Factores sociodemográficos, salud mental y redes sociales: un estudio comparativo sobre la conducta suicida

Autores/as

DOI:

https://doi.org/10.26754/ojs_ais/accionesinvestigsoc.2023448999

Palabras clave:

Suicidio, determinantes sociales de la salud, redes sociales, depresión, comorbilidad psiquiátrica

Resumen

Introducción: El suicidio es un creciente problema de salud pública. Este estudio tiene como objetivo analizar la ideación, planificación y/o conducta suicida en relación a factores sociodemográficos, estado de salud mental y uso de redes sociales. Se comparó un grupo de personas con conducta suicida con otro grupo sin conducta suicida, emparejados por sexo y edad.

Metodología: Se realizó un estudio descriptivo longitudinal comparativo. La variable de resultado fue la conducta suicida. Se recopilaron datos sobre variables sociodemográficas, salud mental y uso de redes sociales. Se utilizaron los estadísticos chi-cuadrado y T de student y se llevó a cabo un análisis de regresión logística multivariante.

Resultados:   Se contó con la participación de 102 sujetos, 51 de ellos con ideación o intento suicida, y 51 de ellos sin ideación suicida en el último año. Se encontraron diferencias significativas entre estos grupos en cuanto a variables sociodemográficas e historial de diagnósticos psiquiátricos. Según el análisis multivariante, los factores asociados con la conducta autolítica incluyen no estar trabajando (estudiar, desempleo, jubilado, o con incapacidad temporal o permanente) (B: 1,193, Odds ratio: 3,298), haber presentado un episodio depresivo el año anterior (B: -2,350, Odds ratio: 0,095), y haber experimentado un trastorno de ansiedad (B: -1,659, Odds ratio: 0,190). El modelo muestra una Rcuadrado de Cox y Snell de 0,418.

Conclusiones: Estos resultados confirman la existencia de un perfil de personas en riesgo de conducta suicida. El uso diferencial de redes sociales puede servir para la evaluación ecológica instantánea de riesgo.

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Biografía del autor/a

Claudia García-Martínez, Asociación de trastornos depresivos y ansiedad de Aragón (AFDA); Universidad San Jorge

Psicóloga sanitaria de la Asociación de trastornos depresivos y ansiedad de Aragón (AFDA). Docente del Grado de Psicología de la Universidad San Jorge. Estudiante del Programa de Doctorado en Psicología de la Universidad de Zaragoza.

Séfora Ene-Gimeno, Asociación de Trastornos depresivos y ansiedad de Aragón (AFDA)

Psicóloga sanitaria en la Asociación de Trastornos depresivos y ansiedad de Aragón (AFDA). Estudiante del Programa de Doctorado en Educación de la Universidad de Zaragoza.

Samara Sáez-Martínez, Asociación de Trastornos depresivos y ansiedad de Aragón (AFDA)

Psicóloga sanitaria de la Asociación de Trastornos depresivos y ansiedad de Aragón (AFDA). Estudiante del Programa de Doctorado en Psicología de la Universidad de Zaragoza.

Citas

Aladag, A. E., Muderrisoglu, S., Akbas, N. B., Zahmacioglu, O., & Bingol, H. O. (2018). Detecting Suicidal Ideation on Forums: Proof-of-Concept Study. Journal of Medical Internet Research, 20(6). https://doi.org/10.2196/JMIR.9840

Beck, A. T., Brown, G., Berchick, R. J., Stewart, B. L., & Steer, R. A. (1990). Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. The American Journal of Psychiatry, 147(2), 190–195. https://doi.org/10.1176/AJP.147.2.190

Bellón, J. A., De Dios Luna, J., Moreno, B., Montón-Franco, C., GildeGómez-Barragán, M. J., Sánchez-Celaya, M., … Torres-González, F. (2010). Psychosocial and sociodemographic predictors of attrition in a longitudinal study of major depression in primary care: The predictD-Spain study. Journal of Epidemiology and Community Health, 64(10). https://doi.org/10.1136/jech.2008.085290

Berman, A. L., & Silverman, M. M. (2014). Suicide risk assessment and risk formulation part II: Suicide risk formulation and the determination of levels of risk. Suicide & Life-Threatening Behavior, 44(4), 432–443. https://doi.org/10.1111/SLTB.12067

Bjelland, I., Krokstad, S., Mykletun, A., Dahl, A. A., Tell, G. S., & Tambs, K. (2008). Does a higher educational level protect against anxiety and depression? The HUNT study. Social Science & Medicine, 66(6), 1334–1345. https://doi.org/10.1016/j.socscimed.2007.12.019

