Suicide behavior and associated psychosocial factors among adolescents in Campeche, Mexico.

Abstract:

:Suicide is an important public health problem that requires a preventive approach. The present study aimed at assessing suicidal behaviors and their relations with other psychosocial factors in Campeche, Mexico, in order to inform the design of potential preventive interventions. A multistage probability sample of 2386 students representative of all middle schools of the state of Campeche, Mexico, took a standardized, paper-and-pencil survey covering selected psychosocial constructs including suicide behavior, depression, drug use, familial relationships, locus of control, impulsivity, and self-esteem, among others. Latent classes were identified and multinomial logistic regression was used to analyze associations between class membership and psychosocial covariates. An estimated 8% of the middle school population in Campeche had three or more psychosocial problems in the past month including drug use, major depression episode symptoms, as well as suicidal problems like attempts and self-inflicted injuries. Four latent classes were identified, one with lowest risk and three with varying characteristics in terms of binge alcohol and other drug use, depression, and suicide behaviors. Associations between psychosocial covariates and latent class were observed, as predicted based on a multi-dimensional theoretical framework. Heterogeneity across "High-Risk" groups and their potential determinants highlight the need for differentiated, specialized efforts ranging from universal to indicated interventions. Given the high level of risk factors in this population, universal preventive interventions should aim at building resiliency among youth by helping them develop an array of coping resources, as well as by creating a more nurturing psychosocial environment.

journal_name

Prev Med

journal_title

Preventive medicine

authors

González-Forteza C,Juárez-López CE,Jiménez A,Montejo-León L,Rodríguez-Santisbón UR,Wagner FA

doi

10.1016/j.ypmed.2017.09.011

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

206-211

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(17)30334-1

journal_volume

105

pub_type

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