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Vol. 49. Issue 2.
Pages 95-100 (April - June 2020)
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Vol. 49. Issue 2.
Pages 95-100 (April - June 2020)
Original article
DOI: 10.1016/j.rcpeng.2018.07.002
High prevalence of two or more suicide attempts associated with suicidal ideation and mental disease in Colombia 2016
Alta prevalencia de dos o más intentos de suicidio asociados con ideación suicida y enfermedad mental en Colombia en 2016
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Yeison Ariel Aparicio Castilloa, Ana María Blandón Rodríguezb, Ninfa-Marlen Chaves Torresc,
Corresponding author
ninfa.chaves@unimilitar.edu.co

Corresponding author.
a Universidad Minuto de Dios, Bogotá, Colombia
b Grupo de Vigilancia y Control de Eventos de Salud Mental y Lesiones de Causa Externa, Dirección de Vigilancia y Análisis del Riesgo en Salud Pública, Instituto Nacional de Salud, Bogotá, Colombia
c Facultad de Medicina, Universidad Militar, Nueva Granada, Colombia
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Tables (2)
Table 1. Characteristics of the people in Colombia who attempted suicide in 2016, classified by number of attempts.
Table 2. Factors associated with 2 or more suicide attempts in the Colombian population in 2016.
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Abstract
Introduction

Suicidal ideation and attempts are strongly predictive of suicide deaths. Furthermore, suicide attempts exert a financial burden of millions of dollars on society.

Objective

To establish the factors associated with more than one suicide attempt in the Colombian population that was reported in 2016.

Methods

A cross-sectional study of 18,763 reports entered in the database of the National Public Health Surveillance of the National Institute of Health of Colombia during 2016 was performed.

Results

11,738 (62.6%) of the total number of reports were female, the mean age was 25.0 (95% CI, 24.9–25.2) years, 46% of all cases were individuals between 10- and 20-years-old; 5734 (30.6%) reported 2 or more suicide attempts and the prevalence of a mental disorder and persistent suicidal ideation were 48.5% and 16.4%, respectively. The factor most strongly associated with more than one suicide attempt, after adjusting for logistic regression, was persistent suicide ideation with crude OR=5.5 (95% CI, 5.0–5.9), and ORa=4.0 (95% CI, 3.6–4.3).

Conclusions

Patients with persistent suicidal ideation were 4 times more likely to have 2 or more suicide attempts. Other factors such as the use of a sharp weapon as a mechanism to perform the attempt and the history of bipolar affective disorder and/or depression were also associated with more than one suicide attempt.

Keywords:
Suicide
Suicidal ideation
Mental disorder
Depression
Bipolar disorder
Resumen
Introducción

La ideación suicida y los intentos son muy predictivos de muerte por suicidio. Además, los intentos de suicidio causan a la sociedad una carga financiera de millones de dólares.

Objetivo

Establecer los factores asociados con más de un intento de suicidio registrado en 2016 en la población colombiana.

Métodos

Se realizó un estudio trasversal de 18,763 reportes consignados en la base de datos del Sistema Nacional de Vigilancia en Salud Pública del Instituto Nacional de Salud de Colombia durante 2016.

Resultados

Del total de reportes, 11,738 (62.6%) corresponden al sexo femenino; la media de edad fue 25.0 (IC95%, 24.9-25.2) años; el 46% de todos los casos corresponden a personas entre 10 y 20 años. Refirieron 2 o más intentos de suicidio 5,734 (30.6%). Las prevalencias de alguna enfermedad mental y de ideación suicida persistente fueron del 48.5 y el 16.4% respectivamente. Tras realizar el ajuste mediante regresión logística, el factor más asociado con más de 1 intento suicida, fue la ideación suicida persistente: OR bruta=5.5 (IC95%, 5.0-5.9) y ORa=4.0 (IC95%, 3.6-4.3).

Conclusiones

Los pacientes con ideación suicida persistente tienen una probabilidad 4 veces mayor de hacer 2 o más intentos suicidas. Otros factores, como el uso de arma cortopunzante como mecanismo para ejecutar el intento y el antecedente de trastorno afectivo bipolar y/o depresión, también se asociaron con más de 1 intento de suicidio.

Palabras clave:
Suicidio
Ideación suicida
Trastorno mental
Depresión
Trastorno bipolar

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