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Background: The environments in which doctors in training operate have been distinguished by being rigid, hostile and routine. There is scientific evidence that people who are victims of workplace violence are more likely to suffer from depression, a disorder that has been associated with suicidal ideation. Objective: To predict suicidal ideation as a function of depressive symptoms and workplace violence in undergraduate internal physicians. Material and methods: The quantitative method was used through a non-experimental, cross-sectional, explanatory design with non-probabilistic convenience sampling. 117 medical students who were doing their internship in health centers in Sonora, Mexico participated. Participants responded to the Workplace Violence Scale (Mobbing), the Beck Depression Inventory, and the Beck Suicidal Ideation Scale. Results: A high perception of workplace violence, moderate levels of depression and low levels of suicidal ideation were identified; Workplace violence was positively and significantly associated with depression and suicidal behavior. Furthermore, it was found that violence provides more explanation for suicidal behavior compared to depression. Conclusions: The predictive role of workplace violence in the suicidal behavior of undergraduate internal physicians is confirmed. Highlights the importance of developing prevention and intervention programs to reduce workplace violence in medical training environments. [ABSTRACT FROM AUTHOR]

Background: Traditional peer victimization and cyber-victimization are predictive risk factors for suicidal behavior in adolescents. Family communication is a protective factor that has seldom been studied in the specific problem of suicidal ideation in adolescent victims of traditional victimization and cyber-victimization. The objective of the present study was to use two different moderated mediation models to analyze the direct and indirect-mediating-effects of traditional victimization and cyber-victimization on suicidal ideation in adolescents, as well as the moderating role of family communication in the relationships between traditional victimization, cyber-victimization, and suicidal ideation. Method: 1007 adolescents (51.9% boys) aged 12-18 years participated. Results: Significant direct and indirect effects of traditional victimization and cyber-victimization on suicidal ideation were confirmed. Family communication moderated the direct effects of cyber-victimization on suicidal ideation, but not the direct effects of traditional victimization on suicidal ideation. In addition, it moderated the relationship between traditional victimization and cyber-victimization. Conclusions: Family communication is a protective factor associated with decreased cyber-victimization in adolescents who suffer traditional victimization and reduced suicidal ideation in victims of cyber-victimization. [ABSTRACT FROM AUTHOR]

Background: Identifying accurate methods of assessing suicidal ideation has important implications. The lack of a universal definition of suicidal ideation has complicated measurement efforts. This study details the development of a brief self-report measure of suicidal ideation which specifically focuses on thoughts of suicide. Method: The Questionnaire for Suicidal Ideation (QSI) was developed by collating items from three existing measures of suicidal ideation. Items explicitly describing acts or behaviours were removed and Posner et al.'s (2007) definition of suicidal ideation was applied to the remaining items. The final questionnaire consisted of 6 items. Participants were adults (n = 192) and adolescents (n = 152) attending community mental health services in the Irish public health service. Results: The QSI demonstrated excellent reliability in adult (α =.91) and adolescent (α =.90) samples. Exploratory factor analysis produced a one-factor solution explaining 70% and 66% of the variance in adult and adolescent samples respectively. Evidence of relation with other variables was demonstrated with strong correlations between the QSI and measures of depression, hopelessness and borderline symptoms (r =.48 -.68). Conclusions: The results suggest that the QSI may be a reliable and valid method of assessing suicidal ideation in clinical populations. [ABSTRACT FROM AUTHOR]

Background: Suicide attempt (SA) lethality is associated with heightened suicidal desires and social cognition deficits. Fearlessness about death (FAD) and hypomentalizing may play a role in SA and self-harm. Although studies have identified relationships between these constructs, this line of research is still limited. We aimed to explore the mediating role of FAD and mentalizing between suicidal ideation and both SA lethality and self-harm. Method: 1,371 suicide attempters (70.1% women; M = 40 years) from seven Spanish hospitals participated. We used the Fearlessness About Death (ACSS-FAD) subscale, the Reflective Functioning Questionnaire-8 (RFQ-8), and the Columbia Suicide Severity Rating Scale (CSSRS). We conducted serial multiple mediation analyses with suicidal ideation as exposure; FAD and mentalizing as mediators; SA lethality and self-harm as outcomes. Results: Indirect effects were found of suicidal ideation on self-harm (B = 0.08, CI = 0.03-0.15) and SA lethality mediated by FAD (B = 0.02, CI = 0.001-0.04); indirect effects of suicidal ideation on self-harm through mentalizing (B = 0.10, CI = 0.04-0.167), and total indirect effects between suicidal ideation and self-harm through FAD and mentalizing (B = 0.18, CI = 0.11-0.27). Conclusions: Interventions addressing mentalizing and FAD may help reduce SA lethality and self-harm risk. [ABSTRACT FROM AUTHOR]

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Copyright of Revista Médica Clínica Las Condes is the property of Editorial Sanchez y Barcelo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

