Abstract
Worldwide, suicide is considered a health problem where adolescents are most at risk. This work developed a method to assess and predict an early diagnosis of suicidal ideation among school adolescents through multivariate techniques: cluster analysis and artificial neural networks. Variables related to suicidal thoughts, plans and manifestation were analyzed in (n=638) adolescents. Cluster analysis identified 73.2% of adolescents with low suicidal ideation, 18.5% with medium suicidal ideation and 8.3% with high suicidal ideation. A neural network was designed with a correct classification capacity of 95.5%. The proposed method can discriminate and diagnose suicidal ideation in school adolescents. These results seek to create and develop initiatives focused on early detection and intervention to implementing educational and public policies preventing suicide among adolescents.
References
Agerbo, E., Nordentoft, M., y Mortensen, P. B. (2002). Familial, psychiatric, and socioeconomic risk factors for suicide in young people: Nested case-control study. British Medical Journal, (325), 1-5. https://doi.org/10.1136/bmj.325.7355.74
Alaka, H., Oyedele, H., Owolabi, A., Kumar, O., Akinade, y Bilal, M. (2017). Systematic Review of Bankruptcy Prediction Models: Towards a Framework for Tool Selection. Expert Systems with Applications, (94), 164-184.
An, H., Ahn, J. H., y Bhang, S. Y. (2010). The association of psychosocial and familial factors with adolescent suicidal ideation: A population-based study. Psychiatry Research, 177(3), 318–322. https://doi.org/10.1016/j.psychres.2010.03.007
Arroyo López, P. E., y Borja Medina, J. C. (2018). Análisis multivariante para la inteligencia de mercados (Editorial Digital, Ed.). Instituto Tecnológico y de Estudios Superiores de Monterrey.
Bahamón Muñetón, M. J., y Alarcón-Vásquez, Y. (2018). Diseño y validación de una escala para evaluar el Riesgo Suicida (ERS) en adolescentes colombianos. Universitas Psychologica, 17(1), 1-15. https://doi.org/10.11144/Javeriana.upsy 17-4.dvee
Baiden, P., Stewart, S. L., y Fallon, B. (2017). The mediating effect of depressive symptoms on the relationship between bullying victimization and non-suicidal self-injury among adolescents: Findings from community and inpatient mental health settings in Ontario, Canada. Psychiatry research, 255, 238–247. https://doi.org/10.1016/j.psychres.2017.05.018
Baiden, P., Tadeo, S. K., Tonui, B. C., Seastrunk, J. D., y Boateng, G. O. (2020). Association between insufficient sleep and suicidal ideation among adolescents. Psychiatr research, 287, 112579. https://doi.org/10.1016/j.psychres.2019.112579
Bakken, N. W., y Gunter, W. D. (2012). Self-Cutting and Suicidal Ideation among Adolescents: Gender Differences in the Causes and Correlates of Self-Injury. Deviant Behavior, 33(5), 339-356. https://doi.org/10.1080/01639625.2011.584054
Barbosa, L. P., Quevedo, L., da Silva, G.delG., Jansen, K., Pinheiro, R. T., Branco, J., Lara, D., Oses, J., & da Silva, R. A. (2014). Childhood trauma and suicide risk in a sample of young individuals aged 14-35 years in southern Brazil. Child abuse & neglect, 38(7), 1191–1196. https://doi.org/10.1016/j.chiabu.2014.02.008
Beck, A. T., Steer, R. A., Beck, J. S., y Newman, C. F. (1993). Hopelessness, Depression, Suicidal Ideation, and Clinical Diagnosis of Depression. Suicide and Life‐Threatening Behavior, 23(2), 139–145. https://doi.org/10.1111/j.1943-278X.1993.tb00378.x
Bilsen J. (2018). Suicide and Youth: Risk Factors. Frontiers in psychiatry, 9, 540. https://doi.org/10.3389/fpsyt.2018.00540
Bozzay, M. L., Liu, R. T., & Kleiman, E. M. (2014). Gender and age differences in suicide mortality in the context of violent death: findings from a multi-state population-based surveillance system. Comprehensive psychiatry, 55(5), 1077–1084. https://doi.org/10.1016/j.comppsych.2014.03.017
Caicedo, E., y López, J. (2009). Una Aproximación Práctica a las Redes Neuronales Artificiales (Priera). Programa Editorial Universidad del Valle.
Catena, A., Ramos, M., y Trujillo, H. (2003). Análisis multivariado. Un manual para investigadores. Biblioteca Nueva, Ed.
