Associations of methods of suicide attempts with mental disorders and self-esteem in adults attended in health establishments in Metropolitan Lima, 2015
DOI:
https://doi.org/10.20453/rnp.v88i3.5253Keywords:
suicide attempt, suicide methods, mental health profile, suicide preventionAbstract
In Peru, 1 out of 20 people has experienced a suicide attempt at some point in his/her life, and in Lima, a person attempts suicide every 22 minutes. The method of attempted suicide is an important factor to be considered among a series of suicide prevention measures. Objective: To determine the association of suicide attempt methods with sociodemographic factors, mental disorders and self-esteem in adults attended in health establishments in Metropolitan Lima - 2015. Materials and methods: Analytical cross-sectional study, of probabilistic type, with analysis of a database obtained from the Epidemiological Study of Mental Health in general hospitals and health centers of Metropolitan Lima - 2015. Suicide attempt methods will be described according to demographic characteristics and poverty level using contingency tables, indicators and statistical graphics. Results: A female predominance was found (78.4%), with an average age of 39.9 ± 14.4 years. The most used suicide method was the consumption of a toxic substance (59.2%). A significant association was found between the suicidal method and sex (p < 0.001), age (p = 0.001), educational level (p = 0.003), marital status (p < 0.001) and the presence of a mental disorder (p = 0.035). Conclusions: The associations found in this study are consistent with those found in previous studies, marital status standing out among them. It is hoped that the results can help in the management of people at risk of a suicidal attempt.
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References
Organización Panamericana de la Salud. Mortalidad por suicidio en la Región de las Américas: informe regional 2010-2014 [Internet]. Washington, D. C.: OPS; 2021. Disponible en: https://doi.org/10.37774/9789275323304
Organización Panamericana de la Salud. Prevención de la conducta suicida [Internet]. Washington, D. C.: OPS; 2016. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/31167/9789275319192-spa.pdf
Instituto Nacional de Salud Mental «Honorio Delgado-Hideyo Noguchi». Estudio epidemiológico de salud mental en Lima Metropolitana y Callao - Replicación 2012. An Salud Ment [Internet]. 2012; 29(supl. 1). Disponible en: https://openjournal.insm.gob.pe/revistasm/asm/article/view/7
Contreras-Cordova CR, Atencio-Paulino JI, Sedano C, Ccoicca-Hinojosa FJ, Paucar W. Suicidios en el Perú: descripción epidemiológica a través del Sistema Informático Nacional de Defunciones (SINADEF) en el periodo 2017-2021. Rev Neuropsiquiatr [Internet]. 2022; 85(1). Disponible en: https://doi.org/10.20453/rnp.v85i1.4152
Vásquez F, Nicolás Y, Martínez R, Vite V, Falconí S, Vargas V. El perfil de los intentadores de suicidio atendidos en el Instituto Especializado de Salud Mental «Honorio Delgado-Hideyo Noguchi» 2003. Rev Neuropsiquiatr [Internet]. 2005; 68(1-2): 67-82. Disponible en: https://revistas.upch.edu.pe/index.php/RNP/article/view/1582
Ministerio de Salud (PE). Minsa registra más de 1300 intentos de suicidio en lo que va del 2018 [Internet]. Plataforma del Estado Peruano; 2018, 7 de septiembre. Disponible en: https://www.gob.pe/institucion/minsa/noticias/18738-minsa-registra-mas-de-1300-intentos-de-suicidio-en-lo-que-va-del-2018
National Institute of Mental Health. Suicide [Internet]. NIMH; [s. f.]. Disponible en: https://www.nimh.nih.gov/health/statistics/suicide
World Health Organization. Preventing suicide: a global imperative [Internet]. Geneva: WHO; 2014. Disponible en: https://iris.who.int/bitstream/handle/10665/131056/9789241564779_eng.pdf
Hawton K, van Heeringen K, editores. The International Handbook of Suicide and Attempted Suicide. Chichester (UK): John Wiley & Sons; 2008.
