Determinantes psicosociales de la ideación suicida en adolescentes

Gómez San Luis, Anel Hortensia; Almanza Avendaño, Ariagor Manuel; Figueroa Estrada, Armando Anuar

doi:10.15517/ap.v40i140.60921

Authors

Anel Hortensia Gómez San Luis Universidad Autónoma de Baja California, Facultad de Ciencias Humanas, Baja California, México Author https://orcid.org/0000-0002-9846-5046
Ariagor Manuel Almanza Avendaño Universidad Autónoma de Baja California, Facultad de Ciencias Humanas, Baja California, México Author https://orcid.org/0000-0001-7240-6163
Armando Anuar Figueroa Estrada Instituto de Psiquiatría del Estado de Baja California, Departamento de Investigación, Baja California, México Author https://orcid.org/0000-0003-1032-9486

DOI:

https://doi.org/10.15517/ap.v40i140.60921

Keywords:

suicide, family, mental health, adolescent

Abstract

Objective. Explore the level of suicidal ideation and identify predictive factors in adolescents attending school in a state on the northern border of Mexico. Method. A predictive cross-sectional non-experimental design was used, with a non-probabilistic sample of 2246 public school students. The sample consisted of 51.9% women and 48.1% men, with an average age of 14.7 years. A sociodemographic data questionnaire, the CES-D scale to measure depressive symptoms, the Family Environment scale, and an ad hoc questionnaire to measure suicidal ideation and the perception of insecurity in the neighborhood were applied. Results. Show a high level of suicidal ideation, as well as moderate to large differences in the study variables, between young people with and without suicidal ideation. The main predictors were depressive symptoms, negative family environment and gender.

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References

Aguilera-Guzmán, R. M., Carreño, M. S., & Juárez, F. (2004). Características psicométricas de la CES-D en una muestra de adolescentes rurales mexicanos de zonas con alta tradición migratoria. Salud Mental, 27(6), 57-66. https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=16387

Almanza, A. M., Gómez, A. H., & Chapa, A. C. (2021). Sentimiento de inseguridad ante la delincuencia en estudiantes de secundaria. Psicología, Conocimiento y Sociedad, 11(2), 7-32. http://dx.doi.org/10.26864/PCS.v11.n2.1

Almanza, A. M., Gómez, A. H., & Medina, A. F. (2022). Vulnerabilidad estructural ante victimización comunitaria y percepción de inseguridad en jóvenes estudiantes. Pensando Psicología, 18(2), 1-26. https://doi.org/10.16925/2382-3984.2022.02.01

Ati, N. A. L., Paraswati, M. D., & Windarwati, H. D. (2021). What are the risk factors and protective factors of suicidal behavior in adolescents? A systematic review. Journal of Child and Adolescent Psychiatric Nursing, 34(1), 7–18. https://doi.org/10.1111/jcap.12295

Bello, I., Rodríguez-Quiroga, A., & Quintero, J. (2023). Conducta suicida y autolesiva en adolescentes, un problema sin resolver. Una revisión comprensiva. Actas Españolas de Psiquiatría, 51(1), 10-20. https://openurl.ebsco.com/EPDB%3Agcd%3A6%3A10933142/

Biswas, T., Scott, J. G., Munir, K., Renzaho, A. M. N., Rawal, L. B., Baxter, J., & Mamun, A. A. (2020). Global variation in the prevalence of suicidal ideation, anxiety and their correlates among adolescents: A population based study of 82 countries. eClinicalMedicine, 24. https://doi.org/10.1016/j.eclinm.2020.100395

Bojorquez, I., & Salgado de Snyder, N. (2009). Características psicométricas de la Escala Center for Epidemiological Studies-depression (CES-D), versiones de 20 y 10 reactivos, en mujeres de una zona rural mexicana. Salud Mental, 32(4), 299-307. https://www.scielo.org.mx/scielo.php?pid=S0185-33252009000400005&script=sci_abstract&tlng=en

Burke, T. A., Ammerman, B. A., & Jacobucci, R. (2019). The use of machine learning in the study of suicidal and non-suicidal self-injurious thoughts and behaviors: A systematic review. Journal of Affective Disorders, 245, 869-884. https://doi.org/10.1016/j.jad.2018.11.073

