Self-inflicted injuries in adolescents and young adultsA longitudinal approach

  1. David Sánchez-Teruel 1
  2. María Auxiliadora Robles-Bello 2
  3. José Antonio Camacho-Conde 3
  1. 1 Universidad de Córdoba
    info

    Universidad de Córdoba

    Córdoba, España

    ROR https://ror.org/05yc77b46

  2. 2 Universidad de Jaén
    info

    Universidad de Jaén

    Jaén, España

    ROR https://ror.org/0122p5f64

  3. 3 Universidad de Málaga
    info

    Universidad de Málaga

    Málaga, España

    ROR https://ror.org/036b2ww28

Revista:
Psicothema

ISSN: 0214-9915 1886-144X

Año de publicación: 2020

Volumen: 32

Número: 3

Páginas: 322-328

Tipo: Artículo

DOI: 10.7334/PSICOTHEMA2019.347 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Psicothema

Resumen

Antecedentes: el suicidio se ha convertido en un verdadero problema de salud pública mundial en algunas subpoblaciones clínicas. Los adolescentes y adultos jóvenes con lesiones autoinfligidas o autolesiones no suicidas parecen haber sido poco estudiados. El objetivo de este estudio es evaluar qué variables sociodemográficas y comorbilidad psicopatológica previa en adolescentes y adultos jóvenes con lesiones autoinfligidas son más propensas a predecir una autolesión futura después de 12 meses. Método: 176 personas (99 mujeres y 77 hombres) de entre 15 y 25 años (media = 20.3; DE = 4.56) divididos en dos grupos: los ingresados nuevamente por lesiones autoinfligidas o autolesiones no suicidas (104; 59,1%) y aquellos que no lo hicieron (72; 40,9%) durante los siguientes 12 meses. Resultados: los resultados ofrecen (i) un perfil sociodemográfico específico caracterizado por mujeres (OR [CI95%] = 6.22 [6.03-7.11]) de 21 a 22 años (OR [CI95%] = 4.71 [4.29-5.73]) y estudiantes (OR [CI95%] = 2.99 [1.58-6.01]) que pueden autoinfligirse una nueva autolesión después de 12 meses, y (ii) un perfil de comorbilidades psicopatológicas previas claras donde varios trastornos son predictores de una nueva autolesión después de 12 meses. Conclusiones: discutimos la urgencia de desarrollar protocolos de salud específicos y mejorar las medidas de alerta de salud pública para ciertas subpoblaciones.