Braithwaite, S. R., Giraud-Carrier, C., West, J., Barnes, M. D., & Hanson, C. L. (2016). Validating Machine Learning Algorithms for Twitter Data Against Established Measures of Suicidality. JMIR Mental Health, 3(2). https://doi.org/10.2196/MENTAL.4822

Bryan, C. J., & Rudd, M. D. (2006). Advances in the assessment of suicide risk. Journal of Clinical Psychology, 62(2), 185–200. https://doi.org/10.1002/JCLP.20222

Canetto, S., & Sakinofsky, I. (1998). The gender paradox in suicide. Suicide Life Threat Behav, 28(1), 1–23.

Cheng, Q., Li, T. M., Kwok, C. L., Zhu, T., & Yip, P. S. (2017). Assessing Suicide Risk and Emotional Distress in Chinese Social Media: A Text

Mining and Machine Learning Study. Journal of Medical Internet Research, 19(7). https://doi.org/10.2196/JMIR.7276

Christensen, H., Batterham, P. J., & O’Dea, B. (2014). E-health interventions for suicide prevention. International Journal of Environmental Research and Public Health, 11(8), 8193–8212. https://doi.org/10.3390/IJERPH110808193

Coppersmith, G., Leary, R., Crutchley, P., & Fine, A. (2018). Natural Language Processing of Social Media as Screening for Suicide Risk. Biomedical Informatics Insights, 10, 117822261879286. https://doi.org/10.1177/1178222618792860

Gili, M., Garcia-Toro, M., Vives, M., Armengol, S., Garcia-Campayo, J., Soriano, J. B., & Roca, M. (2011). Medical comorbidity in recurrent versus first-episode depressive patients. Acta Psychiatrica Scandinavica, 123(3), 220–227. https://doi.org/10.1111/j.1600-0447.2010.01646.x

Golden, J., Conroy, R. M., Bruce, I., Denihan, A., Greene, E., Kirby, M., & Lawlor, B. A. (2009). Loneliness, social support networks, mood and wellbeing in community-dwelling elderly. International Journal of Geriatric Psychiatry, 24(7), 694–700. https://doi.org/10.1002/gps.2181

Gouin, J. P., MacNeil, S., de la Torre-Luque, A., Chartrand, E., Chadi, N., Rouquette, A., … Geoffroy, M. C. (2023). Depression, anxiety, and suicidal ideation in a population-based cohort of young adults before and during the first 12 months of the COVID-19 pandemic in Canada. Canadian Journal of Public Health = Revue Canadienne de Sante Publique, 114(3). https://doi.org/10.17269/S41997-023-00772-7

Haro, J. M., Palacín, C., Vilagut, G., Martínez, M., Bernal, M., Luque, I., … Grupo ESEMeD-España. (2006). [Prevalence of mental disorders and associated factors: results from the ESEMeD-Spain study]. Medicina Clinica, 126(12), 445–451. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/16620730

Henriksson, M. M., Aro, H. M., Marttunen, M. J., Heikkinen, M. E., Isometsa, E. T., Kuoppasalmi, K. I., & Lonnqvist, J. K. (1993). Mental disorders and comorbidity in suicide. The American Journal of Psychiatry, 150(6), 935–940. https://doi.org/10.1176/AJP.150.6.935

Hu, F. H., Zhao, D. Y., Fu, X. L., Zhang, W. Q., Tang, W., Hu, S. Q., … Chen, H. L. (2023). Effects of social support on suicide-related behaviors in patients with severe mental illness: A systematic review and meta-analysis. Journal of Affective Disorders, 328, 324–333. https://doi.org/10.1016/J.JAD.2023.02.070

Hyde, J. S., & Mezulis, A. H. (2020). Gender Differences in Depression: Biological, Affective, Cognitive, and Sociocultural Factors. Harvard Review of Psychiatry, 28(1), 4–13. https://doi.org/10.1097/HRP.0000000000000230

Hyde, J. S., Mezulis, A. H., & Abramson, L. Y. (2008). The ABCs of depression: integrating affective, biological, and cognitive models to explain the emergence of the gender difference in depression. Psychological Review, 115(2), 291–313. https://doi.org/10.1037/0033-295X.115.2.291

Instituto Nacional de Estadística. (2020). Defunciones según la Causa de Muerte Año 2020. Retrieved from http://www.ine.es/prensa/edcm_2020.pdf

