Presence and predictors of suicide ideation in a clinical outpatient context

  1. Elena Huguet Cuadrado 1
  2. Ignacio Fernández-Arias 2
  3. Cristina Larroy García 2
  1. 1 European University of Madrid
  2. 2 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

Revista:
Ansiedad y estrés

ISSN: 1134-7937

Año de publicación: 2023

Volumen: 29

Número: 1

Páginas: 10-17

Tipo: Artículo

DOI: 10.5093/ANYES2023A2 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Ansiedad y estrés

Objetivos de desarrollo sostenible

Resumen

Background: It is of vital importance to study the risk factors associated with suicidal behaviour. The purpose of this study is to analyse the presence of suicide ideation and related factors in an applied clinical environment. Method: A correlative-predictive study is conducted with a sample of 180 adult patients, 64% women, with an average age of 31.88 (SD = 14.473) at University Psychology Clinic of Complutense University of Madrid (CUP-UCM). Suicide ideation is analysed (measured by Item 9 of the BDI-II), together with its relationship with clinical diagnosis, symptoms of depression, hopelessness and a range of sociodemographic variables. Results: 31.7% of the sample had shown suicide ideation. Significant differences were found depending on: cohabitation unit, symptoms of depression, presence of hopelessness, personal history and being under pharmacological treatment. Living alone is postulated as a stable predictor of suicide ideation (with an OR of 0.403). Together with personal history, symptoms of depression and hopelessness, these factors explain 42.5% of the presence of suicide ideation (χ2(13) = 65.056; p < .001; R2 = 0.425). Conclusions: The high prevalence of suicide ideation in the clinical population and the risk factors found, confirm the importance of focusing on this phenomenon, in particular taking into account its presence within different problems beyond the diagnostic label and the significance in certain contextual factors (e.g., living alone).

