Intentional self-inflicted injuries in adolescents
Keywords:
adolescent, attempted suicide, domestic violence, psychotropic drugsAbstract
Introduction: intentional self-inflicted injuries are a health problem in the world. In Cuba, they represented the third cause of death in adolescents in 2019.
Objective: to describe some clinical and epidemiological characteristics of adolescents with intentional self-inflicted injuries.
Methods: cross-sectional analytical study from a population of 35 adolescents belonging to the southern area of Morón municipality, who presented these lesions and were hospitalized from January to December 2018. The individual clinical history and the family survey were the sources of obtaining the information. The percentage and the average were used and the ethical precepts were fulfilled.
Results: the mean age was 17.1 years, with a predominance of females (82.86 %). Only 31.43 % had a history of psychiatric disorder. The majority had a secondary school level (71.43 %). The presence of physical violence in the home (74.29 %), the absence of the father figure (68.57 %) and the type of extended family (48.57 %) predominated. The most used modus operandi was the ingestion of psychoactive drugs (74.29 %). 45.71 % required medication after hospital discharge.
Conclusions: intentional self-inflicted injuries predominated in 17.1-year-old adolescents with secondary school levels, with an intrafamily situation of physical violence, absence of a father figure, a typology of extended family and the ingestion of psychotropic drugs as modus operandi. Almost a third had a psychiatric history and almost half required medication after hospital discharge.
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References
Gómez-Castillo B. Antecedentes de dependencia en adolescentes. Rev Elec Psic Izt [Internet]. 2017 [citado 23 Ene 2021];20(2):427-41. Disponible en: https://www.medigraphic.com/pdfs/epsicologia/epi-2017/epi172b.pdf
Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescent. The Lance Child & Adolescent Healt 2018;2(3):p223-8.
Guzmán-Marín L. La adolescencia. Principales características [Internet]. México: Escuela Nacional Colegio de Ciencias y Humanidades. 2017 [citado 23 Ene 2021]. Disponible en: https://www.cch.unam.mx/padres/sites/www.cch.unam.mx.padres/files/archivos/07-Adolescencia2.pdf
Medina-Pérez OA, Ospina-Sánchez SM, Cardona-Duque DV. Caracterización del suicidio en adolescentes del Departamento de Quindio. Colombia 1989-2013. Rev Haban Cienc Med [Internet]. 2017 [citado 23 Ene 2021];16(5):784-95. Disponible en: http://scielo.sld.cu/pdf/rhcm/v16n5/rhcm11517.pdf
Corona-Miranda B, Hernández-Sánchez M, García-Pérez RM. Mortalidad por suicidio, factores de riesgos y protectores. Rev Haban Cienc Med [Internet]. 2016 [citado 23 Ene 2021];15(1):90-100. Disponible en: http://scielo.sld.cu/pdf/rhcm/v15n1/rhcm11116.pdf
Torres-Ortega ML. Relación entre la ideación suicida y el suicidio consumado [Internet]. Mexico: Facultad Latinoamericana de Ciencias Sociales; 2018. [citado 23 Ene 2021]. Disponible en: https://flacso.repositorioinstitucional.mx/jspui/bitstream/1026/206/1/Torres_ML.pdf
Organización Mundial de la Salud, Centro de prensa. Suicidio. Datos y cifras [Internet]. Jun 2021 [citado 23 Ene 2021]; Nota descriptiva s/n [aprox. 4 p]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/suicide
Soler-Sánchez YM, Pérez-Rosabal E, Mejías-Cesar M, López Sánchez MC, Cesar-Rodríguez MA. Programa educativo para potenciar factores protectores en adolescentes con conducta suicida. Multimed [Internet]. 2016 [citado 23 Ene 2021];20(1):161-71. Disponible en: http://www.revmultimed.sld.cu/index.php/mtm/article/view/139
Ministerio de Salud Pública (Cuba). Anuario Estadístico de Salud 2018 [Internet]. La Habana: Dirección Nacional de Registros Médicos y Estadísticas de Salud; 2019 [citado 23 Ene 2021]. Disponible en: https://files.sld.cu/bvscuba/files/2019/04/Anuario-Electr%c3%b3nico-Espa%c3%b1ol-2018-ed-2019-compressed.pdf
Ministerio de Salud Pública (Cuba). Anuario Estadístico de Salud 2019 [Internet]. La Habana: Dirección Nacional de Registros Médicos y Estadísticas de Salud; 2020 [citado 23 Ene 2021]. Disponible en: https://files.sld.cu/bvscuba/files/2020/05/Anuario-Electr%c3%b3nico-Espa%c3%b1ol-2019-ed-2020.pdf
Pilaloa-Tamayo SE. Guía anticipatoria para contribuir al cumplimiento de las funciones básicas del caserío San Antonio. Parroquia Huambaló, 2015. [Internet] Ambato: Universidad Técnica de Ambato; 2016. Disponible en: http://repositorio.uta.edu.ec/bitstream/123456789/24248/1/TESIS%20DR%20SERGIO%20EMILIO%20PILALOA%20%20TAMAYO.pdf
Asociación Médica Mundial. Declaración de Helsinki de la AMM. Principios éticos para las investigaciones médicas en seres humanos. Ratificada en la 64ª Asamblea General, Fortaleza, Brasil, octubre 2013. Helsinki: 18ª Asamblea Mundial; 1964 [citado 23 Ene 2021]. Disponible en: http://www.anmat.gov.ar/comunicados/HELSINSKI_2013.pdf
