The epidemiology of suicide-related outcomes in Mexico

被引:32
作者
Borges, Guilherme [1 ,2 ]
Nock, Mathew K. [4 ]
Medina-Mora, Maria Elena [1 ]
Benjet, Corina [1 ]
Lara, Carmen [1 ]
Chiu, Wai Tat [3 ]
Kessler, Ronald C. [3 ]
机构
[1] Inst Nacl Psiquiatria, Mexico City 14370, DF, Mexico
[2] Univ Autonoma Metropolitana, Mexico City, DF, Mexico
[3] Harvard Univ, Sch Med, Dept Hlth Care Policy, Cambridge, MA 02138 USA
[4] Harvard Univ, Dept Psychol, Cambridge, MA 02138 USA
关键词
D O I
10.1521/suli.2007.37.6.627
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Nationally representative data from the Mexican National Comorbidity Survey are presented on the lifetime prevalence and age-of-onsct (AOO) distributions of suicide ideation, plan and attempt and on temporally prior demographic and DSM-IV psychiatric risk factors. Lifetime ideation was reported by 8.1% of respondents, while 3.2% reported a lifetime plan and 2.7% a lifetime suicide attempt. Onset of all outcomes was highest in adolescence and early adulthood. The risk of transition from suicide ideation to plan and attempt was highest within the first year of onset of ideation. The presence of one or more temporally prior DSM-IV/CIDI (Composite International Diagnostic Instrument) disorder was strongly related to each suicide-related outcome. Suicidal outcomes are prevalent, have an early AOO, and are strongly related to temporally prior mental disorders in Mexico. Given the early AOO, intervention efforts need to focus more than currently on children and adolescents with mental disorders to be effective in prevention.
引用
收藏
页码:627 / 640
页数:14
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