Referencias bibliográficas

  • Al-Halabí, S., & Fonseca-Pedrero, E. (2021). Suicidal behaviour prevention: The time to act is now. Clínica y Salud, 32(2), 89- 2.https://doi.org/10.5093/clysa2021a17
  • Anseán, A., & Acinas, M. P. A. (2014). Suicidios: Manual de prevención, intervención y postvención de la conducta suicida. Fundación Salud Mental España.
  • Antón-San-Martín, J. M., Sánchez-Guerrero, E., Pérez-Costilla, L., Labajos-Manzanares, M.-T., de-Diego-Otero, Y., Benítez-Parejo, N., Comino-Ballesteros, R., Perea-Milla, E., Ramos-Medina, V., & López-Calvo, A. (2013). Factores de riesgo y protectores en el suicidio. Un estudio de casos y controles mediante la autopsia psicológica. Anales de Psicología / Annals of Psychology, 29(3), 810–815. https://doi.org/10.6018/analesps.29.3.17570
  • Asamblea Médica Mundial. (2013). Declaración de Helsinki de la AMM: principios éticos para las investigaciones médicas en seres humanos. Available in: https://www.wma.net/es/que-hacemos/etica-medica/declaracion-de-helsinki/
  • Assari, S., & Lankarani, M. M. (2016). Association between stressful life events and depression; intersection of race and gender. Journal of Racial and Ethnic Health Disparities, 3(2), 349-356.https://doi.org/10.1007/s40615-015-0160-5
  • Ayuso-Mateos, J.L., Baca-García, E., Bobes, J., Giner, J., Giner, L., Pérez, V., Sáiz, P.A., Saiz, J. & Recoms, G. (2012). Recomendaciones preventivas y manejo del comportamiento suicida en España. Revista de Psiquiatría y Salud Mental, 5(1), 8-23.https://doi.org/10.1016/j.rpsm.2012.01.001
  • Ayuso, J.L., Saiz, J., Morant, C., Baca, E., Miret, M. & Nuevo, R. (eds.). (2012). Estudio de la conducta suicida en la comunidad de Madrid. http://www.madrid.org/bvirtual/BVCM017024.pdf
  • Baca-García, E., Pérez-Rodríguez, M. M., Keyes, K. M., Oquendo, M. A., Hasin, D. S., Grant, B. F., & Blanco, C. (2010). Suicidal ideation and suicide attempts in the United States: 1991–1992 and 2001–2002. Molecular psychiatry, 15(3), 250-259. https://doi.org/10.1038/mp.2008.98
  • Bagge, C. L., Lamis, D. A., Nadorff, M., &Osman, A. (2014). Relations between hopelessness, depressive symptoms and suicidality: Mediation by reasons for living. Journal of Clinical Psychology, 70(1), 18-31. https://doi.org/10.1002/jclp.22005
  • Beck, A. T., Steer, R. A., & Brown, G. (1993). Dysfunctional attitudes and suicidal ideation in psychiatric outpatients. Suicide and Life-Threatening Behavior, 23(1), 11-20. https://doi.org/10.1111/j.1943-278X.1993.tb00274.x
  • Beck, A.T., Steer, R., &Brown, G. (1996). Manual for the Beck Depression Inventory-II. San Antonio, Texas: Psychological Corporation.
  • Beck, A. T., Weissman, A., Lester, D., &Trexler, L. (1974). The measurement of pessimism: the hopelessness scale. Journal of consulting and clinical psychology, 42(6), 861.https://doi.org/10.1037/h0037562
  • Bello, M. A. R., & Teruel, D. S. (2020). Variables demográficas que predicen el intento de suicidio en población local española. Archivos de Medicina (Manizales), 20(1), 107-115.https://doi.org/10.30554/archmed.20.1.3468.2020
  • Bennardi, M., Caballero, F.F., Miret, M., Ayuso-Mateos, J.L., Haro, J.M., Lara, E., Arensman, E., & Cabello, M. (2019).Longitudinal Relationships Between Positive Affect, Loneliness, and Suicide Ideation: Age-Specific Factors in a General Population. Suicide Life Threat Behaviour, 49(1): 90-103. https://doi.org/10.1111/sltb.12424
  • Berlanga Silvente, V., & Vilà Baños, R. (2014). Cómo obtener un modelo de regresión logística binaria con SPSS. REIRE: revista d'innovació i recerca en educació.
  • Bonet, C., Palma, C., & Santos, G. G. (2020). Effectiveness of emotional intelligence therapy on suicide risk among adolescents in residential care. International journal of psychology and psychological therapy, 20(1), 61-74.
  • Bryan, C. J., Corso, K. A., Corso, M. L., Kanzler, K. E., Ray-Sannerud, B., & Morrow, C. E. (2012). Therapeutic alliance and change in suicidal ideation during treatment in integrated primary care settings. Archives of Suicide Research, 16(4), 316-323.https://doi.org/10.1080/13811118.2013.722055
