Enfermería Actual en Costa Rica ISSN electrónico: 1409-4568

OAI: https://revistas.ucr.ac.cr/index.php/enfermeria/oai
Ecos del estrés en la vida temprana en el comportamiento suicida en personas con trastorno por uso de sustancias
PDF (English)

Palabras clave

Adverse-Childhood-Experiences
Child-Abuse
Self-injurious-Behavior
Substance-Related-Disorders
Suicide
Experiencias-Adversas-de-la-Infancia
Conducta-Autodestructiva
Maltrato-a-los-Niños
Suicidio
Trastornos-Relacionados-con-Sustancias
Experiências-Adversas-da-Infância
Comportamento-Autodestrutivo
Maus-Tratos-Infantis
Suicídio
Transtornos-Relacionados-ao-Uso-de-Substâncias

Cómo citar

1.
Camargo-Júnior EB, Fernandes MN de F, Gherardi-Donato EC da S. Ecos del estrés en la vida temprana en el comportamiento suicida en personas con trastorno por uso de sustancias. Enferm. Actual Costa Rica (en línea) [Internet]. 2 de enero de 2023 [citado 15 de julio de 2024];(44):1-15. Disponible en: https://revistas.ucr.ac.cr/index.php/enfermeria/article/view/48972

Resumen

Introducción: El abuso de sustancias psicoactivas se considera un factor social problemático cuando se producen conductas autodestructivas perjudiciales para el sujeto y la sociedad. El estrés en la vida temprana de una persona también puede ser un factor que contribuya a las situaciones de abuso de sustancias, así como a los intentos de suicidio. Hay una falta de estudios que examinen estos factores en personas con trastorno por uso de sustancias.

Objetivo: identificar la relación entre estrés en la vida temprana y los intentos de suicidio en personas adultas con trastorno por uso de sustancias.

Métodos: Estudio correlacional, predictivo,  transversal. La muestra de conveniencia consistió en 105 personas tratadas en una unidad ambulatoria para el tratamiento de adicciones. Las personas se evaluaron por medio de  la Mini-Entrevista Neuropsiquiátrica Internacional, el Cuestionario de Trauma Infantil para medir la gravedad de los diferentes tipos de estrés en la vida temprana y la Escala de Beck para Ideación Suicida. Los datos se analizaron mediante estadística descriptiva e inferencial mediante regresión logística univariante y multivariante.

Resultados: De la muestra analizada, 33 (31,4%) habían intentado suicidarse y tenían una exposición significativamente mayor al abuso emocional, físico y sexual (p<0,05) en comparación con las personas que nunca habían intentado suicidarse.

Conclusiones: Diferentes formas de estrés en la vida temprana están relacionadas con el intento de suicidioen personas con trastorno por consumo de sustancias. Se necesitan más estudios para comprender los efectos del estrés en la vida temprana sobre los intentos de suicidio en una persona con dependencia.

https://doi.org/10.15517/enferm.actual.cr.i44.48972
PDF (English)

Citas

United Nations Office on Drugs and Crime. World Drug Report 2020 [Internet]. United Nations; 2020 [cited 2021 Oct 13]. Available from: https://www.un-ilibrary.org/content/books/9789210050470/read

Fundação Oswaldo Cruz, Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. III Levantamento Nacional sobre o uso de drogas pela população brasileira [Internet]. 2017 [cited 2021 Feb 23]; Available from: https://www.arca.fiocruz.br/handle/icict/34614

Kim BKE, Gilman AB, Kosterman R, Hill KG. Longitudinal associations among depression, substance abuse, and crime: A test of competing hypotheses for driving mechanisms. J Crim Justice. 2019;62:50–7. doi: https://doi.org/10.1016/j.jcrimjus.2018.08.005

Too LS, Spittal MJ, Bugeja L, Reifels L, Butterworth P, Pirkis J. The association between mental disorders and suicide: A systematic review and meta-analysis of record linkage studies. J Affect Disord. 2019;259:302–13. doi: https://doi.org/10.1016/j.jad.2019.08.054

Padmanathan P, Hall K, Moran P, Jones HE, Gunnell D, Carlisle V, et al. Prevention of suicide and reduction of self-harm among people with substance use disorder: A systematic review and meta-analysis of randomised controlled trials. Compr Psychiatry. 2020;96:152135. doi: https://doi.org/10.1016/j.comppsych.2019.152135

Jung M. The relationship between alcohol abuse and suicide risk according to smoking status: A cross-sectional study. J Affect Disord. 2019;244:164–70. doi: https://doi.org/10.1016/j.jad.2018.09.077

