanish Health Service, and the fulfillment of all the quality premises defined, 16 indicators were selected. Three were indicators of major depression, 5 of schizophrenia, 3 of bipolar disorder, and 5 indicators common to all three pathologies. They included measures related to patient safety, maintenance and follow-up of </span>treatment, therapeutic adherence, and adequacy of hospital admissions. After the pilot study, 5 indicators demonstrated potential in the automatic generation of results, with 3 of them related to treatments (clozapine in schizophrenia, lithium for bipolar disorder, and </span>valproate in women of childbearing age).</p></div><div><h3>Conclusions</h3><p>Indicators support the monitoring of the quality of treatment of patients with major depression, schizophrenia, or bipolar disorder. Based on this proposal, each care setting can draw up a balanced scorecard adjusted to its priorities and care objectives, which will allow for comparison between centers.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 2","pages":"Pages 103-109"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49681817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The burden of mental disorders in Mexico, 1990-2019: Mental and neurological disorders, substance use, suicides, and related somatic disorders","authors":"José Ángel García-Pacheco ,&nbsp;María de Lourdes Torres Ortega ,&nbsp;Guilherme Borges","doi":"10.1016/j.rpsm.2021.06.005","DOIUrl":"10.1016/j.rpsm.2021.06.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Mental, neurological, substance use, suicide, and related somatic disorders<span> (MNSS, for the Spanish acronym) have a negative impact on the quality-of-life of people and the Mexican economy, but updated information is lacking. The objective of this work is to analyze the disability adjusted life years (DALYs) of the MNSS in Mexico by sex, age, state, and degree of marginalization between 1990 and 2019.</span></p></div><div><h3>Methods</h3><p>The data and methodology of the «Global Burden of Disease Group» (GBD) are used. The GBD calculates DALYs as the sum of two components: years of life lost due to premature mortality (YLL) and years lived with disability (YLD). Likewise, the data on the degree of marginalization from the National Population Council in Mexico are used.</p></div><div><h3>Results</h3><p>MNSS represented 16.3% of the disease burden in the Mexican population in 2019. The trend of the age-standardized rates of DALYs of the MNSS has increased little from 1990 to 2019. The highest increase has been for women. Mental (depression) and neurological (headache) disorders contribute the most to the disease burden among MNSS. In the interior of the country, Baja California Sur presented the highest increase in the period.</p></div><div><h3>Discussion</h3><p>The results show a complex panorama of the MNSS and its subtypes by sex, age groups and territory. More resources are needed to improve mental health care.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 2","pages":"Pages 64-70"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39172129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic and gender inequalities in mental disorders among adolescents and young adults","authors":"Javier Mar ,&nbsp;Igor Larrañaga ,&nbsp;Oliver Ibarrondo ,&nbsp;Ana González-Pinto ,&nbsp;Carlota las Hayas ,&nbsp;Ane Fullaondo ,&nbsp;Irantzu Izco-Basurko ,&nbsp;Jordi Alonso ,&nbsp;Maider Mateo-Abad ,&nbsp;Esteban de Manuel ,&nbsp;on behalf of the UPRIGHT Consortium","doi":"10.1016/j.rpsm.2022.07.001","DOIUrl":"10.1016/j.rpsm.2022.07.001","url":null,"abstract":"<div><h3>Background</h3><p>Socioeconomic status (SES) and gender play a key role in mental health. The objective of this study was to assess socioeconomic and gender mental health inequalities in adolescents and young adults using a population-based registry.</p></div><div><h3>Materials and methods</h3><p>We conducted a lifetime follow-up study of all residents in the Basque Country between 1 and 30 years old (<em>n</em> <!-->=<!--> <!