El siguiente estudio explora la relación entre unas variables (cognición social e ideación suicida) dentro de una población segmentada (adolescentes) en un determinado espacio. La cognición social es el conjunto de dimensiones cognitivas de nivel superior que permiten desarrollar experiencias personales en un entorno social; la ideación suicida es una fase de la conducta suicida que incluye pensamientos de muerte autoinfligida; la adolescencia es una etapa del desarrollo humano en la que surgen procesos mentales complejos, cambios físicos, emocionales y psicosociales. Objetivo: analizar la relación existente entre las variables cognición social e ideación suicida en adolescentes de 10° de una institución educativa (I.E.) del municipio de Envigado - Colombia. Método: estudio descriptivo-correlacional no experimental en una muestra no probabilística de 59 adolescentes entre 14 y 17 años, a quienes se les aplicó el test de Actitudes y Estrategias Cognitivas Sociales AECS (Moraleda et al., 1998) y el Inventario de Ideación Suicida Positiva y Negativa PANSI (Osman et al., 1998). Se emplea el coeficiente de correlación de Spearman para hallar correlación; igualmente, se aplicó una encuesta sociodemográfica para identificar diferencias significativas mediante las pruebas no paramétricas U de Mann-Whitney y Kruskal-Wallis. Resultados: la presencia de ideación suicida en la población analizada es poco considerable; las dimensiones de cognición social se encontraron en un nivel moderado y las diferencias estadísticamente significativas se hallaron en las categorías de sexo y tipología familiar; adicionalmente, se encontraron correlaciones inversas y directas entre las dimensiones del AECS y el Inventario PANSI.

Mexico has alarming suicide rates among adolescents and young people. Therefore the objective of the research was to explain how depression influences the manifestation of suicidal thoughts and attempts in young people and, in addition, to know if suicides in the country vary significantly according to their sex. The CHAID classification method, simple indexes, and mean difference were used to test these assumptions. The results for Sonora, Mexico show that there is a connection between depression and the manifestation of suicidal thoughts and attempts in adolescents (X2 Suicidal ideation >200, P-value < 0.01; X2 Suicidal attempt >77, P-value < 0.01). In addition, the number of youth suicides in the country from 1998 to 2021 on average is different between females and males (T-Student = 15.32, P-Value < 0.05; Mean number of suicides in males = 1150, Mean number of suicides in females = 357). We conclude a marked prevalence of depression in young people, is linked to the increase in suicides in Mexico, especially in women. This highlights the urgency of implementing gender-specific preventive strategies and promoting early awareness. [ABSTRACT FROM AUTHOR]

Suicide is a public health problem that affects adults and young people. Communicating suicidal thoughts contributes to suicide prevention. The objective of this research was to develop the Suicidal Communication Scale. A sample of 308 adolescents (Mage = 14.6, 53.9% women) was used. The confirmatory factor analysis demonstrated the existence of three factors: verbal suicidal communication, nonverbal suicidal communication, and virtual suicidal communication, with adequate fit indexes (χ2/gl = 2.43, CFI = .926, TLI = .912, SRMR = .074, RMSEA [90% CI] = .068 [.058, .079]) and adequate reliability (ω = .72, .70, and .80, for each factor). No differences were found in the scale between men and women, the instrument being invariant across gender. It is concluded that the instrument has adequate psychometric properties that support its use in future research. [ABSTRACT FROM AUTHOR]

Objetivo. Determinar discriminación, fiabilidad y validez interna de la Escala de Ideación Suicida de Paykel (PSS). Métodos. Diseño instrumental descriptivo de corte transversal. La muestra estuvo constituida por 120 estudiantes de básica secundaria adscritos a una institución educativa pública, quienes respondieron voluntariamente la escala. Se implementaron tres etapas de evaluación. Primera: evaluación de los estadísticos sociodemográficos y la correlación ítem-total. Segunda: Evaluación de la consistencia interna mediante el alfa ordinal de Cronbach y omega ordinal de McDonald. Tercera: validez de constructo mediante el análisis factorial confirmatorio (AFC). Resultados. La versión final es de 5 reactivos con un alfa de Cronbach de 0.90 (IC 99%: 0.84-0.94) y omega de McDonald's de 0,91 (IC 99%: 0.86-0.94). El AFC validó el modelo original de Paykel con una estructura interna unidimensional con los siguientes indicadores de bondad de ajuste: χ² = 8.35 (p = 0.14); gl = 5; χ²/gl = 1.67; CFI = 0.99; AGFI= 0.99; SRMR = 0.03 y RMSEA = 0.07. Conclusiones. La escala es un instrumento de utilidad con propiedades psicométricas satisfactorias. Recomendable para evaluar la ideación suicida en estudiantes de básica secundaria.