Campos, A. I., Thompson, P. M., Veltman, D. J., Pozzi, E., van Veltzen, L. S., Jahanshad, N., Adams, M. J., Baune, B. T., Berger, K., Brosch, K., Bülow, R., Connolly, C. G., Dannlowksi, U., Davey, C. G., de Zubicaray, G. I., Dima, D., Erwin-Grabner, T., Evans, J. W., Fu, C. H. Y., …, Rentería, M. E. (2021). Brain correlates of suicide attempt in 18, 925 participants across 18 international cohorts. Biological Psychiatry, 90(4), 243-252. https://doi.org/10.1016/j.biopsych.2021.03.015

Carballo, J. J., Llorente, C., Kehrmann, L., Flamarique, I., Zuddas, A., Purper-Ouakil, D., Hoekstra, P. J., Coghill, D., Schulze, U. M. E., Dittmann, R. W., Buitelaar, J. K., Castro-Fornieles, J., Lievesley, K., Santosh, P., & Arango, C. (2020). Psychosocial risk factors for suicidality in children and adolescents. European Child & Adolescent Psychiatry, 29, 759-776. https://doi.org/10.1007/s00787-018-01270-9

Castellví, P., Lucas-Romero, E., Miranda-Mendizábal, A., Parés-Badell, O., Almenara, J., Alonso, I., Blasco, M. J., Cebrià, A., Gabilondo, A., Gili, M., Lagares, C., Piqueras, J. A., Roca, M., Rodríguez-Marín, J., Rodríguez-Jimenez, T., Soto-Sanz, V., & Alonso, J. (2017). Longitudinal association between self-injurious thoughts and behaviors and suicidal behavior in adolescents and young adults: A systematic review with meta-analysis. Journal of Affective Disorders, 215, 37-48. http://dx.doi.org/10.1016/j.jad.2017.03.035

Chávez-Hernández, A. M., González-Forteza, C., Juárez, A., Vázquez, D., & Jiménez, A. (2015). Ideación y tentativas suicidas en estudiantes del nivel medio del estado de Guanajuato, México. Acta Universitaria, 25(6), 43-50. https://doi.org/10.15174/au.2015.786

Diamond, G., Kodish, T., Krauthamer, E. S., Hunt, Q. A., & Russon, J. M. (2022). Family processes: Risk, protective and treatment factors for youth at risk for suicide. Aggression and Violent Behavior, 64. https://doi.org/10.1016/j.avb.2021.101586

Escobar-Padilla, B., Márquez-González, H., Consejo, C., López-Sepúlveda, A. C., & Sepúlveda, A. C. (2019). Social violence increases the risk of suicidal ideation among undergraduate medical students. Archives of medical research, 50(8), 577-586. https://doi.org/10.1016/j.arcmed.2020.01.005

Falcó, R., Piqueras, J. A., Moreno-Amador, B., Soto-Sanz, V., & Marzo, J. C. (2023). Let´s talk about suicide spectrum in Spanish adolescents. “Prefer not to say”: missing value or clinical data? Psicothema, 35(2), 129-139. https://doi.org/10.7334/psicothema2022.287

Fonseca-Pedrero, E., & Pérez de Albéniz, A. (2020). Evaluación de la conducta suicida en adolescentes: a propósito de la escala Paykel de suicidio. Papeles del psicólogo, 41(2), 106-115. https://doi.org/10.23923/pap.psicol2020.2928

Fonseca-Pedrero, E., Pérez-Albéniz, A., & Al-Halabí, S. (2022). Conducta suicida en adolescentes a revisión: creando esperanza a través de la acción. Papeles del Psicólogo, 43(3), 173-184. https://doi.org/10.23923/pap.psicol.3000

Forero, I., Siabato, E., & Salamanca, Y. (2017). Ideación suicida, funcionalidad familiar y consumo de alcohol en adolescentes de Colombia. Revista Latinoamericana de Ciencias Sociales, Niñez y Juventud, 15(1), 431-442. https://doi.org/10.11600/1692715x.1512729042016

Fraijo, A. S., Cuamba, N., Corral, V., Tapia, C., & Montiel, M. (2012). Factores psicosociales asociados a la ideación suicida y el parasuicidio en adolescentes. Psicumex, 2(1), 41-55. https://doi.org/10.36793/psicumex.v2il.231

Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., Musacchio, K. M., Jaroszewski, A. C., Chang, B. P., & Nock, M. K. (2017). Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin, 143(2), 187–232. https://doi.org/10.1037/bul0000084