Hawton K, Fagg J. Repetition of attempted suicide: the performance of the Edinburgh predictive scales in patients in Oxford. Arch Suicide Res [Internet]. 1995; 1(4): 261-272. Disponible en: https://doi.org/10.1080/13811119508258987
Hall RC, Platt DE, Hall RC. Suicide risk assessment: a review of risk factors for suicide in 100 patients who made severe suicide attempts: evaluation of suicide risk in a time of managed care. Psychosomatics [Internet]. 1999; 40(1): 18-27. Disponible en: https://doi.org/10.1016/S0033-3182(99)71267-3
Rodrigo M, Hernández R. Patología psiquiátrica en el niño preescolar y escolar. An Pediatr Contin [Internet]. 2004; 2(4): 197-206. Disponible en: https://www.elsevier.es/es-revista-anales-pediatria-continuada-51-pdf-S1696281804716431
Castelpietra G, Knudsen AK, Agardh EE, Armocida B, Beghi M, Iburg KM, et al. The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990-2019: findings from the Global Burden of Disease Study 2019. Lancet Reg Health Eur [Internet]. 2022; 16: 100341. Disponible en: https://doi.org/10.1016/j.lanepe.2022.100341
Instituto Nacional de Salud Mental «Honorio Delgado-Hideyo Noguchi». Estudio epidemiológico de salud mental en hospitales generales y centros de salud de Lima Metropolitana 2015. Informe general. An Salud Ment [Internet]. 2018; 34(1). Disponible en: https://openjournal.insm.gob.pe/revistasm/asm/article/view/15
Instituto Nacional de Salud Mental «Honorio Delgado-Hideyo Noguchi». Estudio epidemiológico de salud mental en la sierra peruana 2003. Informe general. An Salud Ment [Internet]. 2003; 19(1-2). Disponible en: https://openjournal.insm.gob.pe/revistasm/asm/article/view/3
Instituto Nacional de Salud Mental «Honorio Delgado-Hideyo Noguchi». Estudio epidemiológico en salud mental en la selva peruana 2004. Informe general. An Salud Ment [Internet]. 2005; 21(1-2). Disponible en: https://openjournal.insm.gob.pe/revistasm/asm/article/view/10
Bertolote JM, Fleischmann A. Suicide and psychiatric diagnosis: a worldwide perspective. World Psychiatry [Internet]. 2002; 1(3): 181-185. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC1489848/
Baldessarini RJ. Epidemiology of suicide: recent developments. Epidemiol Psychiatr Sci [Internet]. 2020; 29: e71. Disponible en: https://doi.org/10.1017/s2045796019000672
Alonso LM, Murcia G, Murcia J, Herrera D, Gómez D, Comas M, et al. Autoestima y relaciones interpersonales en jóvenes estudiantes de primer semestre de la División Salud de la Universidad del Norte, Barranquilla (Colombia). Salud Uninorte [Internet]. 2007; 23(1): 32-42. Disponible en: http://www.scielo.org.co/pdf/sun/v23n1/v23n1a05.pdf
Pérez N, Salamanca Y. Relación entre autoestima e ideación suicida en adolescentes colombianos. Rev Psicol GEPU [Internet]. 2017; 8(1): 8-21. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6919770
Manani P, Sharma S. Self-esteem and suicidal ideation: a correlational study. MIER J Educ Stud Trends Pract (MJESTP) [Internet]. 2013; 3(1): 75-83. Disponible en: https://doi.org/10.52634/mier/2013/v3/i1/1556
Ajdacic-Gross V, Weiss MG, Ring M, Hepp U, Bopp M, Gutzwiller F, et al. Methods of suicide: international suicide patterns derived from the WHO mortality database. Bull World Health Organ [Internet]. 2008; 86(9): 726-732. Disponible en: http://dx.doi.org/10.2471/blt.07.043489
Zalar B, Kores B, Zalar I, Mertik M. Suicide and suicide attempt descriptors by multimethod approach. Psychiatr Danub [Internet]. 2018; 30(3): 317-322. Disponible en: https://www.psychiatria-danubina.com/UserDocsImages/pdf/dnb_vol30_no3/dnb_vol30_no3_317.pdf
Cantor CH, Baume PJ. Access to methods of suicide: what impact? Aust N Z J Psychiatry [Internet]. 1998; 32(1): 8-14. Disponible en: http://dx.doi.org/10.3109/00048679809062700
Dogru I. Estados Unidos, el país con más armas que ciudadanos [Internet]. Agencia Anadolu; 2022, 26 de mayo. Disponible en: https://www.aa.com.tr/es/mundo/estados-unidos-el-pa%C3%ADs-con-m%C3%A1s-armas-que-ciudadanos/2598695
Baños J. Suicidio por arma de fuego, un problema de salud pública. MediSur [Internet]. 2021; 19(2): 342-345. Disponible en: https://www.redalyc.org/journal/1800/180068639022/html/
Trevisan EP, Oliveira ML. Medicamentos psicoactivos: estudio de mujeres con intento de suicidio en un municipio del sur de Brasil. Index Enferm [Internet]. 2012; 21(1-2): 33-37. Disponible en: https://dx.doi.org/10.4321/S1132-12962012000100008