-->609,381) as of 31 December 2018. Primary care, specialized outpatient, and hospital care records were searched for diagnoses. SES was assessed based on household income. We estimated disaggregated lifetime prevalence of substance use, behaviour, anxiety, depression, psychosis, and attention deficit hyperactivity disorder. The local Institute of Statistics validated the mortality data. The likelihood of risks was estimated using logistic regression.</p></div><div><h3>Results</h3><p>Overall, 96,671 individuals (15.9%) had a diagnosed mental disorder, with clear gradients by gender and SES. Females of medium-to-high SES had the lowest prevalence of all mental disorders, except anxiety and depression. This group was followed by males of the same SES and females of low SES, while the highest prevalence of mental disorders was observed in low-SES males. The lower income categories had higher risks of psychiatric admission (adjusted odds ratio [AOR]: 3.64 for females; 6.66 for males) and death (AOR: 5.42). People with a mental health diagnosis had higher mortality (AOR: 2.38).</p></div><div><h3>Conclusions</h3><p>Our work evidenced important SES and gender inequalities in the mental health and premature mortality of adolescents and young adults, findings that should drive the development and implementation of early preventive interventions.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 2","pages":"Pages 95-102"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989122000763/pdfft?md5=c9b5f5508d0ebb2f31f278e81a6d2d37&pid=1-s2.0-S1888989122000763-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89796902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Upholding rights through fostering equity and quality in mental health care","authors":"Benedicto Crespo-Facorro","doi":"10.1016/j.sjpmh.2024.04.001","DOIUrl":"https://doi.org/10.1016/j.sjpmh.2024.04.001","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 2","pages":"Pages 57-58"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950285324000243/pdfft?md5=1f1aa1549d46cf052b399d0000f9bc17&pid=1-s2.0-S2950285324000243-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140843788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric profiles in suicidal attempters: Relationships with suicide behaviour features.","authors":"Yolanda Sánchez-Carro, Alejandro de la Torre-Luque, Marina Díaz-Marsá, Raimundo Aguayo-Estremera, Jorge Andreo-Jover, Wala Ayad-Ahmed, Julio Bobes, Teresa Bobes-Bascarán, María Fé Bravo-Ortiz, Manuel Canal-Rivero, Ana Isabel Cebrià, Benedicto Crespo-Facorro, Matilde Elices, Verónica Fernández-Rodrigues, Purificacion Lopez-Peña, Iría Grande, Ángela Palao-Tarrero, Andrés Pemau, Natalia Roberto, Miguel Ruiz-Veguilla, Víctor Pérez-Solà","doi":"10.1016/j.sjpmh.2024.01.004","DOIUrl":"10.1016/j.sjpmh.2024.01.004","url":null,"abstract":"<p><strong>Background: </strong>Suicide constitutes a major health concern worldwide, being a significant contributor of death, globally. The diagnosis of a mental disorder has been extensively linked to the varying forms of suicidal ideation and behaviour. The aim of our study was to identify the varying diagnostic profiles in a sample of suicide attempters.</p><p><strong>Methods: </strong>A sample of 683 adults (71.3% females, 40.10±15.74 years) admitted at a hospital emergency department due to a suicide attempt was recruited. Latent class analysis was used to identify diagnostic profiles and logistic regression to study the relationship between comorbidity profile membership and sociodemographic and clinical variables.</p><p><strong>Results: </strong>Two comorbidity profiles were identified (Class I: low comorbidity class, 71.3% of attempters; Class II: high comorbidity class, 28.7% of attempters). Class I members were featured by the diagnosis of depression and general anxiety disorder, and low comorbidity; by contrast, the high comorbidity profile was characterized by a higher probability of presenting two or more coexisting psychiatric disorders. Class II included more females, younger, with more depressive symptoms and with higher impulsivity levels. Moreover, Class II members showed more severe suicidal ideation, higher number of suicide behaviours and a greater number of previous suicide attempts (p<.01, for all the outcomes), compared to Class I members.