El distanciamiento social en conjunto con otras medidas para evitar o disminuir la transmisión de la COVID-19, han tenido consecuencias en la salud mental de los estudiantes. Objetivo: Evaluar la salud mental de estudiantes de medicina en Nariño (Colombia), durante la pandemia por COVID-19. Metodología: Estudio cuantitativo, observacional, descriptivo, de corte transversal. Se aplicó una encuesta virtual autodiligenciada a estudiantes mayores de 18 años, de cuarto semestre y de semilleros de la Facultad de Medicina de la Universidad Cooperativa de Colombia Campus Pasto, quienes participaron voluntariamente del estudio; se excluyó a quienes tuvieron problemas de conexión a Internet. Resultados: 54 estudiantes respondieron la encuesta, en su mayoría de 19 años (33,3%), solteros (96,3%), de estratos 2 al 4 (87,0%), de cuarto semestre (96,0%) y de sexo femenino (59,0%). Hubo mayor prevalencia de ansiedad (31,3%) que de estrés (16,7%) y depresión (16,7%). Para la ansiedad el mayor nivel fue moderado (52,9%), al igual que para la depresión (55,6%), mientras que para la ansiedad fue muy severo (20,0%). El 100% presentó desesperanza en diferentes niveles y 33,3% mostraron ideación suicida. Conclusión: Es necesario implementar medidas que ayuden a mejorar y prevenir afectaciones de la salud mental de los estudiantes, así como realizar estudios analíticos que permitan indagar en la asociación de COVID-19 y su impacto en la salud mental.

El presente estudio determina la relación entre el bienestar psicológico y la ideación suicida en 148 adolescentes de 15 a 18 años, con edad media de 15,7 y desviación estándar de 0,786, por medio de una metodología de tipo cuantitativa, de diseño no experimental, corte transversal y alcance correlacional. De esta forma, haciendo uso de los datos de la aplicación de la Escala de Bienestar Psicológico de Ryff y el Inventario de Ideación Suicida Positiva y Negativa- PANSI, la correlación Rho de Spearman arroja una relación negativa, por lo tanto, al aumentar el rango de bienestar psicológico, disminuye el nivel de ideación suicida, mostrando a su vez, diferencias entre sexos y la influencia de variables sociodemográficas. En consecuencia, resulta indispensable continuar investigando el suicidio en población joven, conociendo de antemano la presencia de ideación suicida durante esta etapa de desarrollo, y su vínculo con el bienestar psicológico, abordando factores a nivel social, emocional y cognitivo, que desempeñan un papel protector o de riesgo en el abordaje de la problemática.

Investigaciones recientes resaltan el aumento alarmante de la conducta suicida a nivel mundial. En el contexto peruano, el incremento en los casos de suicidio y la falta de herramientas de detección basadas en evidencia constituyen un desafío significativo. La identificación temprana de la ideación suicida resulta crucial para prevenir el suicidio, y es fundamental contar con herramientas que permitan realizar interpretaciones sólidas e inferencias a partir de los datos obtenidos. El propósito de este estudio fue evaluar un modelo explicativo para la ideación suicida en relación con la depresión y la ansiedad. La muestra estuvo compuesta por 86 profesionales de la salud que trabajaron durante el año 2023, seleccionados mediante un método de muestreo de bola de nieve y criterios de inclusión. Se encontró que la ideación suicida está influenciada por la ansiedad y la depresión en el personal de salud. Además, se observó una influencia significativa de las puntuaciones del IFIS en la depresión (β=0.63; p=0,041), mientras que en este estudio no se encontró una influencia significativa en la ansiedad (β=0.17; p=0,041), con un tamaño de efecto notable. En conclusión, se determina que el modelo basado en la ansiedad y la depresión en relación con la ideación suicida es óptimo.

Esta investigación es de tipo empírico analítico con diseño descriptivo- transversal cuyo objetivo es realizar una evaluación de las expectativas negativas y tipo de riesgo de cometer suicidio en estudiantes de 9°, 10° y 11° de una Institución Educativa del departamento del Quindío, para lo cual se aplicó una ficha de caracterización y la escala de Desesperanza de Beck, Weissman, Lester, & Trexler. El riesgo de suicidio es un problema de salud pública local, nacional y mundial que afecta la calidad de vida de adolescentes y jóvenes del eje cafetero. El estudio indicó que 8 de cada 10 estudiantes tiene riesgo moderado y las edades en las que prevalece son los 15 y 16 años. El bullying, la violencia intrafamiliar y la tristeza permanente contribuyen al aumento de este riesgo.

Copyright of Fides et Ratio is the property of Universidad La Salle de Bolivia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

