Suicidio en adolescentes y jóvenes en Chile: riesgos relativos, tendencias y desigualdades

Araneda, Nelson; Sanhueza, Pablo; Pacheco, Giovanni Cardoso; Sanhueza, Antonio

doi:10.26633/rpsp.2021.4

Cited by 13 publications

(12 citation statements)

References 29 publications

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“…In the Americas, the suicide rate for the age group 10–19 years is 3.7 deaths per 100 000 population (5.06 for men and 2.31 for women); while in South America, the suicide rate is 3.3 deaths per 100 000 people (4.2 for men and 2.4 for women) 7. In Chile, the suicide rate in this age group for the period 2000–2017 was estimated at 5.4 deaths per 100 000 population (for 7.6 men and for 3.1 women), which is markedly higher than the adolescent suicide rates for the region 8…”

Section: Introductionmentioning

confidence: 86%

“…3.1 women), which is markedly higher than the adolescent suicide rates for the region. 8 Globally, suicide is the second leading cause of death among young adults aged 15-29 years, after traffic accidents. 9 For adolescents aged 15-19 years, suicide is the third cause of death.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…7 In Chile, the suicide rate in this age group for the period 2000–2017 was estimated at 5.4 deaths per 100 000 population (for 7.6 men and for 3.1 women), which is markedly higher than the adolescent suicide rates for the region. 8 …”

Section: Introductionmentioning

confidence: 99%

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Longitudinal trajectories of suicidal ideation and attempts in adolescents with psychiatric disorders in Chile: study protocol

et al. 2022

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IntroductionAdolescent suicide is a worldwide public health problem, being the second and the third leading cause of death in the 15–29 and the 15–19 age groups, respectively. Among adolescents, it is estimated that for every suicide, there are 100–200 suicide attempts. Although 79% of suicides in the world occur in low/middle-income countries, most of scientific evidence comes from high-income and low-risk countries. In recent years, adolescent suicide rates have steadily increased in Chile. Deaths caused by self-harm increased by 220% in the population aged 10–19 years between 2000 and 2015. The Maule Region is one of the regions of Chile with the highest levels of suicide among those aged 15 and 19 years old. The objective of this study is to evaluate the trajectories of ideation and suicidal attempts in adolescents with psychiatric disorders treated within the public health system of the Maule Region, Chile, based on different clinical, psychological and neuropsychological factors.MethodA prospective naturalistic study of a clinical sample of adolescents under psychiatric treatment in the Maule Region, Chile. Adolescents will be evaluated using a thorough protocol that includes suicide-related clinical variables. The study seeks to establish patterns of change in the trajectories of ideation and suicide attempts among adolescents.Ethics and disseminationEthical approval was granted by the Scientific Ethics Committee of the Universidad Católica del Maule in Chile. This protocol was registered in ClinicalTrials.gov. The results of this study will be disseminated to health centres through executive reports and feedback sessions. In addition, the most relevant findings will be presented in scientific articles, conferences and seminars open to the community.Trial registration numberNCT04635163.

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Section: Introductionmentioning

confidence: 86%

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

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Longitudinal trajectories of suicidal ideation and attempts in adolescents with psychiatric disorders in Chile: study protocol

et al. 2022

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“…A detailed taxonomy is included in the Supplementary material . The data were extracted by one team member and verified by another writer ( 20 , 21 ).…”

Section: Methodsmentioning

confidence: 99%

Impact of the institutional model on psychiatric patients in Chile from the 19th to 21st centuries: a scoping review

Vivaldi Macho,

Gomez Barbieri,

Lechuga

et al. 2023

Front. Psychiatry

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IntroductionVarious mental health hospital models have been tested in Chile since its foundation. The institutional model with the Asylum and the Madhouse prevailed during the nineteenth century and much of the twentieth. But is deinstitutionalizing all psychiatric patients the solution?Evidence acquisitionA PubMed, Epistemonikos, Lilacs, and Google Scholar Scoping Review was carried out in the last 5 years using the PRISMA-P method and the Scoping review search strategy. The MeSH terms (“Psychiatry/history” AND “Chile”) OR (“Mental disorders” AND “therapy”) were used during the search. Finally, papers focused on clinical trial therapy evaluation were excluded, and we emphasized the effects of historical evidence.Evidence synthesisWe identified 35 primary studies, and we counted the number of articles included in the review that potentially met our inclusion criteria and noted how many studies had been missed by our search. We analyzed 10 primary studies and 10 primary historical resources that were included in this study.ConclusionThe state must become a guarantor and be responsible for its psychiatric patients and provide professional and humanitarian support to its patients, be it through community psychiatry, day hospitals, devices such as mental health clinics, or psychiatric institutes dedicated to teaching and research. Patients should not be left to the free will of their direct relatives, but rather the state should strengthen the primary care system.

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“…In addition, the work of Aguilera et al characterized intentional medication overdose cases admitted into a Chilean public hospital between the years 2008 and 2010, finding that benzodiazepines and antidepressants accounted for 87.2% of all cases ( 8 ). Moreover, poisonings are one of the three main causes of suicide among young populations ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

Drug-Related Poisonings among Chilean Adult Population

Schulz-Bañares,

González-Norambuena,

Müller-Ramírez

2023

ijph

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Background: Poisonings is a preventable public health problem that globally affects the population. We aimed to characterize drug-related acute poisonings occurred in Chile between the years of 2016 and 2020. Methods: A retrospective study of poisonings among hospitalized patients was carried out. Data were obtained from the Medical Outcome Statistical Report database. Inclusion criteria were cases of patients admitted into either public or private healthcare settings with diagnosis of drug-related poisoning according to the WHO ICD-10 codes T30-T50. Statistical analyses were run to establish either significant associations or differences between variables selected in the study. Results: Overall, 12,975 poisonings were identified during the 2016-2020 period. These events corresponded to 0.16% of all national hospital admissions in the study period. Women represented 71.1% of the cases. 76.7% of events were related to intentional poisonings while 7.3% and 16% were accidental and undetermined poisonings respectively. 44.6% of accidental and intentional poisonings occurred at the age of 18-29 yr old. Benzodiazepines (22.8%), antidepressants (11.2%), and acetaminophen (5.1) were the most common drugs associated with poisonings. Average length of hospitalization was between 3.3 and 8.2 days. 0.6% of poisonings resulted in deaths. Conclusion: Poisonings were characterized by patients’ sex and age, circumstance of exposure, length of hospitalization, and outcome. Poisoning rates were stable along the years with a slight decrease in 2020. Intentional poisonings among young women and men were more common. Most of the cases had favorable outcome for patients.

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Suicidio en adolescentes y jóvenes en Chile: riesgos relativos, tendencias y desigualdades

Cited by 13 publications

References 29 publications

Longitudinal trajectories of suicidal ideation and attempts in adolescents with psychiatric disorders in Chile: study protocol

Longitudinal trajectories of suicidal ideation and attempts in adolescents with psychiatric disorders in Chile: study protocol

Impact of the institutional model on psychiatric patients in Chile from the 19th to 21st centuries: a scoping review

Drug-Related Poisonings among Chilean Adult Population

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