García, G. A., Ocaña, J., Cruz, O., Hernández, S., Pérez, C. E., & Cabrera, M. (2018). Variables predictoras de la ideación suicida y sintomatología depresiva en adolescentes de Chiapas, México. Ciência & Saúde Coletiva, 23(4), 1089-1096. https://doi.org/10.1590/1413-81232018234.14492016

Gómez-García, J. A., Rivera-Rivera, L., Astudillo-García, C. I., Castillo-Castillo, L. E., Morales-Chainé, S., & Tejadilla-Orozco, D. I. (2023). Determinantes sociales asociados con ideación suicida durante la pandemia por Covid-19 en México. Salud Pública de México, 65(1), 1-9. https://doi.org/10.21149/13744

González-Forteza, C., Álvarez-Ruiz, M., Saldaña-Hernández, A., Carreño-García, S., Chávez-Hernández, A. M., & Pérez-Hernández, R. (2005). Prevalence of deliberate self-harm in teenage students in the state of Guanajuato, Mexico: 2003. Social behavior & personality, 33(8), 777-792. https://www.ingentaconnect.com/content/sbp/sbp/2005/00000033/00000008/art00004

González-Forteza, C., Juárez, C. E., Montejo, L. de los A., Oseguera, G., Wagner, F. A., & Jiménez, A. (2015). Ideación suicida y su asociación con drogas, depresión e impulsividad en una muestra representativa de estudiantes de secundaria del estado de Campeche, México. Acta Universitaria, 25, 29-34. https://doi.org/10.15174/au.2015.862

González-Forteza, C., Solís, C., Jiménez, A., Hernández, I., González-González, A., Juárez, F., Medina-Mora, M. E., & Fernández-Varela, H. (2011). Confiabilidad y validez de la escala de depresión CES-D en un censo de estudiantes de nivel medio superior y superior, en la Ciudad de México. Salud Mental, 34(1), 53-59. https://www.scielo.org.mx/scielo.php?pid=S0185-33252011000100007&script=sci_arttext

González-Forteza, C., Wagner, F.A., & Jiménez, A. (2012). Escala de Depresión del Centro de Estudios Epidemiológicos (CES-D) en México: análisis bibliométrico. Salud Mental, 35(1), 13-20. https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=33531

Henry, G. T. (1990). Practical sampling. Sage Publications.

Hermosillo-de-la-Torre, A. E., González-Forteza, C., Rivera-Heredia, M. E., Méndez-Sánchez, C., González-Betanzos, F., Palacios-Salas, P., Jiménez, A., & Wagner, F. A. (2020). Understanding suicidal behavior and its prevention among youth and young adults in Mexico. Preventive Medicine, 138, 106177. https://doi.org/10.1016/j.ypmed.2020.106177

Hermosillo-de-la-Torre, A. E., Arteaga-de-Luna, S. M., Acevedo-Rojas, D. L., Juárez-Loya, A., Jiménez-Tapia, J. A., Pedroza-Cabrera, F. J., González-Forteza, C., Cano, M., & Wagner, F. A. (2021). Psychosocial correlates of suicidal behavior among adolescents under confinement due to the COVID-19 pandemic in Aguascalientes, Mexico: a cross-sectional population survey. International Journal of Environment Research & Public Health, 18(9), 4977. https://doi.org/10.3390/ijerph18094977

Hidalgo-Rasmussen, C., & Hidalgo-San Martín, A. (2015). Comportamientos de riesgo de suicidio y calidad de vida, por género, en adolescentes mexicanos, estudiantes de preparatoria. Ciência & Saúde Coletiva, 20(11), 3437-3445. https://doi.org/ 10.1590/1413-812320152011.18692014

Hoffman, S., & Marsiglia, F. F. (2014). The impact of religiosity on suicidal ideation among youth in Central Mexico. Journal of Religion & Health, 53, 255-266. https://doi.org/10.1007/s10943-012-9654-1

Jones J. D., Boyd, R. C., Calkins, M. E. Ahmed, A., Moore, T. M., Barzilay, R., Benton, T. D., & Gur, R. E. (2019). Parent-adolescent agreement about adolescents’ suicidal thoughts. Pediatrics, 143(2). https://doi.org/10.1542/peds.2018-1771

Leung, C., Kwok, S., & Ling, C. (2016). An integrated model of suicidal ideation in transcultural populations of chinese adolescents. Community Mental Health Journal, 52, 574–581. https://doi.org/10.1007/s10597-015-9920-2