OBJECTIVE: The objective of this article is to describe the findings of the situational diagnosis carried out at a third-level institution, to identify the needs and areas of opportunity for the attention of suicidal behaviors in children, to facilitate the transition to the changes of the new General Health Law (LGS) regarding mental health care. MATERIALS AND METHODS: The study was carried out in three phases. First, through 40 semi-structured interviews with the personnel involved in the care of suicidal behaviors, the following were identified: 1) the areas and people involved in the care and 2) the need to provide comprehensive care. Afterward, a literature search identified six physical risks, and tours of the care areas were carried out. Finally, proposals were made to begin attention to the areas of opportunity. RESULTS: 18 areas and 35 positions of people involved in care were identified. The needs identified were: 1) Physical spaces and physical risks; 2) Systematization, processes, protocols, and care models; 3) Awareness and training of staff; 4) Generation of scientific evidence; 5) Development of prevention strategies. CONCLUSION: Various areas and positions of people were involved in the care of suicidal behaviors. The institutional needs identified were related to five categories. Having an institutional diagnosis allowed us to begin taking action to implement the new policies and perspectives included in the LGS regarding mental health care. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To estimate the frequency of suicidal behavior (suicide ideation and attempts) in the Mexican adolescent population and compare it by geographic region. MATERIAL AND METHODS: In a cross-sectional online survey from April to June 2021, 6775 adolescents' responses were analyzed: 61.06% were female and 38.94% male, with an average age of 16.40 years (SD 1.33 years), selected by two-stage clusters. To assess suicidal behavior, two questions (one on ideation and the other on attempts) from the Youth Self Report mental health screening instrument, which has been validated in adolescents, were used. RESULTS: 44.12% of the participants reported suicidal ideation, 10.03% attempted suicide, and 7.39% engaged in suicidal behaviors. There were no statistically significant differences by sociodemographic region of Mexico. CONCLUSION: During COVID-19 confinement, suicidal ideation was more frequent than in other studies, but not suicide attempts or ideation/attempts combined, and there were no significant differences by geographic region of Mexico. [ABSTRACT FROM AUTHOR]

Suicidal behaviors are considered a continuum from cognitive aspects: suicidal ideation and suicidal planning, to even behavioral: suicide attempt and suicide. Adolescent suicide is a public health problem worldwide, and it occurs more in developing countries, where early identification is complicated due to scarce and limited resources and services. In Mexico, mortality from suicides has increased steadily and uninterruptedly. Hence, the importance of knowing how to identify patient risk factors, focusing on the ecological model. Identifying them promptly can help prevent theirconsumption and provide better treatment. This review aims to provide health personnel with an updated review of the risk factors for suicidal behavior in adolescents from the ecological model. So that they can carry out early identification and care. With this review, we can conclude that suicidal behavior is a complex phenomenon of a biopsychosocial nature, of worldwide interest and growing among the adolescent and young population. The ecological model allows for identifying and analyzing risk factors for suicidal behavior in adolescents from the individual, family, community, and social levels. Knowing these risk factors is the first step in identifying and preventing suicide. There are some gender differences in these risk factors, which must be considered to identify patients with suicidal behaviors. A group that requires more research is the people who belong to indigenous communities. [ABSTRACT FROM AUTHOR]

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Objetivo: Comprobar la existencia de una asociación entre la ideación suicida, el apoyo social y los síntomas ansioso-depresivos entre los estudiantes de Ciencias de la Salud. Método: cuantitativo, estudio transversal. La recogida de datos tuvo lugar de noviembre de 2020 a julio de 2021, en Sergipe - Brasil, utilizando el Cuestionario Sociodemográfico, el Cuestionario de Ideación Suicida, la Escala de Satisfacción con el Apoyo Social y la Escala de Ansiedad, Depresión y Estrés. Se estimaron los coeficientes de regresión lineal simple y múltiple y las odds ratio. Resultados: de los 190 entrevistados, 57 (30%) estaban poco satisfechos con el apoyo social, 66 (34,8%) presentaban síntomas de depresión grave o muy grave, 32 (16,8%) tenían un riesgo potencial de suicidio, que puede aumentar en un 18% en las personas con depresión. Conclusión: El estrés, la ansiedad y la depresión son factores de riesgo de ideación suicida en los estudiantes de sanidad. El apoyo social se convierte en un aliado en el control emocional, en la reducción del sufrimiento psicológico y en la precipitación de los trastornos mentales en los estudiantes.

Los estudiantes universitarios son considerados un grupo vulnerable a la presencia de ideación suicida. El objetivo de este estudio fue analizar la bondad de ajuste de los principales factores proximales y contextuales a partir del modelo biopsicosocial sobre la ideación suicida de Turecki en una muestra de estudiantes universitarios de la región centro-occidente de México. Se evaluaron la ideación suicida y los principales factores proximales y contextuales del modelo, así como la función familiar en 165 estudiantes universitarios. Se analizó la bondad de ajuste de los factores de riesgo proximales y contextuales sobre la ideación suicida utilizando un modelo de ecuaciones estructurales. Se observó un excelente ajuste absoluto e incremental y un adecuado ajuste de parsimonia en el modelo propuesto. Se identificaron como factores de riesgo: el aislamiento social, la desregulación emocional, síntomas depresivos, desesperanza y la función familiar. Se concluye que el ajuste del modelo propuesto sugiere que estos factores proximales y contextuales pueden ser utilizados como referentes para la identificación y abordaje de la ideación suicida en estudiantes universitarios.