Referencias bibliográficas

  • Aaltonen, K. I., Isometsä, E., Sund, R., & Pirkola, S. (2019). Risk factors for suicide in depression in Finland: First-hospitalized patients followed up to 24 years. Acta Psychiatrica Scandinavica, 139(2), 154-163.
  • Bilsen, J. (2018). Suicide and Youth: Risk Factors. Frontiers in Psychiatry, 9, 540. doi:10.3389/fpsyt.2018.00540
  • Goñi-Sarriés, A., Blanco, M., Azcárate, L., Peinado, R., & López-Goñi, J.J. (2018). Are previous suicide attempts a risk factor for completed suicide? Psicothema, 30(1), 33-38 doi:10.7334/psicothema2016.318
  • Ayuso-Mateos, J. L., Baca-García, E., Bobes, J., Giner, J., Giner, L., Pérez, V., Sáiz P. A., Sáiz-Ruiz, J., & Grupo RECOMS (2012). Recomendaciones preventivas y manejo del comportamiento suicida en España [Preventive recommendations and suicidal behavior management in Spain]. Revista de Psiquiatría y Salud Mental, 5(1), 8-23.
  • Bježančević, M., Groznica-Hržić, I., & Dodig-Ćurković, K. (2019). SelfInjury in Adolescents: A Five-Year Study of Characteristics and Trends. Psychiatria Danubina, 31(4), 413-420. doi: 10.24869/psyd.2019.413
  • Beckman, K., Lindh, A. U., Waern, M., Stromsten, L., Renberg, E. S., Runeson, B., & Dahlin, M. (2019). Impulsive suicide attempts among young people-A prospective multicentre cohort study in Sweden. Journal of Affective Disorders, 243, 421-426.
  • Brown, R. C., & Plener, P. L. (2017). Non-suicidal Self-Injury in Adolescence. Current Psychiatry Report, 19(3), 19-20 doi:10.1007/s11920-017-0767-9
  • Boyd, A., Van de Velde, S., Vilagut, G., de Graaf, R., O’Neill, S., Florescu, S., … & EU-WMH Investigators (2015). Gender differences in mental disorders and suicidality in Europe: Results from a large crosssectional population-based study. The Journal of Affective Disorder, 173, 245-254. doi:10.1016/j.jad.2014.11.002
  • Bousoño, M., Al-Halabí, S., Burón, P., Garrido, M., Díaz-Mesa, E.M., Galván, G.,…Bobes, J. (2017). Substance use or abuse, internet use, psychopathology and suicidal ideation in adolescents? Adicciones, 29(2), 97-104.
  • Cano-Montalbán, I., & Quevedo-Blasco, R. (2018). Sociodemographic variables most associated with suicidal behaviour and suicide methods in Europe and America. A systematic review. The European Journal of Psychology Applied to Legal Context, 10(1), 15-25. doi:10.5093/ ejpalc2018a2
  • Claes, L., Vandereycken, W. (2007). Self-injurious behavior: Differential diagnosis and functional differentiation. Comprehensive Psychiatry, 48(2), 137-144.
  • Christiansen, E., & Jensen, B.F. (2007). Risk of repetition of suicide attempt, suicide or all deaths after an episode of attempted suicide: A register-based survival analysis. Australian and New Zealand Journal of Psychiatry, 41(3), 257-265. doi:10.1080 / 00048670601172749
  • Czyz, E. K., Horwitz, A. G., Arango, A., & King, C. A. (2019). Short-term change and prediction of suicidal ideation among adolescents: A daily diary study following psychiatric hospitalization. Journal of Child Psychology and Psychiatry, 60(7), 732-741.
  • Dickter, B., Bunge, E. L., Brown, L. M., Leykin, Y., Soares, E. E., Van Voorhees, B., … & Gladstone, T. R. (2019). Impact of an online depression prevention intervention on suicide risk factors for adolescents and young adults. Health, 5, 11.
  • Dhingra, K., Klonsky, E. D., & Tapola, V. (2019). An empirical test of the three-step theory of suicide in UK university students. Suicide and Life-Threatening Behavior, 49(2), 478-487.
  • Fedorowicz, V. J., & Fombonne, E. (2007). Suicidal behaviours in a population-based sample of French youth. The Canadian Journal of Psychiatry, 52(12), 772-779.
  • Fliege, H., Lee, J. R., Grimm, A., & Klapp, B. F. (2009). Risk factors and correlates of deliberate self-harm behavior: A systematic review. Journal of Psychosomatic Research, 66(6), 477-493.
  • Fonseca-Pedrero, E., Inchausti, F., Pérez-Gutiérrez, L., Aritio-Solana, R., Ortuño-Sierra, J., Sánchez-García, ... & Pérez de Albéniz-Iturriaga, A. (2018). Suicidal ideation in a community-derived sample of Spanish adolescents. Revista de Psiquiatría y Salud Mental, 11(2), 76-85. doi: 10.1016/j.rpsm.2017.07.004