Lim, K.-S., Wong, C. H., McIntyre, R. S., Wang, J., Zhang, Z., Tran, B. X, Tan, W., Ho, C. S., & Ho, R. C. (2019). Global lifetime and 12-month prevalence of suicidal behavior, deliberate self-harm and non-suicidal self-injury in children and adolescents between 1989 and 2018: a meta-analysis. International Journal of Environmental Research and Public Health, 16(22). https://doi.org/10.3390/ijerph16224581

López, R., Maultsby, K., Defayette, A. B., Whitmyre, E. D., Wolff, J., Spirito, A., & Esposito-Smythers, A. C. (2022). A prospective investigation of the relation between dysfunctional family communication and suicidal ideation severity in a clinical adolescent sample: a serial mediation model. Journal of Affective Disorders, 310, 241-248. https://doi.org/10.1016/j.jad.2022.05.021

Medina-Mora, M. E., Borges, G., Benjet, C., Lara, M. C., Rojas, E., Fleiz, C., Zambrano, J., Villatoro, J., Blanco, J., & Aguilar-Gaxiola, S. (2009). Estudio de los trastornos mentales en México: resultados de la Encuesta Mundial de Salud Mental. En J. J. Rodríguez, R. Kohn y S. Aguilar-Gaxiola (Eds.), Epidemiología de los trastornos mentales en América Latina y el Caribe (pp. 79-89). Organización Panamericana de la Salud.

Méndez, P. I., Fuster, J. A., Tapia, A. A., & López, J. (2021). Conductas suicidas y autolesiones en una muestra clínica de adolescentes chilenos. Interciencia, 46(12), 455-461. https://www.redalyc.org/journal/339/33969944003/html/

Milner, A., Scovelle, A. J., Hewitt, B., Maheen, H., Ruppanner, L., & King, T. L. (2020). Shifts in gender equality and suicide: a panel study of changes over time in 87 countries. Journal of Affective Disorders, 276, 495–500. https://doi.org/10.1016/j.jad.2020.07.105

Miranda-Mendizabal, A., Castellví, P., Parés-Badell, O., Alayo, I., Almenara, J., Alonso, I., Blasco, M. J., Cebrià, A., Gabilondo, A., Gili, M., Lagares, C., Piqueras, J. A., Rodríguez-Jiménez, T., Rodríguez-Marín, J., Roca, M., Soto-Sanz, V., Vilagut, G., & Alonso, J. (2019). Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. International Journal of Public Health, 64, 265–283. https://doi.org/10.1007/s00038-018-1196-1

Mondragón, L., Borges, G., & Gutiérrez, R. (2001). La medición de la conducta suicida en México: estimaciones y procedimientos. Salud Mental, 24(6), 4-15. https://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=22449

Pérez, A., Uribe, J. I., Vianchá, M. A., Bahamón, M. J., Verdugo, J. C., & Ochoa, S. (2013). Estilos parentales como predictores de ideación suicida en estudiantes adolescentes. Psicología desde el Caribe, 30(3), 551-568. http://www.scielo.org.co/scielo.php?pid=S0123-417X2013000300006&script=sci_arttext

Pérez-Amezcua, B., Rivera-Rivera, L., Atienzo, E. E., De Castro, F., Leyva-López, A., & Chávez-Ayala, R. (2010). Prevalencia y factores asociados a la ideación e intento suicida en adolescentes de educación media superior de la República mexicana. Salud Pública de México, 52(4), 324-333. https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342010000400008

Querdasi, F. R., & Bacio, F. A. (2021). Suicidal behaviors among Latina adolescents: An ecodevelopmental approach and narrative review. Journal of Adolescence, 93, 161–176. https://doi.org/10.1016/j.adolescence.2021.10.007

Reinherz, H. Z., Tanner, J. L., Berger, S. R., Beardslee, W. R., & Fitzmaurice, G. M. (2006). Adolescent suicidal ideation as predictive of psychopathology, suicidal behavior, and compromised functioning at age 30. American Journal of Psychiatry, 163(7), 1226-1232. https://doi.org/10.1176/ajp.2006.163.7.1226

Rivera-Rivera, L., Fonseca-Pedrero, E., Séris-Martínez, M., Vázquez-Salas, A., & Reynales-Shigematsu, L. M. (2020). Prevalencia y factores psicológicos asociados con conducta suicida en adolescentes. Ensanut 2018-19. Salud Pública de México, 62(6), 672-681. https://doi.org/10.21149/11555