  • Burr, E. M., Rahm-Knigge, R., &Conner, B. T. (2018). The differentiating role of state and trait hopelessness in suicidal ideation and suicide attempt. Archives of Suicide Research, 22(3), 510-517. http://dx.doi.org/10.1080/13811118.2017.1366960
  • Cabello, M., Miret, M., Ayuso-Mateos, J. L., Caballero, F. F., Chatterji, S., Tobiasz-Adamczyk, B., Haro, J., Koskinen, S., Leonardi, M., & Borges, G. (2020). Cross-national prevalence and factors associated with suicide ideation and attempts in older and young-and-middle age people. Aging & mental health, 24(9), 1533-1542.https://doi.org/10.1080/13607863.2019.1603284
  • Cayuela, A., Cayuela, L., Gayango, A. S., Rodríguez-Domínguez, S., Uceda, F. J. P., & Quiles, A. A. V. (2018). Tendencias de la mortalidad por suicidio en España, 1980-2016. Revista de Psiquiatría y Salud Mental, 13(2), 57-62. https://doi.org/10.1016/j.rpsm.2018.07.002
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences. 2nd Edition. Hillsdale NJ: Erlbaum
  • De Beurs, D., Fried, E. I., Wetherall, K., Cleare, S., O’Connor, D. B., Ferguson, E., O`Carrol, R.E, & O’Connor, R. C. (2019). Exploring the psychology of suicidal ideation: A theory driven network analysis. Behaviour research and therapy, 120, 103419.https://doi.org/10.1016/j.brat.2019.103419
  • De Wilde, E.J., Kienhorst, I.C, & Diekstra, R.F.W. (1996). El suicidio en la adolescencia. Buendía (Ed.), Psicopatología en niños y adolescentes. Madrid: Pirámide.
  • Díaz, J., Díaz-de-Neira, M., Jarabo, A., Roig, P., & Román, P. (2017). Estudio de derivaciones de Atención Primaria a centros de Salud Mental en pacientes adultos en la Comunidad de Madrid. Clínica y Salud, 28(2), 65-70. https://dx.doi.org/10.1016/j.clysa.2017.03.001
  • Dougherty, D. M., Mathias, C. W., Marsh, D. M., Papageorgiou, T. D., Swann, A. C., & Moeller, F. G. (2004). Laboratory measured behavioral impulsivity relates to suicide attempt history. Suicide and Life-Threatening Behavior, 34(4), 374-385.https://doi.org/10.1521/suli.34.4.374.53738
  • Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., Musacchio, K. M., Jaroszewski, A. C., Chang, B. P., & Nock, M. K. (2017). Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin, 143(2), 187–232. https://doi.org/10.1037/bul0000084
  • Fundación ANAR (2021). Informe anual teléfono/chat ANAR en tiempos de covid-19 año 2020. Fundación ANAR. Available in: https://www.observatoriodelainfancia.es/oia/esp/documentos_ficha.aspx?id=7559
  • Gabilondo, A., Alonso, J., Pinto-Meza, A., Vilagut, G., Fernández, A., Serrano-Blanco, A., Almansa, J., Codony, M., & Haro, J. M. (2007). Prevalencia y factores de riesgo de las ideas, planes e intentos de suicidio en la población general española. Resultados del estudio ESEMeD. Medicina clínica, 129(13), 494-500.https://doi.org/10.1157/13111370
  • García-Pedrajas, C., Bayona, E. M., Ibáñez, O. P., Guerre, S. O., &Fornas, C. V. (2018). Estudio descriptivo longitudinal y de concordancia diagnóstica entre Atención Primaria y Psicología del Programa de Soporte a Atención Primaria. Anales de Psicología/Annals of Psychology, 34(1), 23-29.https://doi.org/10.6018/analesps.34.1.251451
  • Holman, M. S., & Williams, M. N. (2020). Suicide risk and protective factors: A network approach. Archives of Suicide Research, 1-18.https://doi.org/10.1080/13811118.2020.1774454
  • Hom, M. A., Stanley, I. H., Rogers, M. L., Gallyer, A. J., Dougherty, S. P., Davis, L., & Joiner, T. E. (2018). Investigating the iatrogenic effects of repeated suicidal ideation screening on suicidal and depression symptoms: A staggered sequential study. Journal of affective disorders, 232, 139-142.https://doi.org/10.1016/j.jad.2018.02.022
  • Husky, M. M., Zablith, I., Fernandez, V. A., &Kovess-Masfety, V. (2016). Factors associated with suicidal ideation disclosure: Results from a large population-based study. Journal of affective disorders, 205, 36-43.https://doi.org/10.1016/j.jad.2016.06.054
