Determinantes sociales del comportamiento suicida no fatal en población general de Envigado, Colombia

Abstract

IntroductionReducing the global suicide mortality rate by one third by 2030 is a global imperative. ObjectiveIdentify the social determinants associated with non-fatal suicidal behavior in general population. MethodologyCross-sectional study with analytical intention of secondary source, with general population of 15 to 65 years of age of both sexes, from urban and rural areas. The psychiatric interview CIDI 3.0 (Compositum International, Diagnosis Interview) was used, which performs psychiatric diagnoses according to DSM-IV criteria. Independent variables were included: sociodemographic, psychiatric clinics, life events, situations of neglect in childhood, use of health services, self-perception of physical and mental health, sexual identification. A bivariate analysis was performed with the dependent variable and all independent variables, a multivariate model was built with variables that showed association with suicidal behavior (p<0.05). Adjusted PR and 95% CI were obtained. Results905 interviews were included and suicidal behavior was identified in 188.the prevalence of life for suicidal behavior was 20.9% in adolescents and 20.7% in adults, higher in women than in men (22.6% vs. 18.3%). Twelve factors showed independent association with suicidal behavior (self-perception of physical and mental health, three types of negative life events, alcohol dependence and drug abuse, affective disorders, anxiety and oppositional defiant disorder). ConclusionsThis study identified twelve factors associated with nonfatal suicidal behavior in general population, which are susceptible to intervention through prevention measures, which could contribute to reducing suicidal behavior in general population.