Introducción. El objetivo de la siguiente revisión fue determinar los factores de riesgo asociados a las conductas suicidas (intento de suicidio, ideación suicida y suicidio consumado) en adolescentes. Metodología. La presente revisión de la evidencia se llevó a cabo utilizando varios estudios que se hayan publicado en los últimos 10 años en cualquier país a nivel mundial; la búsqueda de la información se realizó con el uso del término de texto libre “conducta suicida” en las bases de datos PubMed, Epistemonikos, Scielo y Dialnet, identificando un total de 424 artículos y de ellos, 12 estudios se incluyeron en esta investigación. Resultados. Se determinó que los principales factores de riesgo que están asociados con la conducta suicida a partir del análisis de la evidencia científica disponible son: ser mujer, antecedentes de suicidios en la familia, violencia familiar, ausencia de padres y grupo familiar, conflictos con los padres, trauma infantil, rechazo, acoso escolar, conflictos con los compañeros, dificultades académicas, influencia de los amigos o conocidos cibernéticos, bullying, problemas para regular las emociones, depresión, desesperación, tristeza, soledad, enfermedad física y mental, eventos estresantes, impotencia, abuso de sustancias psicoactivas y violencia física o psicológica. Discusión. La conducta suicida en los adolescentes continúa siendo una problemática multicausal frecuente de salud pública, los factores de riesgo para desarrollar el comportamiento suicida incluyen aspectos personales, familiares, académicos y sociales, con base a estos hallazgos se pueden construir planes de cuidado enfermero individualizados, ajustados a las necesidades de cada persona. ABSTRACT Introduction. The objective of the following review was to determine the risk factors associated with suicidal behaviors (suicide attempt, suicidal ideation, and completed suicide) in adolescents. Methodology. The present evidence review was carried out using several studies that have been published in the last 10 years in any country worldwide; the search for information was carried out using the free text term "suicidal behavior" in the databases PubMed, Epistemonikos, Scielo and Dialnet, identifying a total of 424 articles and of these, 12 studies were included in this research. Results. It was determined that the main risk factors associated with suicidal behavior from the analysis of the available scientific evidence are: being female, history of suicide in the family, family violence, absence of parents and family group, conflicts with parents, childhood trauma, rejection, school bullying, conflicts with peers, academic difficulties, influence of cyber friends or acquaintances, bullying, problems regulating emotions, depression, despair, sadness, loneliness, physical and mental illness, stressful events, helplessness, abuse of psychoactive substances, and physical or psychological violence. Discussion. Suicidal behavior in adolescents continues to be a frequent multicausal public health problem. The risk factors for developing suicidal behavior include personal, family, academic and social aspects; based on these findings, individualized nursing care plans can be constructed, adjusted to the needs of each person.

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Introducción. El suicidio es un fenómeno complejo, ligado a la naturaleza humana y que tiene representación global. Objetivo. El objetivo del estudio fue determinar la prevalencia de ideación suicida en estudiantes de la carrera de Medicina del primer y segundo semestre de la Universidad María Auxiliadora, año 2022. Metodología. El abordaje del estudio fue observacional de tipo analítico de corte transversal. Se tomó una muestra de 97 estudiantes de la carrera de medicina, con un muestreo no probabilístico. La medición se realizó por medio del cuestionario “Escala de Ideación Suicida de Beck”. El instrumento mostró alta confiabilidad por el coeficiente alfa de Cronbach (0.892). Resultados. La prevalencia de la ideación suicida fue de 7,1%. Las dimensiones de mayor riesgo fueron proyecto o intento suicida (20.6%), actitudes hacia la muerte (16,2%) pensamientos o deseos suicidas (12.4%) y realización o actualización de intento (12,4%). Los factores sociodemográficos asociados a la ideación suicida fue la historia de maltrato físico o abuso sexual (p-valor =0,018131). Conclusiones. Se recomienda seguimiento y asistencia al sector de la población detectada con el fenómeno de ideación suicida para erradicarlo y mejorar la calidad de vida de los estudiantes.

In recent years, suicide rates among bullying victims have raised much concern among educators and health professionals. Suicide is the fourth leading cause of preventable death among adolescents, data that warn about the need to monitor the signs before victims' suicidal behavior to prevent this fatal outcome. In the present study, the role of victims' silence about their victimization situation was analysed, as well as the particular impact of family and school environments. More specifically, we examined the mediating role of the victim's non-disclosure between the parental styles (observing the father's and mother's roles separately) and the school climate, concerning suicidal ideation in victims. The sample consisted of 2,977 adolescents (48.5% boys), aged 11-17 years (M = 14.1, SD = 1.42), of whom 635 (21.3%) reported having been victims of bullying in the past year. The results showed that parental styles of rejection and indifference were positively related to victims' non-disclosure of bullying and suicidal ideation. Conversely, a positive school climate showed a negative relationship with victims' disclosure of the bullying situation and suicidal ideation. The findings also indicated that non-disclosure mediates the relationship between the mother's parental style and suicidal ideation. These findings expand knowledge about the role of bullying victims' social context and the variable disclosure with regards to suicidal ideation in adolescents victimized by peers at school. [ABSTRACT FROM AUTHOR]