Hernández-Mirabal LC, Louro-Bernal I. Principales características psicosociales de adolescentes con intento suicida. Rev Cuban Medic Gen Integr [Internet]. 2015 [citado 23 Ene 2021];31(2):182-89. Disponible en: http://scielo.sld.cu/pdf/mgi/v31n2/mgi07215.pdf
Pérez-Abreu S, Cuellar-Álvarez J, Ferrer-Lozano D. Caracterización del intento suicida en adolescentes desde un centro comunitario de salud mental. AMC [Internet]. 2018 [citado 23 Ene 2021];22(4):500-13. Disponible en: https://web.archive.org/web/20200131230435id_/http://www.revistaamc.sld.cu:80/index.php/amc/article/download/5611/3172
Salazar TYM, Caballero GRG, Vázquez PE. Características clínicas de los pacientes adolescentes con gesto e intento suicida en el Hospital Infantil del Estado de Sonora. Bol Clin Hosp Infant Edo Son [Internet]. 2015 [citado 23 Ene 2021];32(2);76-8. Disponible en: https://www.medigraphic.com/pdfs/bolclinhosinfson/bis-2015/bis152d.pdf
Hyun-Choi Y, Hee-Choi Y, Hee-Lee D, Yeon-Lim J, Kim K, Hee-Lee J. Characteristics of Adolescent Patients Admittedto the Emergency Departmentdueto Attempted Suicide by Poisoning; a Brief Report. Adv J Emerg Med. 2020;4(2):e26. Disponible en: https://www.sid.ir/FileServer/JE/57004320200210.pdf
Sánchez-Echeverri J. Factores de riesgo relacionados con el pensamiento y conducta suicida en una adolescente [Internet]. Medellin: Universidad de Medellin; 2019. Disponible en: https://repository.eafit.edu.co/bitstream/handle/10784/15878/JuanCamilo_SanchezEcheverri_2019.pdf?sequence=2&isAllowed=y
Rodríguez-Hernández GL, Valladares-González AM, Selín-Ganen M, González-Brito M, Cabrera- Macías Y. Psicodinámica familiar y apoyo social en adolescentes con conducta suicida. Área VI. Cienfuegos. Medisur [Internet]. 2019 [citado 23 Ene 2021];17(2):191-200. Disponible en: https://www.redalyc.org/journal/1800/180061212007/180061212007.pdf
Argota-Matos N, Álvarez-Caballero M, Camilo-Colás VM, Sánchez-Maso Y, Barceló-Román M. Comportamiento de algunos factores de riesgo del intento suicida en adolescentes. Rev Med Electr [Internet]. 2015 [citado 23 Ene 2021];37(1):30-8. Disponible en: http://www.revmedicaelectronica.sld.cu/index.php/rme/article/download/1211/pdf
Cuenca-Doimeadios E, Roselló-López M, Ricardo-Díaz N, Fernández-Carballo LM, Ávila-Pujól D. Caracterización clínico epidemiológica de la conducta suicida en adolescentes en la provincia Holguín, 1996-2014. ccm [Internet]. 2016 [citado 23 Ene 2021];20(3):490-503. Disponible en: http://scielo.sld.cu/pdf/ccm/v20n3/ccm05316.pdf
Cintra-Hernández Y, López-Santana Y, Villar-Rojas Y, Laugart-Wilson A. Intento suicida y adolescencia. Rev Inf Cient [Internet]. 2015 [citado 23 Ene 2021];90(2):252-60. Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/download/244/1049
Martínez-Schiabo A, Viola L. Intento de autoeliminación en la niñez y adolescencia. Presentación de un modelo de prevención del intento de autoeliminación en niños y adolescencia tempranos en un Hospital Pediátrico en Montevideo. Med clín soc [Internet]. 2021 [citado 23 Ene 2018];5(3):145-51. Disponible en: https://medicinaclinicaysocial.org/index.php/MCS/article/view/226/214
Martín GR, Martínez GL, Ferrer LD. Funcionamiento familiar e intento suicida en escolares. Rev Cubana Med Gen Integr [Internet]. 2017 [citado 23 Ene 2021];33(3):281-95. Disponible en: https://www.medigraphic.com/pdfs/revcubmedgenint/cmi-2017/cmi173b.pdf
Pfeffer C R. Suicidio, conducta suicida e ideación suicida. En: J M Wiener y M K Dulcan (ed.): Tratado de Psiquiatría de la infancia y la adolescencia. Barcelona, Masson, 2006; 901-913.
Vaida J. Steinbeck K. Factors associated with repeat suicide attempts among adolescents. Aust N Z J Psychiatry [Intenet]. 2015 [citado 23 Ene 2021];34(3):437-9. Disponible en: https://journals.sagepub.com/doi/pdf/10.1080/j.1440-1614.2000.00712.x
Valdivia-Peralta M. Variables asociadas a intento suicida en estudiantes secundarios de una comuna urbano-rural de Chile [Internet]. Granada: Universidad de Granada; 2016. [citado 23 Ene 2018]. Disponile en: https://digibug.ugr.es/bitstream/handle/10481/43536/26116029.pdf?sequence=6&isAllowed=y
Forsters M, Grigsby TJ, Gower AL, Mehus CJ, McMorris BJ. The Role of Social Support in the Association between Childhood Adversity and Adolescent Self-injury and Suicide: Findings from a Statewide Sample of High School Students. J Youth Adolesc. 2020;49(6):1195-1208.
Waldvogel J, Rueter M, Oberg Ch. Adolescent Suicide: Risk Factors and Prevention Strategies. Curr Probl Pediatr Adolesc Health Care. 2014;38(4):110-25.
Alvis LF, Soto AM, Grisales RH. El intento de suicidio en Ibagué: el silencio de una voz de auxilio. Rev Criminalidad [Internet]. 2017 [citado 23 Ene 2018];59(2):81-92. Disponible en: https://dialnet.unirioja.es/descarga/articulo/6226257.pdf
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