Chen, R., An, J., & Ou, J. (2018). Suicidal behaviour among children and adolescents in China. The Lancet. Child & adolescent health, 2(8), 551–553. https://doi.org/10.1016/S2352-4642(18)30170-6
Chiu, Y. C., Tseng, C. Y., & Lin, F. G. (2017). Gender differences and stage-specific influence of parent-adolescent conflicts on adolescent suicidal ideation. Psychiatry research, 255, 424–431. https://doi.org/10.1016/j.psychres.2017.06.077
Courtet, P. (2016). Understanding Suicide: From Diagnosis to Personalized Treatment. Springer. https://doi.org/10.1007/978-3-319-26282-6
Crump, C., Sundquist, K., Sundquist, J., & Winkleby, M. A. (2014). Sociodemographic, psychiatric and somatic risk factors for suicide: a Swedish national cohort study. Psychological medicine, 44(2), 279–289. https://doi.org/10.1017/S0033291713000810
De la Garza García, J., Morales Serrano, B. N., González Cavazos, B. A., y León Cázares, F. (2013). Análisis estadístico multivariable: un enfoque teórico y práctico. McGraw Hill Education.
de Sá Sousa, C. M. S., Mascarenhas, M. D. M., Gomes, K. R. O., Rodrigues, M. T. P., Miranda, C. E. S., & Frota, K. M. G. (2020). Suicidal ideation and associated factors among high school adolescents. Revista de saude publica, 54, 33. https://doi.org/10.11606/s1518-8787.2020054001637
Goldney R. D. (2016). Suicide prevention: The role of the psychiatrist. The Australian and New Zealand journal of psychiatry, 50(1), 95–96. https://doi.org/10.1177/0004867415595718
Haukka, J., Suominen, K., Partonen, T., & Lönnqvist, J. (2008). Determinants and outcomes of serious attempted suicide: a nationwide study in Finland, 1996-2003. American journal of epidemiology, 167(10), 1155–1163. https://doi.org/10.1093/aje/kwn017
Hawton, K., Saunders, K. E., & O'Connor, R. C. (2012). Self-harm and suicide in adolescents. Lancet (London, England), 379(9834), 2373–2382. https://doi.org/10.1016/S0140-6736(12)60322-5
Hoertel, N., Franco, S., Wall, M. M., Oquendo, M. A., Kerridge, B. T., Limosin, F., & Blanco, C. (2015). Mental disorders and risk of suicide attempt: a national prospective study. Molecular psychiatry, 20(6), 718–726. https://doi.org/10.1038/mp.2015.19
Instituto Nacional de Medicina Legal y Ciencias Forenses. (2019). FORENSIS 2018 datos para la vida. Grupo Centro de Referencia Nacional sobre Violencia. https://www.medicinalegal.gov.co/documents/20143/386932/Forensis+2018.pdf
Kamath, P., Reddy, Y. C., & Kandavel, T. (2007). Suicidal behavior in obsessive-compulsive disorder. The Journal of clinical psychiatry, 68(11), 1741–1750. https://doi.org/10.4088/jcp.v68n1114
Kuo, W. H., Gallo, J. J., & Eaton, W. W. (2004). Hopelessness, depression, substance disorder, and suicidality--a 13-year community-based study. Social psychiatry and psychiatric epidemiology, 39(6), 497–501. https://doi.org/10.1007/s00127-004-0775-z
Kyron, M. J., Carrington-Jones, P., Page, A. C., Bartlett, J., y Lawrence, D. (2020). Factors differentiating adolescents who consider suicide and those who attempt: Results from a National Survey of Australian Adolescents. Australian Journal of Psychology, 72(2), 145-155. https://doi.org/10.1111/ajpy.12267
Lachal, J., Orri, M., Sibeoni, J., Moro, M. R., & Revah-Levy, A. (2015). Metasynthesis of youth suicidal behaviours: perspectives of youth, parents, and health care professionals. PloS one, 10(5), e0127359. https://doi.org/10.1371/journal.pone.0127359
Lee, Y. J., Lee, S. I., & Han, K. (2019). Influence of parental stress, depressed mood, and suicidal ideation on adolescents' suicidal ideation : The 2008-2013 Korean National Health and Nutrition Examination Survey. Journal of affective disorders, 246, 571–577. https://doi.org/10.1016/j.jad.2018.12.097
Leenaars, A. A., Dieserud, G., Wenckstern, S., Dyregrov, K., Lester, D., y Lyke, J. (2018). A Multidimensional Theory of Suicide: A Psychological Autopsy Corroborative Study. Crisis, 39, 416-427. https://doi.org/10.1027/0227-5910/a000508
Mayes, T. L., Killian, M., Rush, A. J., Emslie, G. J., Carmody, T., Kennard, B. D., Jha, M. K., King, J., Hughes, J. L., & Trivedi, M. H. (2020). Predicting future suicidal events in adolescents using the Concise Health Risk Tracking Self-Report (CHRT-SR). Journal of psychiatric research, 126, 19–25. https://doi.org/10.1016/j.jpsychires.2020.04.008
McMillan, G. (2013). Process/Industrial Instruments and Controls Handbook. Mc.Graw Hill.