Introduction: Several studies have shown an increased prevalence of anxiety, depression and suicidal ideation in the general population in relation to the COVID-19 pandemic. This prevalence has been shown to be even higher among university students. The aim of the present study is to analyze the psychological impact on medical students at the University of Granada and the possible factors associated with this impact. Method: A questionnaire was designed in Google Forms with validated scales for anxiety, depression and suicidal ideation, as well as questions about other variables of interest. Data collection took place between March and April 2020. Participation was voluntary and anonymous. Multivariate analysis of the results was performed using logistic regression techniques to control for multiple confounding variables. Results: A total of 297 responses were received. Of the participants, 215 were women (72.39%). A prevalence of anxiety of 51.18%, 70.03% of depression and 16.84% of suicidal ideation was detected. The main factors associated with a higher degree of psychological morbidity were higher scores on the covid fear scale, the comorbid presence of anxiety and depressive symptoms, a previous history of suicidal ideation, or having consulted a psychiatrist before the pandemic. Conclusion: The results are consistent with previous studies carried out in other universities at an international level. It would be advisable to conduct further research in other Spanish universities and to set up prevention and psychological support programs for students. [ABSTRACT FROM AUTHOR]

Suicide in adolescents is a public health problem, and it is relevant to conduct research to identify protective factors against suicidal risk. This paper analyzed the effect of emotional intelligence on the risk of suicidal ideation and behavior. A total of 289 adolescents aged 11 to 18 years (M=14.88, SD=1.902) responded to the suicide orientation (ISO-30) and trait emotional meta-cognition (TMMS-24) scales. Suicidal ideation and behavior correlated (p< .001) inversely with intelligence, clarity, and emotional regulation. Logistic regression analysis showed that emotional intelligence had an inverse effect that explained between 43% and 49% of the variance in suicidal risk. Structural equation analysis evidenced that emotional attention mediates the association between emotional clarity and suicidal ideation and behavior. These findings support the role of emotional intelligence in reducing suicidal risk in adolescents and justify the importance of developing strategies focused on emotion management for suicide prevention. [ABSTRACT FROM AUTHOR]

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. [ABSTRACT FROM AUTHOR]

The objective of this retrospective study was to investigate suicidal ideation in unemployed individuals categorized as with Common Mental Disorders (CMD) in the city of Corumbá, Brazil. Demographic, occupational, and mental health data from 200 men and 185 women, collected between 2013 and 2018 through a Sociodemographic Questionnaire and a Self-Reporting Questionnaire (SRQ-20), were analyzed using the Statistical Package for the Social Sciences (SPSS) software. CMD was detected in 35% (n=70) of men and 23.7% (n=44) of women; among them, 25% (n=11) of women and 8.57% (n=6) of men had already considered ending their life. In the ideation group, 6 women and 5 men were single, 6 women and 5 men lacked professional qualifications, 9 women and 4 men had been searching for work for less than a year, 6 women were unemployed, and 4 men were in precarious employment. The majority of women with this profile were mothers of 2 or more children, lacked professional training and had not completed primary education, suggesting psychosocial efforts to secure formal employment or the desperation to adapt to informal jobs in degrading conditions and with insufficient wages for family survival. [ABSTRACT FROM AUTHOR]

Risk behaviors are common in adolescence and demonstrates an association with depressive symptoms. Considering the psychological health implications of this phase in adult life, the aim of this study was to verify associations between depressive symptoms and consumption of alcohol and marijuana, self-injurious behavior, health self-perception, life satisfaction, anxiety symptoms and suicidal ideation in adolescents. A total of 298 adolescents, aged 12 to 14 years (61.1% girls), participated in the study. The measures were the translated Health Behavior in School-aged Children questionnaire (HBSC - BR) and the Children's Depression Inventory (CDI). The chi-square test, student's t test and binomial logistic regression (p<0.05) were used. Depressive symptoms were associated with anxiety symptoms and self-injury. Higher risk for alcohol use and consumption, self-injury, negative health self-perception, anxiety and depression related to females. The findings of this population suggest worrying health outcomes, especially for girl. [ABSTRACT FROM AUTHOR]

Introduction: Experiences of ethnic-racial discrimination have an impact on the mental health of those who have suffered it. Peru is one of the countries with the highest perception of racism; however, few studies have addressed its effects on emotional aspects; therefore, the aim was to examine the mediating role of depression, anxiety and the propensity to anger in the relationship between experiences of discrimination and suicidal ideation in the Peruvian population. Method: 632 individuals (65.20 % women), aged between 18 and 63 years (M = 25.03; SD = 8.03) participated and were administered the Experiences of Discrimination Scale (EOD), the Patient Health Questionnaire-2 (PHQ-2), the Generalized Anxiety Dissorder-2 (GAD-2), the Anger Propensity Scale (APS - G) and the Suicide Ideation Frequency Scale (IFIS). An explanatory model was created using structural regression, testing for invariance according to sex and age. Results: The model fit was excellent and invariant in both groups and showed that discrimination experiences have a direct effect on the propensity to anger, depression and anxiety. This latter was the best predictor and mediator of suicidal ideation. The model was invariant by sex and age. Conclusions: Discrimination negatively affects the mental health of those who experience it and may produce higher frequency of suicidal ideation through anxiety regardless of sex and age. [ABSTRACT FROM AUTHOR]

