Epidemiological behavior of attempted suicide in children and adolescents, Colombia 2016-2020

Main Article Content

Mónica Paola Quemba Mesa
Jhully Constanza Herrera Tarapues
Alejandra Mendoza Ortiz
Benigno Mendoza Ortiz

Abstract

Background: The suicide attempt is an event of interest in public health, under surveillance since 2016 in Colombia, and is characterized as a self-inflicted injurious behavior without a fatal outcome, which needs to be studied more widely in children and adolescents. Objective: To analyze the epidemiological behavior of attempted suicide in Colombia's children and adolescents from 2016 to 2020. Methods: Quantitative-descriptive ecological study. We analyzed 14 651 reports of infants and adolescents (6 to 17 years old) with attempted suicide in Colombia between 2016 and 2020. Results: The suicide attempt occurred more frequently in the population aged 15 to 17 years (n= 11 931; 81.4 %), from the subsidized regime (n=7 881; 53.8 %), from the municipal seat (n=11 624; 79.3 %); the most frequent vulnerability condition was disability (n=363; 43.5 %); the risk factors identified were being a woman (OR: 3.69; 95 % CI [3.83 – 3.88] and living in the municipal seat (OR: 1.48; 9 5% CI [1.42 – 1.54]. The prevalence of attempted suicide ranged between 0.004 % and 0.051 %; the attempted suicide rate ranges between 0.4 and 5.3 cases per 10 000 inhabitants. The departments with the highest number of reports are Antioquia (n=2 246; 15.3 %) and Valle del Cauca (n=1 449; 9.9 %). Conclusions: The suicide attempt in children and adolescents is characterized by the presence of unfavorable social determinants such as belonging to the subsidized regime, being a woman and living in the municipal seat, ethnic belonging, and being part of populations with conditions of vulnerability (being migrant, victim of violence, displaced person, among others); These characteristics require consideration in all strategies to prevent this phenomenon.

Downloads

Download data is not yet available.

Article Details

How to Cite
Quemba Mesa, M. P., Herrera Tarapues , J. C., Mendoza Ortiz , A., & Mendoza Ortiz, B. (2022). Epidemiological behavior of attempted suicide in children and adolescents, Colombia 2016-2020. Pediatría, 55(1), 3–10. https://doi.org/10.14295/rp.v55i1.355
Section
Originals

References

Organización Mundial de la Salud (OMS). Suicidio: datos y cifras. 17 de junio de 2021. Consultado el 21 de enero del 2022. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/suicide.

O'Connell KL. Child and adolescent suicide. J Child Adolesc Psychiatr Nurs. 2012;25(3):111-2. doi: 10.1111/j.1744-6171.2012.00333.x. DOI: https://doi.org/10.1111/j.1744-6171.2012.00333.x

Ministerio de Salud y Protección Social de la República de Colombia. Boletín de salud mental Conducta suicida Subdirección de Enfermedades no transmisibles. Bogotá (D.C.), agosto de 2018. Consultado el 21 de enero del 2022. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/ENT/boletin-conducta-suicida.pdf.

Toomey RB, Syvertsen AK, Shramko M. Transgender Adolescent Suicide Behavior. Pediatrics. 2018;142(4):e20164218. DOI: 10.1542/peds.2016-4218. DOI: https://doi.org/10.1542/peds.2017-4218

Correia CM, Gomes NP, Diniz NMF, Andrade ICS, Romano CMC, Rodríguez GRS. Child and adolescent violence: oral story of women who attempted suicide. Rev Bras Enferm. 2019;72(6):1450-1456. English, Portuguese. DOI: 10.1590/0034-7167-2016-0814. PMID: 31644729. DOI: https://doi.org/10.1590/0034-7167-2017-0814

Barbot B, Eff H, Weiss SR, McCarthy JB. The role of psychopathology in the relationship between history of maltreatment and suicide attempts among children and adolescent inpatients. Child Adolesc Ment Health. 2021;26(2):114-121. DOI: 10.1111/camh.12393. Epub 2020 May 18. DOI: https://doi.org/10.1111/camh.12393

Cañón Buitrago Sandra Constanza, Carmona Parra Jaime Alberto. Ideación y conductas suicidas en adolescentes y jóvenes. Rev Pediatr Aten Primaria. 2018:20(80): 387-397.

Sedgwick R, Epstein S, Dutta R, Ougrin D. Social media, internet use and suicide attempts in adolescents. Curr Opin Psychiatry. 2019;32(6):534-541. DOI: 10.1097/YCO.0000000000000547. PMID: 31306245. DOI: https://doi.org/10.1097/YCO.0000000000000547

Parellada M, Saiz P, Moreno D, Vidal J, Llorente C, Alvarez M, García-Portilla P, Ruiz-Sancho A, Arango C, Bobes J. Is attempted suicide different in adolescent and adults? Psychiatry Res. 2008;157(1-3):131-7. DOI: 10.1016/j.psychres.2007.02.012. Epub 2007 Sep 20. PMID: 17888518. DOI: https://doi.org/10.1016/j.psychres.2007.02.012

Departamento Administrativo Nacional de Estadísticas (DANE). Proyecciones de población calculadas con base en los resultados del Censo Nacional de Población y Vivienda - CNPV- 2018. 2021 [acceso septiembre 05 de 2019]. Disponible en: https://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-y-poblacion/proyecciones-de-poblacion.

Ministerio de Salud de Colombia de la República de Colombia. Resolución 8430 de 1993 Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. [acceso septiembre 05 de 2021]. Disponible: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF.

Asociación Médica Mundial. Declaración de Helsinki. [acceso septiembre 05 de 2021]. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/.