Kaurin, A., Dombrovski, A. Y., Hallquist, M. N., & Wright, A. G. C. (2023). Suicidal urges and attempted suicide at multiple time scales in borderline personality disorder. Journal of Affective Disorders, 329, 581–588. https://doi.org/10.1016/J.JAD.2023.02.034

Kessler, R. C., Bossarte, R. M., Luedtke, A., Zaslavsky, A. M., & Zubizarreta, J. R. (2020). Suicide prediction models: a critical review of recent research with recommendations for the way forward. Molecular Psychiatry, 25(1), 168–179. https://doi.org/10.1038/S41380-019-0531-0

Kim, S. E., Kim, H. N., Cho, J., Kwon, M. J., Chang, Y., Ryu, S., … Kim, H. L. (2016). Direct and Indirect Effects of Five Factor Personality and Gender on Depressive Symptoms Mediated by Perceived Stress. PloS One, 11(4). https://doi.org/10.1371/JOURNAL.PONE.0154140

Kleiman, E. M., Turner, B. J., Fedor, S., Beale, E. E., Huffman, J. C., & Nock, M. K. (2017). Examination of real-time fluctuations in suicidal ideation and its risk factors: Results from two ecological momentary assessment studies. Journal of Abnormal Psychology, 126(6), 726–738. https://doi.org/10.1037/ABN0000273

Koster, A., Bosma, H., Kempen, G. I. J. M., Penninx, B. W. J. H., Beekman, A. T. F., Deeg, D. J. H., & van Eijk, J. T. M. (2006). Socioeconomic differences in incident depression in older adults: The role of psychosocial factors, physical health status, and behavioral factors. Journal of Psychosomatic Research, 61(5), 619–627. https://doi.org/10.1016/j.jpsychores.2006.05.009

Kramer, E. B., Gaeddert, L. A., Jackson, C. L., Hostetter, T. A., Forster, J. E., & Nazem, S. (2023). The association among insomnia symptom severity, comorbid symptoms, and suicidal ideation in two veteran cohorts meeting diagnostic criteria for insomnia disorder. Journal of Clinical Psychology, 79(5). https://doi.org/10.1002/JCLP.23488

Laghaei, M., Mehrabizadeh Honarmand, M., Jobson, L., Abdollahpour Ranjbar, H., & Habibi Asgarabad, M. (2023). Pathways from childhood trauma to suicidal ideation: mediating through difficulties in emotion regulation and depressive symptoms. BMC Psychiatry, 23(1), 295. https://doi.org/10.1186/S12888-023-04699-8

Large, M. M. (2018). The role of prediction in suicide prevention. Dialogues in Clinical Neuroscience, 20(3), 197–205. https://doi.org/10.31887/DCNS.2018.20.3/MLARGE

Lino, V. T. S., Portela, M. C., Camacho, L. A. B., Atie, S., & Lima, M. J. B. (2013). Assessment of social support and its association to depression, self-perceived health and chronic diseases in elderly individuals residing in an area of poverty and social vulnerability in rio de janeiro city, Brazil. PloS One, 8(8), e71712. https://doi.org/10.1371/journal.pone.0071712

Lorant, V., Croux, C., Weich, S., Deliège, D., Mackenbach, J., & Ansseau, M. (2007). Depression and socio-economic risk factors: 7-year longitudinal population study. British Journal of Psychiatry, 190(4), 293–298. https://doi.org/10.1192/bjp.bp.105.020040

Luxton, D. D., June, J. D., & Fairall, J. M. (2012). Social media and suicide: a public health perspective. American Journal of Public Health, 102 Suppl 2(Suppl 2). https://doi.org/10.2105/AJPH.2011.300608

Misiak, B., Samochowiec, J., Gawęda, Ł., & Frydecka, D. (2023). Association of sociodemographic, proximal, and distal clinical factors with current suicidal ideation: Findings from a nonclinical sample of young adults. European Psychiatry : The Journal of the Association of European Psychiatrists, 66(1). https://doi.org/10.1192/J.EURPSY.2023.14

Nawaz, H., Shah, I., & Ali, S. (2023). The amygdala connectivity with depression and suicide ideation with suicide behavior: A meta-analysis of structural MRI, resting-state fMRI and task fMRI. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 124. https://doi.org/10.1016/J.PNPBP.2023.110736

Phelan, J. C., Link, B. G., & Tehranifar, P. (2010). Social Conditions as Fundamental Causes of Health Inequalities: Theory, Evidence, and Policy Implications. J. Health Soc. Behav, 51, S28–S40.