</p><p><strong>Conclusions: </strong>Psychiatric profiles may be considered for treatment provision and personalized psychiatric treatment in suicidal attempters as well as tackle suicide risk.</p>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of reward sensitivity on weight in treatment-resistant chronic schizophrenia.","authors":"Isaac Jarratt Barnham, Youssuf Saleh, Masud Hussain, Emilio Fernandez-Egea","doi":"10.1016/j.sjpmh.2024.01.005","DOIUrl":"10.1016/j.sjpmh.2024.01.005","url":null,"abstract":"","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploratory analysis of parental autism traits, age at conception and polygenic background in Autism Spectrum Disorders","authors":"Alicia García-Alcón ,&nbsp;Javier González-Peñas ,&nbsp;María José Penzol ,&nbsp;Diego Gerez ,&nbsp;Mónica Burdeus ,&nbsp;Elisa Weckx ,&nbsp;Álvaro Andreu-Bernabeu ,&nbsp;Carmen Moreno ,&nbsp;Mara Parellada","doi":"10.1016/j.rpsm.2021.12.001","DOIUrl":"10.1016/j.rpsm.2021.12.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Advanced parental age (APA) has been associated with an increased risk for autism in the offspring. One explanatory model includes delayed fatherhood in parents with autistic traits.</p></div><div><h3>Material and methods</h3><p>We investigated (1) whether autistic traits in parents, evaluated with the Autism-spectrum Quotient (AQ), correlate with APA in 128 families, (2) in 83 trios with genetic data available, whether AQ correlated with polygenic vulnerability calculated by Polygenic Risk Scores (PRS). We stratified the analyses by as per DSM-IV autism subtypes and by parental sex.</p></div><div><h3>Results</h3><p>We found a statistically significant relation between AQ and APA (<em>r</em> <!-->=<!--> <!-->0.207, <em>p</em> <!-->=<!--> <!-->8.39<!--> <!-->×<!--> <!-->10⁻⁴, <em>n</em> <!-->=<!--> <!-->256), significantly only in mothers (<em>r</em> <!-->=<!--> <!-->0.233, <em>p</em> <!-->=<!--> <!-->8.23<!--> <!-->×<!--> <!-->10⁻³, <em>n</em> <!-->=<!--> <!-->128) and in Asperger Syndrome (AS) (<em>r</em> <!-->=<!--> <!-->0.319, <em>p</em> <!-->=<!--> <!-->0.034, <em>n</em> <!-->=<!--> <!-->44). There was a significant association between PRS and AQ in the mothers of the participants with AS (β (95%CI)<!--> <!-->=<!--> <!-->3.28 (0.03–6.59); <em>p</em> <!-->=<!--> <!-->0.047).</p></div><div><h3>Conclusions</h3><p>These results show that, in this sample, older mothers present more autistic traits, and APA seems to relate to an AS profile. Furthermore, PRS is significantly associated with maternal AQ of AS subjects. Consequently, a higher polygenic maternal contribution (both by AQ and PRS) seems to contribute to an AS profile.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 1","pages":"Pages 28-34"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989121001312/pdfft?md5=dfad4be45cd835ee58c1c951e5603112&pid=1-s2.0-S1888989121001312-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74611328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicidal behaviour in adolescents: A network analysis","authors":"Eduardo Fonseca-Pedrero ,&nbsp;Adriana Díez-Gómez ,&nbsp;Usue de la Barrera ,&nbsp;Carla Sebastian-Enesco ,&nbsp;Javier Ortuño-Sierra ,&nbsp;Inmaculada Montoya-Castilla ,&nbsp;Beatriz Lucas-Molina ,&nbsp;Félix Inchausti ,&nbsp;Alicia Pérez-Albéniz","doi":"10.1016/j.rpsm.2020.04.007","DOIUrl":"10.1016/j.rpsm.2020.04.007","url":null,"abstract":"<div><h3>Objective</h3><p>Suicidal behaviour has not yet been analysed from a network approach in adolescent samples. It is imperative to incorporate new psychological models to understand suicidal behaviour from a different perspective. The main objective of this work was twofold: (a) to examine suicidal behaviour through network analysis and (b) to estimate the psychological network between suicidal behaviour and protective and risk factors in school-age adolescents.</p></div><div><h3>Method</h3><p>Participants were 443 students (M<!--> <!-->=<!--> <!-->14.3 years; SD<!--> <!-->=<!--> <!-->0.53; 51.2% female) selected incidentally from different schools. Different instruments were administered to assess suicidal behaviour, emotional and behavioural difficulties, prosocial behaviour, subjective well-being, emotional intelligence, self-esteem, depressive symptomatology, empathy, positive and negative affect, and emotional regulation.