Quemba MP. Amenazas a la integridad en la comunidad científica. Revista Investig. Salud Univ. Boyacá. 2019;6(2):13-7. DOI: https://doi.org/10.24267/23897325.514

Borja-Aburto, V.H. Estudios ecológicos. Salud Pública de México. 2000;42(6): 533-538. DOI: https://doi.org/10.1590/S0036-36342000000600010

Ministerio de Salud y Protección Social. Política Nacional de Salud Mental - Resolución 4886 de 2018. [acceso enero 2 del 2022]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/politica-nacional-salud-mental.pdf.

Gobierno de Colombia. Política Nacional de Infancia y Adolescencia 2018-2030 [acceso enero 2 del 2022]. Disponible en: https://www.icbf.gov.co/sites/default/files/politica_nacional_de_infancia_y_adolescencia_2018_-_2030.pdf.

Barzilay S, Brunstein Klomek A, Apter A, Carli V, Wasserman C, Hadlaczky G, Hoven CW, Sarchiapone M, Balazs J, Kereszteny A, Brunner R, Kaess M, Bobes J, Saiz P, Cosman D, Haring C, Banzer R, Corcoran P, Kahn JP, Postuvan V, Podlogar T, Sisask M, Varnik A, Wasserman D. Bullying Victimization and Suicide Ideation and Behavior Among Adolescents in Europe: A 10-Country Study. J Adolesc Health. 2017;61(2):179-186. DOI: 10.1016/j.jadohealth.2017.02.002. DOI: https://doi.org/10.1016/j.jadohealth.2017.02.002

Dávila Cervantes Claudio A., Luna Contreras Marisol. Intento de suicidio en adolescentes: Factores asociados. Rev. chil. pediatr. 2019; 90(6):606-616. DOI: https://doi.org/10.32641/andespediatr.v90i6.1012

Pantoja-Chamorro F, Rodríguez-Villota AX, Urbano-Urbano J, Cabrera-Bravo N. Epidemiología del intento suicida en menores de 18 años atendidos en el Hospital Infantil los Ángeles, Pasto, Colombia. Univ. Salud. 2019;21(1):19-26. DOI: http://dx.doi.org/10.22267/rus.192101.136. DOI: https://doi.org/10.22267/rus.192101.136

Cortés Alfaro Alba. Conducta suicida adolescencia y riesgo. Rev Cubana Med Gen Integr. 2014; 30(1):132-139.

Biggs M. Suicide by Clinic-Referred Transgender Adolescents in the United Kingdom. Arch Sex Behav. 2022;51(2):685-690. DOI: 10.1007/s10508-022-02287-7. DOI: https://doi.org/10.1007/s10508-022-02287-7

Chang B. Suicide prevention in transgender youth and adolescents: A poststructural nursing perspective. J Child Adolesc Psychiatr Nurs. 2019;32(2):45-46. DOI: 10.1111/jcap.12236. DOI: https://doi.org/10.1111/jcap.12236

Ghanizadeh A, Baligh-Jahromi P. Depression, anxiety and suicidal behaviour in children and adolescents with Haemophilia. Haemophilia. 2009;15(2):528-32. DOI: 10.1111/j.1365-2516.2008.01971.x. DOI: https://doi.org/10.1111/j.1365-2516.2008.01971.x

Cortés Alfaro Alba. Conducta suicida adolescencia y riesgo. Rev Cubana Med Gen Integr. 2014; 30(1):132-139.

Sánchez-Loyo Luis Miguel, Morfín López Teresita, García de Alba García Javier Eduardo, Quintanilla Montoya Roque, Hernández Millán Rosalía, Contreras Preciado Edith et al. Intento de suicidio en adolescentes mexicanos: perspectiva desde el consenso cultural. Acta de investigación psicol. 2014; 4(1):1446-1458. DOI: https://doi.org/10.1016/S2007-4719(14)70386-2

Jeong J, Shin SD, Kim H, Hong YC, Hwang SS, Lee EJ. The effects of celebrity suicide on copycat suicide attempt: a multi-center observational study. Soc Psychiatry Psychiatr Epidemiol. 2012;47(6):957-65. DOI: 10.1007/s00127-011-0403-7. DOI: https://doi.org/10.1007/s00127-011-0403-7

Singareddy R, Krishnamurthy VB, Vgontzas AN, Fernandez-Mendoza J, Calhoun SL, Shaffer ML, Bixler EO. Subjective and objective sleep and self-harm behaviors in young children: a general population study. Psychiatry Res. 2013;209(3):549-53. DOI: 10.1016/j.psychres.2013.03.036. DOI: https://doi.org/10.1016/j.psychres.2013.03.036

Malboeuf-Hurtubise C, Léger-Goodes T, Mageau GA, Joussemet M, Herba C, Chadi N, Lefrançois D, Camden C, Bussières ÈL, Taylor G, Éthier MA, Gagnon M. Philosophy for children and mindfulness during COVID-19: Results from a randomized cluster trial and impact on mental health in elementary school students. Prog Neuropsychopharmacol Biol Psychiatry. 2021;107:110260. DOI: 10.1016/j.pnpbp.2021.110260. DOI: https://doi.org/10.1016/j.pnpbp.2021.110260

Miller RL, Moran M, Shomaker LB, Seiter N, Sanchez N, Verros M, Rayburn S, Johnson S, Lucas-Thompson R. Health effects of COVID-19 for vulnerable adolescents in a randomized controlled trial. Sch Psychol. 2021;36(5):293-302. DOI: 10.1037/spq0000458. DOI: https://doi.org/10.1037/spq0000458

Similar Articles

<< < 13 14 15 16 17 18 19 20 21 > >> 

You may also start an advanced similarity search for this article.