Bonadiman CSC, Passos VMA, Mooney M, Naghavi M, Melo APS. A carga dos transtornos mentais e decorrentes do uso de substâncias psicoativas no Brasil: Estudo de Carga Global de Doença, 1990 e 2015. Rev Bras Epidemiol [Internet]. 2017;20:191–204. doi: https://doi.org/10.1590/1980-5497201700050016

Ferrari AJ, Norman RE, Freedman G, Baxter AJ, Pirkis JE, Harris MG, et al. The burden attributable to mental and substance use disorders as risk factors for suicide: Findings from the Global Burden of Disease Study 2010. PLoS One [Internet]. 2014;9(4). doi: 10.1371/journal.pone.0091936

Kinsella EA, Smith K, Bhanji S, Shepley R, Modor A, Bertrim A. Mindfulness in allied health and social care professional education: a scoping review. Disabil Rehabil. 2020;42(2):283–95. doi: https://doi.org/10.1080/09638288.2018.1496150

Ostergaard MLD, Nordentoft M, Hjorthoj C. Associations between substance use disorders and suicide or suicide attempts in people with mental illness: a Danish nation-wide, prospective, register-based study of patients diagnosed with schizophrenia, bipolar disorder, unipolar depression or personality disorder. Addiction. 2017;112(7):1250–9. doi: https://doi.org/10.1111/add.13788

Enoch MA. The role of early life stress as a predictor for alcohol and drug dependence. Psychopharmacology (Berl). 2011 Mar;214(1):17–31. Doi:10.1007/s00213-010-1916-6.

Fuller-Thomson E, Roane JL, Brennenstuhl S. Three Types of Adverse Childhood Experiences, and Alcohol and Drug Dependence Among Adults: An Investigation Using Population-Based Data. Subst Use Misuse. 2016;51(11):1451–61. doi: https://doi.org/10.1080/10826084.2016.1181089

Choi NG, DiNitto DM, Marti CN, Segal SP. Adverse childhood experiences and suicide attempts among those with mental and substance use disorders. Child Abus Negl. 2017;69:252–62. doi: https://doi.org/10.1016/j.chiabu.2017.04.024

Hung GCL, Caine ED, Fan HF, Huang MC, Chen YY. Predicting suicide attempts among treatment-seeking male alcoholics: An exploratory study. Suicide Life-Threatening Behav. 2013;43(4):429–38. doi: https://doi.org/10.1111/sltb.12028

Marshall BDL, Galea S, Wood E, Kerr T. Longitudinal associations between types of childhood trauma and suicidal behavior among substance users: A cohort study. Am J Public Health. 2013;103(9):e69. doi: https://doi.org/10.2105/AJPH.2013.301257

Angelakis I, Gillespie EL, Panagioti M. Childhood maltreatment and adult suicidality: A comprehensive systematic review with meta-analysis. Psychol Med. 2019;49(7):1057–78. doi: https://doi.org/10.1017/S0033291718003823

Newins AR, Wilson LC, Kimbrel NA. Child maltreatment and suicidal ideation: The role of PTSD symptoms and alcohol misuse. Curr Psychol. 2019;1–7. doi: https://doi.org/10.1007/s12144-019-00436-1

Mohammadzadeh A, Ganji Z, Khosravani V, Mohammadpanah Ardakan A, Amirinezhad A. Direct and indirect associations between perception of childhood trauma and suicidal ideation through emotion dysregulation in males who use heroin. Addict Behav. 2019;98:106011. doi: https://doi.org/10.1016/j.addbeh.2019.05.035

Icick R, Karsinti E, Brousse G, Chrétienneau C, Trabut J-B, Belforte B, et al. Childhood trauma and the severity of past suicide attempts in outpatients with cocaine use disorders. Subst Abus. 2021;1–10. doi: https://doi.org/10.1080/08897077.2021.1975875

Amorim P. Mini International Neuropsychiatric Interview (MINI): validação de entrevista breve para diagnóstico de transtornos mentais. Rev Bras Psiquiatr. 2000;22(3):106–15. doi: https://doi.org/10.1590/S1516-44462000000300003

Marques JMA, Zuardi AW. Validity and applicability of the Mini International Neuropsychiatric Interview administered by family medicine residents in primary health care in Brazil. Gen Hosp Psychiatry. 2008;30(4):303–10. doi: https://doi.org/10.1016/j.genhosppsych.2008.02.001

Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, et al. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abus Negl. 2003;27(2):169–90. doi: https://doi.org/10.1016/j.genhosppsych.2008.02.001

Grassi-Oliveira R, Stein LM, Pezzi JC. Tradução e validação de conteúdo da versão em português do Childhood Trauma Questionnaire. Rev Saude Publica. 2006;40(2):249–55. doi: https://doi.org/10.1590/S0034-89102006000200010

Cunha J. Manual da versão em português das Escalas Beck – ScienceOpen [Internet]. São Paulo: Casa do Psicólogo; 2001 [cited 2021 Feb 24]. Available from: https://www.scienceopen.com/document?vid=760d7977-aa5a-4b16-be6a-7f84e0aa0201

Werlang BSG, Borges VR, Fensterseifer L. Estudo de fidedignidade e validade da Escala de Ideação Suicida de Beck. In: Comportamento suicida. Porto Alegre: Artmed; 2004:189–93.