Pisani, A. R., Murrie, D. C., & Silverman, M. M. (2016). Reformulating Suicide Risk Formulation: From Prediction to Prevention. Academic Psychiatry : The Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 40(4), 623–629. https://doi.org/10.1007/S40596-015-0434-6

Plaisier, I., de Bruijn, J. G. M., de Graaf, R., Have, M. ten, Beekman, A. T. F., & Penninx, B. W. J. H. (2007). The contribution of working conditions and social support to the onset of depressive and anxiety disorders among male and female employees. Social Science & Medicine, 64(2), 401–410. https://doi.org/10.1016/j.socscimed.2006.09.008

Ribeiro, J. D., Huang, X., Fox, K. R., & Franklin, J. C. (2018). Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies. The British Journal of Psychiatry : The Journal of Mental Science, 212(5), 279–286. https://doi.org/10.1192/BJP.2018.27

Salk, R. H., Hyde, J. S., & Abramson, L. Y. (2017). Gender differences in depression in representative national samples: Meta-analyses of diagnoses and symptoms. Psychological Bulletin, 143(8), 783–822. https://doi.org/10.1037/BUL0000102

Sedano-Capdevila, A., Porras-Segovia, A., Bello, H. J., Baca-García, E., & Barrigon, M. L. (2021). Use of Ecological Momentary Assessment to Study Suicidal Thoughts and Behavior: a Systematic Review. Current Psychiatry Reports, 23(7). https://doi.org/10.1007/S11920-021-01255-7

Sohn, M. N., Dimitropoulos, G., Ramirez, A., McPherson, C., Anderson, A., Munir, A., … Devoe, D. J. (2023). Non-suicidal self-injury, suicidal thoughts and behaviors in individuals with an eating disorder relative to healthy and psychiatric controls: A systematic review and meta-analysis. The International Journal of Eating Disorders, 56(3), 501–515. https://doi.org/10.1002/EAT.23880

Souza, L. C., Galvão, L. P., Paiva, H. S., Périco, C. de A. M., Ventriglio, A., Torales, J., … Martins-da-Silva, A. S. (2023). Major depressive disorder as a risk factor for suicidal ideation for attendees of educational institutions: a meta-analysis and meta-regression. Revista Paulista de Pediatria : Orgao Oficial Da Sociedade de Pediatria de Sao Paulo, 41, e2021344. https://doi.org/10.1590/1984-0462/2023/41/2021344

Velkoff, E. A., Brown, T. A., Kaye, W. H., & Wierenga, C. E. (2023). Confirmatory factor analysis of Acute Suicidal Affective Disturbance in a sample of treatment-seeking eating disorder patients. Journal of Affective Disorders, 326, 155–162. https://doi.org/10.1016/J.JAD.2023.01.089

Vives, M., García-Toro, M., Armengol, S., Perez, M. C., Fernández, J. R., & Gili, M. (2013). [Prevalence and factors associated to mental disorders in primary care attenders aged 75 and older]. Actas Espanolas de Psiquiatria, 41(4), 218–226. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/23884613

Weich, S., Nazareth, I., Morgan, L., & King, M. (2007). Treatment of depression in primary care. Socio-economic status, clinical need and receipt of treatment. The British Journal of Psychiatry : The Journal of Mental Science, 191, 164–169. https://doi.org/10.1192/bjp.bp.106.032219

Wilk, A., Falk, A., Joseph, R., & Smith, S. (2023). Mood and Anxiety Disorders: Suicide. FP Essentials, 527, 19–24. Retrieved from https://pubmed.ncbi.nlm.nih.gov/37036768/

World Health Organization. (2014). Preventing suicide: A global imperative. . Geneve.

World Health Organization. (2016). Suicide rate estimates, age-standardized - Estimates by WHO region. Retrieved from World Health Organization website: app.who.int/gho/data/view.main.MHSUICEDEASDRREGv?lang=en

Wortzel, H. S., Homaifar, B., Matarazzo, B., & Brenner, L. A. (2014). Therapeutic risk management of the suicidal patient: stratifying risk in terms of severity and temporality. Journal of Psychiatric Practice, 20(1), 63–67. https://doi.org/10.1097/01.PRA.0000442940.46328.63

Publicado

14-11-2023

Cómo citar

García-Martínez, C., Ene-Gimeno, S., & Sáez-Martínez, S. . (2023). Factores sociodemográficos, salud mental y redes sociales: un estudio comparativo sobre la conducta suicida. Acciones E Investigaciones Sociales, (44). https://doi.org/10.26754/ojs_ais/accionesinvestigsoc.2023448999
Recibido 2023-05-20
Aceptado 2023-06-05
Publicado 2023-11-14