Background. Adolescence could be considered a period of crisis (emotional and cognitive) where the permanence of psychological discomfort is expressed in different risk factors. That is why it is necessary to evaluate the temporality of psychological constructs. Objective. Analyse, over time, the permanence of emotional dysregulation, suicidal ideation and psychological constructs (emotional disorders, perceived social support, hopelessness, impulsivity, and attitudes and beliefs). Method. Study 1 was a cross-sectional, descriptive-comparative type of 109 teenaged participants from upper secondary education who completed a Scale for the Detection of Suicidal Ideation in Young People and Difficulties in Emotion Regulation that evaluate emotional dysregulation, suicidal ideation and psychological constructs. Study 2 is a longitudinal comparative study of 85 teenaged participants of the original 109. Results. Differences were found for the psychological construct of emotional disorders, where young women obtained a higher average than young men (p < .05). The psychological constructs of emotional disorders, hopelessness, attitudes and beliefs, and impulsiveness, as well as suicidal ideation and emotional dysregulation remained stable over two years. Discussion and conclusion. Emotional regulation as a psychological resource would foster flexibility, tolerance and acceptance in preventing the intensity of psychological distress. [ABSTRACT FROM AUTHOR]

Introduction. Adolescents who practice sports have better mental health indicators. Objective. To analyze the association between different types of physical activity (systematized exercise, individual, and collective sports), mental health, and suicidal ideation in adolescents. Method. We conducted a cross-sectional study with 666 Brazilian adolescents (14-19 y.o.) attending high schools and selected using random cluster sampling. The mental health indicators analyzed were evaluated through the Self Reporting Questionnaire and the Strengths and Difficulties Questionnaire, including suicidal ideation. We also obtained physical activity information through questionnaires. Results. There was a higher prevalence related to mental disorders (54.2% vs. 32.5%), difficulties related to mental health (79.6% vs. 48.4%), and suicidal thoughts (22.9% vs. 11.4%) in girls than in boys (p < .001 for all). The boys engaged in more team sports (41.0 vs. 23.8), whereas girls performed more exercise (45.1 vs. 26.5; p < .001). Discussion and conclusion. The practice of team sports helps develop the collective spirit, stimulates social interaction, and develops reasoning and emotional intelligence. Boys who play team sports have fewer symptoms of common mental disorders, lower mental health problems, and less suicidal ideation than physically inactive boys. [ABSTRACT FROM AUTHOR]

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Objetivo. Estimar la prevalencia de la ideación suicida (IS) y su asociación con los determinantes sociales (DS) en la pobla­ción mexicana durante la pandemia de Covid-19. Material y métodos. Datos de la encuesta de Atención Psicológica a Distancia para la Salud Mental debido a la Contingencia por Covid-19 obtenidos durante 2020. La muestra fue de 79 665. Se realizaron modelos de regresión logística obteniendo razones de momios (RM) con intervalos de confianza del 95% (IC95%). Resultados. La prevalencia de IS fue de 17.1% (mujeres:18.8% y hombres: 14.4%). Principales DS asociados fueron: ser mujer (RM=1.11; IC95% 1.06,1.13), mujeres jóvenes (RM=1.30; IC95% 1.09,1.54), escolaridad (RM=1.89; IC95% 1.14,3.12), soltera(o) (RM= 1.31; IC95% 1.24,1.38), desempleo (RM= 2.33; IC95% 2.21,2.45), distanciamiento social (RM 1.81; IC95%1.68,1.96), vivir solo (RM 1.18; IC95% 1.10,1.27), pérdida de familiar por Covid-19 (RM= 1.41; IC95%1.30,1.54), tener un diagnóstico de depresión (RM= 5.72; IC95% 5.41,6.05), ser víctima de violencia física (RM=2.71; IC95% 2.49,2.95), consumo excesivo de alcohol (RM=1.68; IC95%1.58,1.79) y drogas (RM= 3.13; IC95% 2.88,3.41), y sospecha o diagnóstico de Covid-19 (RM=1.79; IC95% 1.67,1.89). Conclusiones. La prevalencia de IS durante la pandemia por Covid-19 fue elevada; se discute la relevancia de los DS estructurales e intermedios que influyen en la IS.

Introducción. La Organización Mundial de la Salud afirma que anualmente cerca de 800.000 personas se suicidan en el mundo y por cada suicidio, muchas otras intentan hacerlo, a cualquier edad. En 2016 fue segunda causa principal de defunción dentro del grupo etario de 15 a 29 años en el mundo. Objetivo. Determinar la depresión y el riesgo suicida en médicos residentes de un hospital escuela. Metodología. Estudio descriptivo con componente analítico, de corte transversal, realizado de noviembre a diciembre de 2015. Muestreo por conveniencia de médicos residentes que se encontraban cumpliendo funciones académico-asistenciales al momento del estudio y aceptaron participar en forma voluntaria firmando un consentimiento informado. Se utilizó un cuestionario autoadministrado con datos sociodemográficos, el Inventario de Depresión de Beck y la Escala de Riesgo Suicida de Plutchik. Resultados. Participaron del estudio 111 médicos residentes, 54,1% (60) de sexo femenino, 79,3% (88) entre 25 y 30 años y el 73,9% (82) soltero/a. El 38,7% (43) tenía un año de residencia, 19,8% (22) dos años, 36,9% (41) tres años y 4,5% (5) cinco años. El 14,4% (16) tenía depresión: 4,5% (5) estado de depresión intermitente; depresión moderada el 8,1% (9) y depresión grave un 1,8%. El 16,2% (18) tenía riesgo suicida: riesgo leve 88,9% (16) y 11,1% (2) riesgo moderado. Se encontró una asociación significativa (p

