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Objetivo. Determinar la prevalencia de ideación suicida y el perfil sintomático e identificar las características sociodemográficas que distinguen a quienes tuvieron mayores puntajes de ideación suicida entre población adolescente del Distrito Federal: estudiantes y pacientes por intento suicida. Material y métodos. El estudio fue transversal y ex-post-facto. Se analizó la información de dos muestras: 1 712 mujeres, estudiantes de enseñanza media -secundaria- y media superior -bachillerato- (muestra escolar representativa en el D.F.), y 30 adolescentes mujeres internadas por intento suicida (muestra clínica). Resultados. La prevalencia, tanto de presencia como de persistencia de ideación suicida, fue más elevada en la muestra clínica; sin embargo, 11.8% de las adolescentes escolares presentaron todos los síntomas de ideación suicida de 1 a 7 días. Las características sociodemográficas que distinguieron a las estudiantes con mayores puntajes de ideación fueron: cursar secundaria, obtener calificaciones bajas, percibir como malo su desempeño escolar y haber interrumpido sus estudios. En la muestra clínica se analizaron las características que distinguieron a las jóvenes con un intento suicida, de aquellas con dos o más; las más significativas fueron: vivir solas con uno de sus padres y pensar en que su muerte sería posible. Conclusiones. La prevalencia de ideación suicida fue importante en la población escolar. Si se considera que este constructo psicológico tiene una fuerte asociación con el intento suicida y, más aún, con la conducta suicida múltiple, entonces resulta prioritario detectar adolescentes en riesgo y orientar esfuerzos preventivos entre las adolescentes escolares, tomando en cuenta las características sociodemográficas que se configuraron en riesgo para la ideación suicida.

Background: Traditionally, psychopathology has been related to suicide risk, furthermore if we bear in mind that the recent meta-analysis on the relationship between some mental disorders and the risk of suicide attempt are inconclusive, and have been performed with non-clinical samples., Objective: To establish the psychopathological differences between female adolescent patients with and without suicide attempt., Material and Methods: Comparative, prospective, correlational and cross-sectional study. A sample of 50 female participants was used, divided into 2 groups: one of cases, (n = 25), made up of female patients between 15 and 19 years of age with suicide attempt, and a control group of pairs (n = 25) with no history of suicide attempt. The following instruments were applied: the Plutchik Impulsivity Scale, the Beck Hopelessness Scale, the K-Sads-PL, the Beck Suicidal Ideation Scale, and the Hamilton Depression Scale., Results: A greater presence of the disorders evaluated was found: major depressive disorder, dysthymic disorder, generalized anxiety disorder and panic disorder in the group with suicide attempt. Furthermore, the case group obtained higher mean scores on the Beck Hopelessness Scale, the Beck Suicidal Ideation Scale, the Hamilton Depression Scale and the Plutchik Impulsivity Scale., Conclusions: The results agree with most of previous studies. It is suggested to carry out preventive interventions in cases where a considerably increased risk is detected., (Licencia CC 4.0 (BY-NC-ND) © 2023 Revista Médica del Instituto Mexicano del Seguro Social.)

INTRODUCTION. Previously, amputation was the only treatment option for patients with malignant bone tumors. Due to technological, medical and surgical advances, the number of survivors and years of survival has been increasing, and thus, the interest in evaluating the impact of this disease on quality of life. OBJECTIVE. To evaluate the health related quality of life reported by patients with bone tumors undergoing different treatments (no surgery/amputation/salvage). MATERIAL AND METHODS. Patients (n = 85) with bone tumors over the age of 18, both sexes, from the Instituto Nacional de Rehabilitación of Mexico City were included, divided into three groups according to type of treatment. The study design was cross-sectional, descriptive of a nonrandom sample. Quality of life was assessed with the Inventory of Quality of Life and Health (InCaViSa). Data were analyzed using descriptive statistics, comparisons between patients with different treatments were evaluated with multivariate analysis of covariance and Sidak post hoc tests. RESULTS. Statistically significant differences were detected in six of the twelve areas of quality of life that are assessed by the scale: physical functioning, isolation, body perception, treatment attitude leisure time and daily life. Health related quality of life in the study group is best for those patients who received amputation compared with the other treatments, while patients limb salvage procedures are those with greater impairment.

Objective: : to estimate the frequency of Deliberate Self Harm (DSH), some of its characteristics, and its relationship with current depressive symptomatology., Methods: data were collected from two cohorts of middle-school students from Mexico City. The questionnaire included the: CESD-R, the Parasuicide Indicators Schedule (PIS) and other instruments to assess peer and family violence, and exposure to drug use., Results: the sample included 792 students (mean age of 14 ± 0.97 years). Women reported a higher frequency of DSH sometime in their life. Men reported DSH more than once, and their motivation was emotional, while women was interpersonal causes. The manner of DSH used by subjects were considerated lethal. Subjects who informed DSH also informed high actual depressive symptomatology (in the last seven days)., Conclusions: DSH is a risk factor to suicide and it is related to the presence of current depressive symptoms. It was a stressful situation for adolescents. Thus, it is important to keep both problems in mind as elements contributing to assessing risk factors and to include them when we are designing prevention and treatment strategies in this health field.

Objective: To assess the internal consistency, as well as the construct, concurrent and external consistency of the Center for Epidemiologic Studies Depression Scale (CES-D-R) in Mexican adolescents., Material and Methods: The data are from two samples of middle-school students from Mexico City. The questionnaire included the CES-D-R and other scales for suicide problems, peer and family violence, and drug use., Results: The sample included 1,549 students (mean age 14 years, SD=1.2). The CES-D-R showed a six-factor structure (explained variance, 55%) with an excellent internal consistency (a=0.93), a significant discriminative power for opposite scores (z=-3.695, p<0.001), and a positive significant correlation with the Roberts Suicidal Ideation Scale (r=0.685, p<0.001)., Conclusions: The CES-D-R has excellent psychometric characteristics for Mexican adolescents and therefore is deemed as an adequate tool for the assessment of depressive symptoms in large samples to detect mental health needs and design preventive interventions.

Objective: To identify the social representation guiding decisions of parents of teenage drug users to face consumption of their children., Material and Methods: A qualitative study using free lists, characterization questionnaires, and in-depth interviews was performed among 60 systematically selected parents of young drug users who were receiving treatment in Centros de Integración Juvenil. Data analysis included correlations and interpretive analysis., Results: Three stages were identified: 1) discovery of the addiction, characterized by parental disappointment; 2) permanence: The highest in duration, resource investment, and losses; and 3) withdrawal: Featured by seeking health services., Conclusions: The representation that guided parental decisions was "the offer of a better world", which stemmed from the social, cultural, and family context that revolves around consumption and that was sustained by two beliefs: "Learning from mistakes" and "where there is a will there is a way".