Jordans M, Rathod S, Fekadu A, Medhin G, Kigozi F, Kohrt B, et al. Suicidal ideation and behaviour among community and health care seeking populations in five low- and middle-income countries: A cross-sectional study. Epidemiol Psychiatr Sci. 2018;27(4):393–402. doi: https://doi.org/10.1017/S2045796017000038

Plans L, Nieto E, Benabarre A, Vieta E. Completed suicide in bipolar disorder patients: A cohort study after first hospitalization. J Affect Disord. 2019;257:340–4. doi: https://doi.org/10.1016/j.jad.2019.07.048

Borges G, Nock MK, Abad JMH, Hwang I, Sampson NA, Alonso J, et al. Twelve-month prevalence of and risk factors for suicide attempts in the world health organization world mental health surveys. J Clin Psychiatry. 2010;71(12):1617–28 doi: 10.4088/JCP.08m04967blu

Abdalla RR, Miguel AC, Brietzke E, Caetano R, Laranjeira R, Madruga CS. Suicidal behavior among substance users: Data from the second brazilian national alcohol and drug survey (II bnads). Brazilian J Psychiatry. 2019;41(5):437–40. doi: https://doi.org/10.1590/1516-4446-2018-0054

Turecki G, Brent DA. Suicide and suicidal behaviour. Lancet. 2016;387(10024):1227–39. doi: https://doi.org/10.1016/S0140-6736(15)00234-2

Vijayakumar L. Suicide in women. Indian J Psychiatry. 2015;57(6):233. doi: 10.4103/0019-5545.161484

Alvarado-Esquivel C. Suicidal Ideation and Suicide Attempts in Middle-Aged Women Attending a Primary Care Center: A Cross-Sectional Study in Mexico. J Clin Med Res. 2018;10(9):693–9. doi: https://doi.org/10.14740/jocmr3501w

Park S, Lee Y, Youn T, Kim BS, Park JI, Kim H, et al. Association between level of suicide risk, characteristics of suicide attempts, and mental disorders among suicide attempters. BMC Public Health. 2018;18(1). doi: https://doi.org/10.1186/s12889-018-5387-8

Fountoulakis KN. Suicides in Greece before and during the period of austerity by sex and age group: Relationship to unemployment and economic variables. J Affect Disord. 2020;260:174–82. doi: https://doi.org/10.1016/j.jad.2019.09.001

Goodwill JR, Zhou S. Association between perceived public stigma and suicidal behaviors among college students of color in the U.S. J Affect Disord. 2020;262:1–7. doi: https://doi.org/10.1016/j.jad.2019.10.019

Yuodelis-Flores C, Ries RK. Addiction and suicide: A review. Am J Addict. 2015;24:98–104. doi: https://doi.org/10.1111/ajad.12185

Liu J, Fang Y, Gong J, Cui X, Meng T, Xiao B, et al. Associations between suicidal behavior and childhood abuse and neglect: A meta-analysis. J Affect Disord. 2017;220:147–55. doi: https://doi.org/10.1016/j.jad.2017.03.060

Rodríguez-Cintas L, Daigre C, Braquehais MD, Palma-Alvarez RF, Grau-López L, Ros-Cucurull E, et al. Factors associated with lifetime suicidal ideation and suicide attempts in outpatients with substance use disorders. Psychiatry Res. 2018;262:440–5. doi: https://doi.org/10.1016/j.psychres.2017.09.021

Heim C, Shugart M, Craighead WE, Nemeroff CB. Neurobiological and psychiatric consequences of child abuse and neglect. Dev Psychobiol. 2010;52(7):671–90. doi: https://doi.org/10.1002/dev.20494

Lee Y, Lee D, Hong HJ. Gender-based Multilevel Analysis of Influential Factors for Suicide Attempts among At-risk Non-referred Adolescents in Korea. Clin Psychopharmacol Neurosci. 2020;18(1):116–26. doi: https://doi.org/10.9758/cpn.2020.18.1.116

Comentarios

Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.

Derechos de autor 2023 Elton Brás Camargo-Júnior, Dr., Maria Neyrian de Fátima Fernandes, Edilaine Cristina da Silva Gherardi-Donato, Dra

Descargas

Los datos de descargas todavía no están disponibles.