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Copyright of Revista Interamericana de Psicología is the property of Sociedad Interamericana de Psicologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Ziconotide is a non-opioid intrathecal drug considered, along with morphine, the first line of intrathecal treatment for cancer related chronic pain and non-oncological chronic pain. Even though it is a safe and effective drug, it is not exempt from adverse reactions. Among the most feared are those related to neuropsychiatric disorders such as anxiety, depression, or psychosis. We present the case of a 62-yearold man diagnosed with a chromophobe renal cell carcinoma with a neoplastic recurrence at the left lower back that causes nociceptive pain not controlled with systemic medication. An intrathecal pump containing morphine, ziconotide and bupivacaine was implanted. Afterwards, the patient began to manifest existential suffering and have thoughts of death. Suspecting that it could be an adverse effect of ziconotide, the infusion dose was reduced, achieving the disappearance of the neuropsychiatric symptoms with an optimal pain control. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Salud Pública is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objetivo: identificar la prevalencia y los factores asociados a la ideación suicida pasiva y activa a lo largo de la vida en estudiantes ingresantes de posgrado. Método: estudio analítico y de diseño transversal, con una muestra compuesta por 321 estudiantes ingresantes de posgrado. Se realizó análisis estadístico descriptivo e inferencial múltiple. Resultados: los análisis multivariados indican que la ideación suicida pasiva y activa tuvieron una prevalencia mayor y similar en los estudiantes de orientación sexual minoritaria, del sexo femenino, que realizaban actividad física diaria ≤ 30 minutos/día y sufrieron victimización por violencia psicológica en los últimos 12 meses. Los factores abuso de alcohol, las exigencias del posgrado stricto sensu no afectaron las relaciones familiares y baja autoestima se asociaron solo con la ideación suicida pasiva. A su vez, el consumo de marihuana en los últimos 30 días, no tener una buena relación interpersonal con sus pares académicos, ejercer la actividad profesional junto con las exigencias del posgrado se asociaron únicamente con ideación suicida activa. Conclusión: se identificó una alta prevalencia de ideación suicida pasiva y activa a lo largo de la vida en los estudiantes ingresantes de posgrado y se comprobó que hubo similitudes y diferencias entre algunos de los factores asociados a ambos resultados.

El articulo presenta resultados de un estudio orientado a describir la ideación suicida en una muestra de jóvenes entre 18 y 35 años de edad, de la ciudad de Medellín, durante la pandemia de COVID-19 y su relación con la resiliencia y estrategias de afrontamiento.

Introducción: Es importante considerar los daños que el consumo de sustancias psicoactivas produce al cerebro, para entender el pronóstico y la evolución del paciente, ya que puede causar deterioro cognitivo y llegar a la demencia. Objetivo: Determinar los factores pronósticos del deterioro cognitivo en pacientes adictos a sustancias psicoactivas. Método: Se desarrolló un estudio observacional, analítico y transversal. Se trabajó con los pacientes atendidos por consumos de sustancias, en un servicio de psicología, del año 2016 al 2019. Las variables estudiadas fueron: Función ejecutiva, edad, ideación suicida, sexo, características clínicas del consumo, sustancia consumida, coeficiente intelectual, deterioro cognitivo, ansiedad, depresión y tiempo de consumo. Se utilizaron técnicas tanto de la estadística descriptiva, como de la estadística inferencial. Resultados: Se estudiaron 257 pacientes, con consumo fundamentalmente de alcohol y marihuana, edad promedio de 34 años, predominó el sexo masculino (89 %) y una media de 17 años de consumo. El 47 % de los pacientes presentó deterioro cognitivo leve y 9,34 % deterioro cognitivo moderado. El deterioro cognitivo se asoció con tener tolerancia invertida (odd ratio -OR= 6,4), disfunción ejecutiva (OR= 4,2), depresión (OR= 4,1), ansiedad (OR= 2,4), consumir otras sustancias diferentes al alcohol (OR= 2,6), tener necesidad subjetiva de consumo (OR= 2,5), alterada capacidad de abstención (OR= 2,3) e ideación suicida (OR= 2,0). Conclusiones: Los factores pronósticos del deterioro cognitivo en los pacientes adictos son: Tolerancia invertida, alteraciones ejecutivas, depresión, ansiedad, consumir otras drogas diferentes al alcohol, tener alterada la capacidad de abstención y presentar ideas suicidas.

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