  • García-Nieto, R., Parra, I., Palao, D., López-Castroman, J., Sáiz, P.A., García-Portilla, M.P., … Baca-García, E. (2012). Protocolo breve de evaluación de suicidio: fi abilidad interexaminadores [Short Protocol for Suicide Assessment: Inter-Examiner Reliability]. Revista de Psiquiatría y Salud Mental, 5(1), 24-36. doi:10.1016/j.rpsm.2011.10.001
  • Greger, H. K., Myhre, A. K., Lydersen, S., & Jozefi ak, T. (2019). Previous maltreatment and present mental health in a high-risk adolescent population. Corrigendum.
  • Grandclerc, S., De Labrouhe, D., Spodenkiewicz, M., Lachal, J., & Moro, M.R. (2016). Relations between Nonsuicidal Self-Injury and Suicidal Behavior in Adolescence: A Systematic Review. PLOS ONE 11(4), e0153760. doi:10.1371/journal.pone.0153760
  • Hertz, M. F., Donato, I., & Wright, J. (2013). Bullying and suicide: A public health approach. Journal of Adolescent Health, 53(1), S1-S3.
  • Hooley, J.M., Fox, K.R., & Boccagno, C. (2020). Nonsuicidal Self-Injury: Diagnostic Challenges and Current Perspectives. Neuropsychiatric Disease and Treatment, 16, 101-112. doi:10.2147/NDT.S198806
  • Holt, M. K., Vivolo-Kantor, A. M., Polanin, J. R., Holland, K. M., DeGue, S., Matjasko, J. L., ... & Reid, G. (2015). Bullying and suicidal ideation and behaviors: A meta-analysis. Pediatrics, 135(2), e496-e509.
  • Horváth, L. O., Balint, M., Ferenczi-Dallos, G., Farkas, L., Gadoros, J., Gyori, D., … Balazs, J. (2018). Direct Self-Injurious Behavior (D-SIB) and Life Events among Vocational School and High School Students. International Journal of Environmental Research and Public Health, 15(6), 1068. doi:10.3390/ijerph15061068
  • Hill, R. M., & Pettit, J. W. (2014). Perceived burdensomeness and suiciderelated behaviors in clinical samples: Current evidence and future directions. Journal of Clinical Psychology, 70(7), 631-643.
  • Hinduja, S., & Patchin, J. W. (2019). Connecting adolescent suicide to the severity of bullying and cyberbullying. Journal of School Violence, 18(3), 333-346.
  • Instituto Nacional de Estadística-I.N.E. (2018). Estadísticas de defunciones según causa de muerte [Death statistics by cause of death]. Retrieved from https://www.ine.es/dynt3/inebase/es/index. htm?padre=6181&capsel=6182
  • Jordan, J., & McNiel, D. (2019). Characteristics of persons who died on their fi rst suicide attempt: Results from the National Violent Death Reporting System. Psychological Medicine, 1-8. doi:10.1017/S0033291719001375
  • Kline, E. A. (2019). Exposure to Suicidal Behavior Predicts a Suicide Attempt, Depending on Past Psychiatric Diagnosis. CUNY Academic Works. Retrieved from https://academicworks.cuny.edu/hc_sas_etds/445
  • Koyanagi, A., Oh, H., Carvalho, A.F., Smith, L., Haro, J.M., Vancampfort, D., … DeVylder, J.E. (2019). Bullying victimization and suicide attempt among adolescents aged 12-15 years from 48 countries. Journal of the American Academy of Child & Adolescent Psychiatry, 58(9), 907-918.
  • Levi-Belz, Y., Gavish-Marom, T., Barzilay, S., Apter, A., Carli, V., Hoven, C., … & Wasserman, D. (2019). Psychosocial factors correlated with undisclosed suicide attempts to significant others: Findings from the Adolescence SEYLE Study. Suicide and Life-Threatening Behavior, 49(3), 759-773.
  • López-Castroman, J., Pérez-Rodríguez, M. L., Jaussent, I., Alegría, A. A., Artes-Rodríguez, A., Freed, P., … & European Research Consortium for Suicide (EURECA) (2011). Distinguishing the relevant features of frequent suicide attempters. The Journal of Psychiatry Research, 45(5), 619-25. doi:10.1016/j.jpsychires.2010.09.017
  • López-Castroman, J., Baca-García, E., WORECA authors, Courtet, P., & Oquendo, M. A. (2015). A Cross-National tool for assessing and studying suicidal behaviors. Archives of Suicide Research, 19(3), 335- 349. doi:10.1080/13811118.2014.981624
  • Madsen, T., Agerbo, E., Mortensen, P. B., & Nordentoft, M. (2013). Deliberate self-harm before psychiatric admission and risk of suicide: Survival in a Danish national cohort. The Social Psychiatry and Psychiatric Epidemiology, 48(9), 1481-1489.