Chen YY, Lee MB, Chang CM, Liao SC. Methods of suicide in different psychiatric diagnostic groups. J Affect Disord [Internet]. 2009; 118(1-3): 196-200. Disponible en: https://doi.org/10.1016/j.jad.2009.05.020
World Health Organization. Live Life: An Implementation Guide for Suicide Prevention in Countries [Internet]. Geneva: WHO; 2021. Disponible en: https://www.who.int/publications/i/item/9789240026629
Ley n.° 30947, Ley de Salud Mental [Internet]. Lima: El Peruano; 2019, 23 de mayo. Disponible en: https://cdn.www.gob.pe/uploads/document/file/1484216/Ley%20N%C2%BA%2030947.pdf.pdf?v=1608073034
Instituto Nacional de Salud Mental «Honorio Delgado-Hideyo Noguchi». Confiabilidad y validez de los cuestionarios de los estudios epidemiológicos de salud mental de Lima y de la Selva Peruana. An Salud Ment [Internet]. 2009; 25(supl. 1). Disponible en: https://openjournal.insm.gob.pe/revistasm/asm/article/view/31
Mergl R, Koburger N, Heinrichs K, Székely A, Tóth MD, Coyne J, et al. What are reasons for the large gender differences in the lethality of suicidal acts? An epidemiological analysis in four European countries. PLoS One [Internet]. 2015; 10(7): e0129062. Disponible en: https://doi.org/10.1371/journal.pone.0129062
Tsirigotis K, Gruszczynski W, Tsirigotis-Woloszczak M. Gender differentiation in methods of suicide attempts. Med Sci Monit [Internet]. 2011; 17(8): PH65-70. Disponible en: https://doi.org/10.12659/MSM.881887
Lim M, Lee SU, Park JI. Difference in suicide methods used between suicide attempters and suicide completers. Int J Ment Health Syst [Internet]. 2014; 8: 54. Disponible en: https://doi.org/10.1186/1752-4458-8-54
López LC. Perfil de métodos en intentos de suicidio: tendencias e implicancias para la prevención. Jujuy, noroeste de Argentina. Cienc Psicol [Internet]. 2019; 13(2): 197-208. Disponible en: https://doi.org/10.22235/cp.v13i2.1872
De Souza ER, Minayo MC, Malaquias JV. Suicide among young people in selected Brazilian State capitals. Cad Saúde Pública [Internet]. 2002; 18(3): 673-683. Disponible en: https://doi.org/10.1590/S0102-311X2002000300011
Shojaei A, Moradi S, Alaeddini F, Khodadoost M, Barzegar A, Khademi A. Association between suicide method, and gender, age, and education level in Iran over 2006-2010. Asia Pac Psychiatry [Internet]. 2014; 6(1): 18-22. Disponible en: http://dx.doi.org/10.1111/appy.12097
Rezaie L, Khazaie H, Soleimani A, Schwebel DC. Is self-immolation a distinct method for suicide? A comparison of Iranian patients attempting suicide by self-immolation and by poisoning. Burns [Internet]. 2011; 37(1): 159-163. Disponible en: http://dx.doi.org/10.1016/j.burns.2010.07.003
Ahmadi A, Mohammadi R, Stavrinos D, Almasi A, Schwebel DC. Self-immolation in Iran. J Burn Care Res [Internet]. 2008; 29(3): 451-460. Disponible en: http://dx.doi.org/10.1097/BCR.0b013e31817112f1
Aristizábal A, González A, Palacio C, García J, López C. Factores asociados a letalidad de intentos de suicidio en sujetos con trastorno depresivo mayor. Rev Colomb Psiquiatr [Internet]. 2009; 38(3): 446-463. Disponible en: http://www.scielo.org.co/pdf/rcp/v38n3/v38n3a05.pdf
Jeon HJ, Lee JY, Lee YM, Hong JP, Won SH, Cho SJ, et al. Unplanned versus planned suicide attempters, precipitants, methods, and an association with mental disorders in a Korea-based community sample. J Affect Disord [Internet]. 2010; 127(1-3): 274-280. Disponible en: http://dx.doi.org/10.1016/j.jad.2010.05.027
Espandian A, González M, Reijas T, Florez G, Ferrer E, Saiz PA, et al. Factores predictores de riesgo de repetición de intento de suicidio en una muestra de pacientes ambulatorios. Rev Psiquiatr Salud Ment [Internet]. 2020; 13(1): 11-21. Disponible en: https://doi.org/10.1016/j.rpsm.2019.03.003
Huisman A, van Houwelingen CA, Kerkhof AJ. Psychopathology and suicide method in mental health care. J Affect Disord [Internet]. 2010; 121(1-2): 94-99. Disponible en: https://doi.org/10.1016/j.jad.2009.05.024
Andrade JA, Gonzáles J. Relación entre riesgo suicida, autoestima, desesperanza y estilos de socialización parental en estudiantes de bachillerato. Psicogente [Internet]. 2017; 20(37): 70-88. Disponible en: https://doi.org/10.17081/psico.20.37.2419
Plutchik R, van Praag HM, Picard S, Conte HR, Korn M. Is there a relation between the seriousness of suicidal intent and the lethality of the suicide attempt? Psychiatry Res [Internet]. 1989; 27(1): 71-79. Disponible en: http://dx.doi.org/10.1016/0165-1781(89)90011-5
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