Ruiz-Cárdenas, C. T., Reidl, L. M., & Gallegos, R. (2017). Validez de constructo de escala ambiente familiar para adolescentes. Vertientes, Revista Especializada en Ciencias de la Salud, 20(1), 35-42. https://revistas.unam.mx/index.php/vertientes/article/view/64545

Sharma, B., Nam, E. W., Kim, H. Y., & Kim, J. K. (2015). Factors associated with suicidal ideation and suicide attempt among school-going urban adolescents in Peru. International Journal of Environmental Research and Public Health, 12(11), 14842-14856. https://doi.org/10.3390/ijerph121114842

Solar, O., & Irwin, A. (2010). A conceptual framework for action on the social determinants of health. Social determinants of health discussion. Paper 2 (Policy and Practice). World Health Organization. https://www.who.int/publications/i/item/9789241500852

Souza, L., Silva, R., Jansen, K., Peretti, R., Horta, B. L., & Tavares, R. (2010). Suicidal ideation in adolescents aged 11 to 15 years: prevalence and associated factors. Brazilian Journal of Psychiatry, 32(1), 37-41. https://doi.org/10.1590/S1516-44462009005000011

Valadez-Figueroa, I., Chávez-Hernández, A. M., Vargas-Valadez, V., & Ochoa- Orendain, M. C. (2019). Componentes cognoscitivos, comportamentales y afectivos de la ideación suicida y su relación con situaciones cotidianas de la vida familiar en adolescentes mexicanos. Acta Universitaria, 29. https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0188-62662019000100235

Valdez-Santiago, R., Villalobos, A., Arenas-Monreal, L., Benjet, C., & Vázquez, A. (2023). Conducta suicida en México: análisis comparativo entre población adolescente y adulta. Salud Pública de México, 65(supl 1), 110-116. https://doi.org/10.21149/14815

Van Meter, A. R., Knowles, E. A., & Mintz, E. H. (2023). Systematic review and meta-analysis: International prevalence of suicidal ideation and attempt in youth. Journal of the American Academy of Child & Adolescent Psychiatry, 62(9), 973-986. https://doi.org/10.1016/j.jaac.2022.07.867

Vázquez, P., Armero, P., Martínez-Sánchez, L., García, J. M., Bonet, C., Notario, F., Sánchez, A. R., Rodríguez, P. J., & Díez, A. (2023). Autolesiones y conducta suicida en niños y adolescentes. Lo que la pandemia nos ha desvelado. Anales de Pediatría, 98(3), 204-212. https://doi.org/10.1016/j.anpedi.2022.11.006

Vidal, C., Jin Jun, H., & Latkin, C. (2022). The effects of social rank and neighborhood and school environment on adolescent depression and suicidal ideation: a structural equation modeling approach. Child Psychiatry & Human Development, 54, 1425-1437. https://doi.org/10.1007/s10578-022-01347-2

Wetherall, K., Robb, K. A., & O´Connor, R. C. (2019). An examination of social comparison and suicide ideation through the lens of the integrated motivational-volitional model of suicidal behavior. Suicide and life-threatening behavior, 49(1), 167-182. https://doi.org/10.1111/sltb.12434

Wilkinson, R., & Pickett, K. (2017). Inequality and mental illness. The Lancet Psychiatry, 4(7), 512-513. https://doi.org/10.1016/S2215-0366(17)30206-7

Xu, M., Rosario-Williams, B., Kline, E. A., & Miranda, R. (2022). Social cognitive mechanisms between psychological maltreatment and adolescent suicide ideation: Race/ethnicity and gender as moderators. Psychology of Violence, 12(6), 393–402. https://doi.org/10.1037/vio0000447

Yun, M., & Kim, E. (2017). Does gender matter in explaining delinquency and suicidal thoughts? An examination of General Strain Theory in south korean youths. Journal of Interpersonal Violence, 35(19-20), 3849-3885. https://doi.org/10.1177/0886260517713222

Zygo, M., Pawłowska, B., Potembska, E., Dreher, P. & Kapka-Skrzypczak, L. (2019). Prevalence and selected risk factors of suicidal ideation, suicidal tendencies and suicide attempts in young people aged 13–19 years. Annals of Agricultural and Environmental Medicine, 26(2), 329–336. https://doi.org/10.26444/aaem/93817