  • Mars, B., Heron, J., Klonsky, E. D., Moran, P., O’Connor, R. C., Tilling, K., … & Gunnell, D. (2019). What distinguishes adolescents with suicidal thoughts from those who have attempted suicide? A population-based birth cohort study. Journal of Child Psychology and Psychiatry, 60(1), 91-99.
  • McMahon, S.M., Parker, G.G., & Miller, D.R. (2010). Evidence for a recent increase in forest growth. Proceedings of the National Academy of Sciences, 107, 3611-3615.
  • Miron, O., Yu, K.H., Wilf-Miron, R., & Kohane, I.S. (2019). Suicide Rates Among Adolescents and Young Adults in the United States, 2000- 2017. Journal of the American Medical Association, 321(23), 2362- 2364. doi:10.1001/jama.2019.5054
  • Poland, S., Lieberman, R., & Niznik, M. (2019). Suicide Contagion and Clusters-Part 1: What School Psychologists Should Know. Communique, 47(5), 21-23.
  • Ribeiro, J.D., Franklin, J.C., Fox, K.R, Bentley, K.H., Kleiman, E.M., Chang, B.P., & Nock, M.K. (2015). Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: A meta-analysis of longitudinal studies. Psychology Medicine, 46(2), 225-236. doi:10.1017/S0033291715001804
  • Rijsselberge, Van L., Portzky, G., & Heeringen, van C, (2009). Self-harm in adolescents in Flanders. Dutch Journal of Psychiatry, 51, 629-640.
  • Runeson, B., Haglund, A., Lichtenstein, P., & Tidemalm, D. (2016). Suicide risk after nonfatal self-harm: A national cohort study, 2000-2008. The Journal of Clinical Psychiatry, 77(2), 240-246.
  • Sadeniemi, M., Almeda, N., Salinas-Pérez, J.A., Gutiérrez-Colosía, M.R., García-Alonso, C., Ala-Nikkola, T., … & Salvador-Carulla, L. (2018). A comparison of mental health care systems in northern and southern Europe: A service mapping study. International Journal of Environmental Research and Public Health, 15(6), 1133. doi:10.3390/ ijerph15061133
  • Samele, C., Frew, S., & Urquía, N. (2013). European profi le of prevention and promotion of mental health (EuroPoPP-MH). Brussels: European Commission
  • Sánchez-Teruel, D., & Robles-Bello, M. A. (2014). Protective factors promoting resilience to suicide in young people and adolescents. Papeles del Psicólogo, 35(2), 181-192.
  • Soto-Sanz, V., Ivorra-González, D., Alonso, J., Castellvi, P., RodríguezMarín, J., & Piqueras, J.A. (2019). Revisión sistemática de programas de prevención del suicidio en adolescentes de población comunitaria [Systematic review of adolescent suicide prevention programs in community populations]. Revista de Psicología Clínica con Niños y Adolescentes, 6(3), 62-75. doi: 10.21134/rpcna.2019.06.2.1
  • Tang, C. P., Hung, S. F., Lee, C. C., Ho, T. P., & Leung, P. W. (2019). 15-year computer-record study of adolescents exposed to peer suicide. Hong Kong Medical Journal, 25(3), 11-12.
  • Vargas, P. A., & Robles, E. (2019). Asthma and allergy as risk factors for suicidal behavior among young adults. Journal of American College Health, 67(2), 97-112.
  • Wasserman, D., Hoven, C.W., Wasserman, C., Wall, M., Eisenberg, R., Hadlaczky, G., Kelleher, I., … & Carli, V. (2015). School-based suicide prevention programmes: The SEYLE cluster-randomised, controlled trial. The Lancet, 385(9977), 1536-1544. doi:10.1016/ S0140-6736(14)61213-7
  • Wolfe, K. L., Nakonezny, P. A., Owen, V. J., Rial, K. V., Moorehead, A. P., Kennard, B. D., & Emslie, G. J. (2019). Hopelessness as a predictor of suicide ideation in depressed male and female adolescent youth. Suicide and Life-Threatening Behavior, 49(1), 253-263.
  • World Health Organization-WHO (2014). Preventing suicide: A global imperative (Spanish version). Washington, DC: Panamerican Health Organization.
  • World Health Organization-WHO (2018). Practice manual for establishing and maintaining surveillance systems for suicide attempts and self-harm (Spanish version). Washington, DC: Panamerican Health Organization.
  • Wenzel, A., Berchick, E. R., Tenhave, T., Halberstadt, S., Brown, G. K., & Beck, A. T. (2011). Predictors of suicide relative to other deaths in patients with suicide attempts and suicide ideation: A 30-year prospective study. Journal of Affective Disorders, 132(3), 375-382.