Resumen
El suicidio es considerado un problema de salud donde los adolescentes presentan mayor riesgo. Este trabajo desarrolló un método de valoración y pronóstico para el diagnóstico temprano de la ideación suicida en adolescentes escolarizados a través de técnicas multivariadas análisis de clúster y redes neuronales artificiales. Se analizaron variables relacionadas con pensamientos, planes y manifestaciones suicidas en (n=638) adolescentes. El análisis de clúster permitió identificar el 73.2% de los adolescentes con ideación suicida baja, 18.5% ideación suicida media y 8,3% con alta ideación suicida. Se diseñó una red neuronal con capacidad de clasificación correcta del 95,5%. El método propuesto tiene capacidad de discriminar y diagnosticar la ideación suicida en adolescentes escolarizados. Estos resultados buscan aportar a la construcción y desarrollo de iniciativas enfocadas a la detección temprana e intervención desde la implementación de políticas educativas y públicas para la prevención del suicidio en la adolescencia.
Citas
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
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.
Derechos de autor 2023 Efraín Javier De la hoz-Granadillo, Lizeth Reyes-Ruiz, Milgen Sanchez-Villegas