Background: Suicide and suicidal behaviors were already a global public health problem, producing preventable injuries and deaths. This issue may worsen due to the COVID-19 pandemic and may differentially affect vulnerable groups in the population, including children, adolescents, and young adults. The current study evaluated the association of affective variables (depression, hopelessness, and anxiety), drug use (alcohol, tobacco, and others), emotional intelligence, and attachment with suicidal behaviors. Methods: A state-wide survey included 8033 students (51% female, 49% male; mean age of 16 years) from science and technology high-schools using a standardized questionnaire that was distributed online. Multinomial logistic regression models tested associations between suicidal behaviors and several covariates. The analyses accommodated the complex structure of the sample. Results: Approximately 21% of all students reported a suicidal behavior (11% with a low-lethality suicide attempt, 6% with self-injuries, and 4% with a high-lethality suicide attempt). Variables associated with higher odds of suicidal behavior included: female sex, depression, hopelessness, anxiety, alcohol and tobacco use, childhood trauma, and having to self-rely as issues affecting attachment, and low self-esteem. Security of attachment was associated with lower odds of suicidal behavior. Conclusions: The complexity of suicidal behavior makes it clear that comprehensive programs need to be implemented.

BackgroundThe transtheoretical model (TTM) has been widely used to promote healthy behaviors in different groups. However, a questionnaire has not yet been developed to evaluate the health behaviors that medical practitioners often consider in individuals with cancer or at a high risk of developing cancer.PurposeThe aim of this study was to construct and validate the Health Behavior and Stages of Change Questionnaire (HBSCQ), which is based on the TTM and health recommendations related to risk and factors that protect against cancer.MethodsContent validity was conducted in two phases (qualitative and quantitative). Item difficulty index, item discrimination index, and discrimination coefficient were obtained based on the classical test theory. Finally, Cronbach’s alpha was used.ResultsMeasure of concordance showed scores considered adequate and excellent. The item discrimination index obtained a rating of “excellent” and suggested the preservation of all items. The discrimination coefficient scores are >0.74. The global internal consistency of the HBSCQ was 0.384. HBSCQ specification between groups of internal consistency for the sample of men was 0.712 and that for the sample of women was 0.378.Conclusion/implications for practiceThe HBSCQ represents a proposal for a fast, simple, and innovative screening test, which aims to identify persons who may benefit from interventions to promote health behaviors delimited to the stage of change.

Estructura factorial y consistencia interna del "Cuestionario para medir bullying y violencia escolar" RESUMEN La violencia escolar, que incluye al bullying o acoso escolar entre iguales, es un problema que involucra a muchos jóvenes, ya sea como víctimas, acosadores u observadores. Por ello, la detección del rol del participante es importante para contrarrestarlo. El objetivo de este estudio fue desarrollar y validar un instrumento que permita evaluar el bullying y la violencia en general en escuelas secundarias de México, a partir del Cuestionario de evaluación de la violencia entre iguales en la escuela y en el ocio. Para ello, se seleccionó una muestra de 363 adolescentes entre 12 años y 17 años de edad, de 10 escuelas secundarias públicas de los estados de Aguascalientes y Distrito Federal. El diseño de la investigación fue de tipo transversal. El total de reactivos valorados fueron 57 y la escala para valorar las respuestas fue de tipo Likert con cuatro opciones. Los reactivos fueron organizados en tres escalas (recibir, dirigir u observar agresión), con 19 reactivos cada uno y construidos en espejo. Para cada escala se aplicó un análisis factorial Promax, que permite identificar el tipo de agresión empleada y el rol que desempeña el alumnado como víctima, acosador o espectador. Los resultados confirmaron que el cuestionario es un instrumento que permite medir acoso escolar en adolescentes, con un índice

Alcohol abuse is one of four non-communicable diseases that kill 70 % of the world’s population, damaging the individual and his family’s functionality. This project’s objective was to evaluate the effectiveness of family versus individual alcohol abuse intervention using a transtheoretical model and motivational interview. El abuso de alcohol es una de las cuatro enfermedades no transmisibles que matan al 70% de la población mundial y dañan al individuo y la funcionalidad des u familia.