</p></div><div><h3>Results</h3><p>The resulting network of suicidal behaviour was strongly interconnected. The most central node in terms of strength and expected influence was “Consider taking your own life”. In the estimated psychological network of suicidal behaviour and risk and protective factors, the nodes with the highest strength were depressive symptomatology, positive affect, and empathic concern. The most influential nodes were those related to emotional intelligence abilities. Suicidal behaviour was positively connected to depression symptoms and negative affect, and negatively connected to self-esteem and positive affect. The results of the stability analysis indicated that the networks were accurately estimated.</p></div><div><h3>Conclusions</h3><p>Suicidal behaviour can be conceptualized as a dynamic, complex system of cognitive, emotional, and affective characteristics. The new psychopathological and psychometric models allow us to analyse and understand human behaviour and mental health problems from a new perspective, suggesting new forms of conceptualization, evaluation, intervention, and prevention.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 1","pages":"Pages 3-10"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S188898912030032X/pdfft?md5=6132b6050388bd3a6f000ec0b5b8ff21&pid=1-s2.0-S188898912030032X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38006397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childhood adversities and suicidal behavior in the general population. The cross-sectional PEGASUS-Murcia Project","authors":"Fernando Navarro-Mateu ,&nbsp;Diego Salmerón ,&nbsp;Gemma Vilagut ,&nbsp;Mathilde Husky ,&nbsp;Mónica Ballesta ,&nbsp;María Dolores Chirlaque ,&nbsp;José María Huerta ,&nbsp;Salvador Martínez ,&nbsp;Carmen Navarro ,&nbsp;Jordi Alonso ,&nbsp;Matthew Nock ,&nbsp;Ronald C. Kessler","doi":"10.1016/j.rpsm.2020.10.002","DOIUrl":"10.1016/j.rpsm.2020.10.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The aim of the present study is to estimate the lifetime prevalence of suicidal ideation, plans, and attempts in a regional representative sample and the association of these outcomes with sociodemographic factors, prior mental disorders, and childhood adversities.</p></div><div><h3>Material and methods</h3><p>The PEGASUS-Murcia project is a cross-sectional survey of a representative sample of adults in Murcia that is part of the WHO World Mental Health Survey Initiative. The Composite International Diagnostic Interview (CIDI 3.0) was administered face-to-face to 2621 participants (67.4% response rate). The main outcomes were suicidal ideation, plans, and attempts. Lifetime prevalence, age of onset, and risk factors (sociodemographic variables, mental disorders, and childhood adversities) were examined using multiple discrete-time survival models.</p></div><div><h3>Results</h3><p>Lifetime prevalence of suicidal ideation, plans and attempts were 8.0% (standard error, SE: 1.1), 2.1% (SE: 0.3), and 1.2% (SE: 1.1), respectively. Prevalence of any childhood adversities was 22.1% (SE: 1.3) in the total sample and, even higher, among those with suicide related outcomes (ranging between 36.8% and 53.7%). Female sex, younger age, prior (to onset of the outcome) lifetime prevalence of mood disorders, number of mental disorders, and exposure to childhood adversity were associated with significantly increased odds of suicidal ideation and plans.</p></div><div><h3>Conclusions</h3><p>Lifetime prevalence estimates of suicidality are similar to those in community epidemiological surveys. Childhood adversities and mental disorders, especially mood disorders, are important risk factors for suicidality. Early detection of these adversities and disorders should be targeted in suicide prevention programs.</p></div>","PeriodicalId":101179,"journal":{"name":"Spanish Journal of Psychiatry and Mental Health","volume":"17 1","pages":"Pages 11-18"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1888989120301166/pdfft?md5=be24000cf0fc0ccde417aabd96e94416&pid=1-s2.0-S1888989120301166-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38524616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}