Ministerio de Salud y Protección Social. (1993). Resolución 8430 de 1993. República de Colombia. https://www.minsalud.gov.co/sites/rid/lists/bibliotecadigital/ride/de/dij/resolucion-8430-de-1993.pdf
Ministerio de Salud y Protección Social. (2018). Resolución 4886 de 2018. Política Nacional de Salud Mental. República de Colombia. https://www.alcaldiabogota.gov.co/sisjur/normas/Norma1.jsp?i=93348
Navarro-Obeid, J., De la hoz-Granadillo, E., y Vergara-Álvarez, M. (2021). Assessment and classification of positive mental health profiles in confinement by COVID-19. Revista Habanera de Ciencias Médicas, 20(1), 1-19. http://www.revhabanera.sld.cu/index.php/rhab/article/view/3441
Nuñez Ariza, A., Reyes-Ruiz, L., Sánchez-Villegas, M., Carmona Alvarado, F., Acosta-López, J., y Moya-De Las Salas, E. (2020). Ideación suicida y funcionalidad familiar en adolescentes del Caribe Colombiano. AVFT Archivos Venezolanos de Farmacología y Terapéutica, 39(1), 109–116.
Organización Panamericana de la Salud. (2014). Mortalidad por suicidio en la Región de las Américas. Informe regional 2010-2014. Organización Mundial de la Salud y Organización Panamericana de la Salud. http://www.paho.org/hq/index.php?option=com_contentyview=articleyid=10114%3Anew-paho-report-more-than-7-suicides-per-hour-in-the-americasyItemid=1926ylang=es
Peña, D. (2002). Análisis de datos multivariantes. Mcgraw-Hill/Interamericana de España.
Primananda, M., y Keliat, B. A. (2019). Risk and Protective Factors of Suicidal Ideation in Adolescents. Comprehensive Child and Adolescent Nursing, 4(1), 179-188. https://doi.org/10.1080/24694193.2019.1578439
Reyes-Ruiz, L., De La Hoz Granadillo, E., y Carmona Alvarado, F. (2019). Método para identificar y pronosticar riesgo suicida perfiles de en adolescentes mediante técnicas de análisis de conglomerado y red neuronal artificial. AVFT – Archivos Venezolanos de Farmacología y Terapéutica, 38(2), 115-120.
Runeson, B., Tidemalm, D., Dahlin, M., Lichtenstein, P., & Långström, N. (2010). Method of attempted suicide as predictor of subsequent successful suicide: national long term cohort study. BMJ (Clinical research ed.), 341, c3222. https://doi.org/10.1136/bmj.c3222
Sánchez-Loyo, L., Morfín, T., García, J., Quintanilla, R., Hernández, H., Contreras, E., y Cruz, J. (2014). Intento de suicidio en adolescentes mexicanos: perspectiva desde el consenso cultural. Acta de Investigación Psicológica, 4(1), 1446-1458. https://doi.org/10.1016/S2007-4719(14)70386-2
Sánchez-Sosa, J. C., Villarreal-González, M. E., Musitu, G., y Martinez Ferrer, B. (2010). Ideación Suicida en Adolescentes: Un Análisis Psicosocial. Psychosocial Intervention, 19(3), 279-287. https://doi.org/10.5093/in2010v19n3a8
Sánchez-Villegas, M., Reyes-Ruiz, L., Taylor, L.K., Pérez-Ruíz, N.A. and Carmona-Alvarado, F.A. (2021). Mental health problems, family functioning and social support among children survivors of Colombia’s armed conflict. Journal of Aggression, Conflict and Peace Research, (13),1, 61-72. https://doi.org/10.1108/JACPR-08-2020-0535
Silva, A. R., Relva, I. C., & Simões, A. M. (2020). Impact of attachment and traits of psychopathy on addictive behaviors of adolescents. Revista Interamericana De Psicología/Interamerican Journal of Psychology, 54(1), e1161. https://doi.org/10.30849/ripijp.v54i1.1161
Soares, F. C., Hardman, C. M., Rangel Junior, J. F. B., Bezerra, J., Petribú, K., Mota, J., de Barros, M. V. G., & Lima, R. A. (2020). Secular trends in suicidal ideation and associated factors among adolescents. Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 42(5), 475–480. https://doi.org/10.1590/1516-4446-2019-0783
Tidemalm, D., Långström, N., Lichtenstein, P., & Runeson, B. (2008). Risk of suicide after suicide attempt according to coexisting psychiatric disorder: Swedish cohort study with long term follow-up. BMJ (Clinical research ed.), 337, a2205. https://doi.org/10.1136/bmj.a2205
Valdivia, M., Silva, D., Sanhueza, F., Cova, F., y Melipillán, R. (2015). Prevalencia de intento de suicidio adolescente y factores de riesgo asociados en una comuna rural de la provincia de Concepción. Rev Med Chile, (143), 320-328.
Villacieros, M., Bermejo, J. C., Magaña, M., & Fernández-Quijano, I. (2016). Psychometric Properties of the Attitudinal Beliefs Questionnaire about Suicidal Behavior (CCCS-18). The Spanish journal of psychology, 19, E68. https://doi.org/10.1017/sjp.2016.68
Wang, R. H., Lai, H. J., Hsu, H. Y., & Hsu, M. T. (2011). Risk and protective factors for suicidal ideation among Taiwanese adolescents. Nursing research, 60(6), 413–421. https://doi.org/10.1097/NNR.0b013e3182337d83
World Health Organization. (2018). Preventing suicide: a community engagement toolkit. World Health Organization. https://iris.who.int/handle/10665/272860.
World Health Organization. (2019). Suicide data: Key facts. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/suicide
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