Factores de riesgo para intento de suicidio en personas con trastorno depresivo en atención secundaria

Abstract

Risk factors for suicide attempts in people with depressive disorders treated in secondary health care Background: Depression is the most common psychiatric disorder in people with suicidal behavior. The knowledge of its risk factors should help to design preventive strategies. Aim: To describe suicidal behavior and risk factors for attempted suicide in people with major depressive disorders (MDD). Material and Methods: A 12-month follow-up study was conducted in 112 outpatients at three psychiatric care centers of Ñuble, Chile, with baseline and quarterly assessments. Demographic, psychosocial and clinical factors as potential risk factors of suicide attempts, were assessed. A clinical interview with DSM-IV diagnostic criteria checklist, Hamilton Depression Scale and the List of Threatening Experiences and Multidimensional Scale of Perceived Social Support were applied. Results: Sixty seven percent of participants had suicidal ideation and 43.8% had attempted suicide. Suicide risk was significantly higher in participants with a single major depressive episode (odds ratio [OR] = 3.98; 95% confidence intervals [CI] = 1,29-12,32 p = 0.02) and those with previous suicide attempts (OR = 13.15; 95% CI = 3,87-44.7 p < 0.01). Young age, not having a partner, being unemployed, having a severe major depressive episode, having psychotic symptoms, having a personality disorder and being devoid of medical illness increased the risk of suicide attempts, but they did not reach statistical significance. Conclusions: Significant risk factors should be specially considered when designing suicide preventive strategies in patients with MDD.

Structural and Functional Abnormities of Amygdala and Prefrontal Cortex in Major Depressive Disorder With Suicide Attempts

“…We found reduced amygdala volume in patients with a history of SA, consistent with 43). A recent meta-analysis found decreased GMV in subcortical structures in MDD with suicidal ideation and attempt compared with controls (44), also in line with our findings of decreased amygdala and PFC GM volumes. However, larger amygdala volumes have been shown in MDD females with suicidal ideation compared with nonsuicidal MDD (18).…”

Saúde Mental Na Fase Adulta E Tentativas De Suicídio

“…Este trabalho foi desenvolvido a partir de uma revisão de literatura baseado nos aspectos relacionados ao suicídio em adultos no Brasil, aprimorado com base na literatura científica disponível, nas bases de dados, nas quais foram utilizados as bases de dados LILACS, BDENF, MEDLINE utilizando as palavras chaves: "Tentativa de suicídio", "Saúde Mental" e "Adulto". Os autores Salvo;Ramirez Castro (2019), discutem que a manifestação de um quadro de depressão causada pelo estresse é um forte indicativo de suicídio, pois revela elementos de alerta para ideação suicida nesse grupo específico, o que torna sua identificação ainda mais importante.…”

Evaluación y manejo inicial de las ideas e intentos de suicidio en atención primaria

“…Síntomas depresivos, agitación, elevación del ánimo, mayor irritabilidad, alteraciones del sueño, ansiedad, angustia, impulsividad, autoagresiones sin fines suicidas. Trastorno depresivo, trastorno bipolar, trastorno por dependencia al alcohol u otras sustancias, esquizofrenia, trastornos de ansiedad, trastornos de la personalidad, trastornos de la conducta alimentaria, déficit atencional y trastornos conductuales [1][2][3]10,11,[15][16][17][18][19] .…”

“…Dada la mayor prevalencia de ideación suicida en determinados grupos [1][2][3]6,[10][11][12][13][14][15][16][17][18][19][20][21]24,25 es recomendable focalizarse en esos grupos de riesgo. Entonces:…”