  • Instituto Nacional de Estadística (2020, 10 de diciembre). Defunciones según la Causa de Muerte. Avance enero-mayo de 2019 y de 2020. [Nota de prensa]. Available in: https://www.ine.es/prensa/edcm_ene_may_19_20.pdf
  • Joiner, T. (2007). Why people die by suicide. Harvard University Press.
  • Jongkind, M., van den Brink, B., Schaap-Jonker, H., van der Velde, N., & Braam, A. W. (2019). Dimensions of religion associated with suicide attempt and suicide ideation in depressed, religiously affiliated patients. Suicide and Life-Threatening Behavior, 49(2), 505-519.https://doi.org/10.1111/sltb.12456
  • Kaslow, N. J., Sherry, A., Bethea, K., Wyckoff, S., Compton, M. T., Grall, M. B., Scholl, L., Price, A.W., Kellermann, A., Thompson, N., &Parker, R. (2005). Social risk and protective factors for suicide attempts in low-income African American men and women. Suicide and Life-Threatening Behavior, 35(4), 400-412.https://doi.org/10.1521/suli.2005.35.4.400
  • Klonsky, E. D., & May, A. M. (2015). The three-step theory (3ST): A new theory of suicide rooted in the “ideation-to-action” framework. International Journal of Cognitive Therapy, 8(2), 114-129.https://doi.org/10.1521/ijct.2015.8.2.114
  • Klonsky, E. D., May, A. M., & Saffer, B. Y. (2016). Suicide, suicide attempts, and suicidal ideation. Annual Review of Clinical Psychology, 12(1), 307–330. https://doi.org/10.1146/annurev-clinpsy-021815-093204
  • Labrador, F. J., Estupiñá, F. J., & Vera, M. P. G. (2010). Demanda de atención psicológica en la práctica clínica: tratamientos y resultados. Psicothema, 22(4), 619-626. Available in: https://reunido.uniovi.es/index.php/PST/article/view/8927
  • Le, T. P., Moscardini, E., Cowan, T., Elvevåg, B., Holmlund, T. B., Foltz, P. W., Tucker, R. P., Schwartz, E. K., & Cohen, A. S. (2021). Predicting self-injurious thoughts in daily life using ambulatory assessment of state cognition. Journal of psychiatric research, 138, 335-341.https://doi.org/10.1016/j.jpsychires.2021.04.013
  • Lee, H., Seol, K. H., & Kim, J. W. (2018). Age and sex-related differences in risk factors for elderly suicide: Differentiating between suicide ideation and attempts. International journal of geriatric psychiatry, 33(2), e300–e306. https://doi.org/10.1002/gps.4794
  • Li, Z., Page, A., Martin, G., & Taylor, R. (2011). Attributable risk of psychiatric and socio-economic factors for suicide from individual-level, population-based studies: a systematic review. Social science & medicine, 72(4), 608-616.https://doi.org/10.1016/j.socscimed.2010.11.008
  • Lorant, V., Kunst, A. E., Huisman, M., Bopp, M., Mackenbach, J., & EU Working Group. (2005). A European comparative study of marital status and socio-economic inequalities in suicide. Social science y medicine, 60(11), 2431-2441.https://doi.org/10.1016/j.socscimed.2004.11.033
  • Mackin, D. M., Perlman, G., Davila, J., Kotov, R., & Klein, D. N. (2017). Social support buffers the effect of interpersonal life stress on suicidal ideation and self-injury during adolescence. Psychological medicine, 47(6), 1149-1161.http://doi.org/10.1017/S0033291716003275
  • Miret, M., Caballero, F. F., Huerta-Ramírez, R., Moneta, M. V., Olaya, B., Chatterji, S., Haro, J. M., & Ayuso-Mateos, J. L. (2014). Factors associated with suicidal ideation and attempts in Spain for different age groups. Prevalence before and after the onset of the economic crisis. Journal of affective disorders, 163, 1-9.https://doi.org/10.1016/j.jad.2014.03.045
  • Morán Rodríguez, N. (2014). Padres víctimas de abuso por parte de sus hijos: características descriptivas, factores de riesgo y propuesta de un programa de intervención psicológica.(Doctoral dissertation, Universidad Complutense de Madrid). Available in: https://eprints.ucm.es/id/eprint/21685/
  • Mortier, P., Vilagut, G., Ferrer, M., Alayo, I., Bruffaerts, R., Cristóbal-Narváez, P., Cura-Gonzalez, I,Domènech-Abella, J., Felez-Nobrega, M., Olaya, B., Pijoan, J.I., Vieta, E., Pérez-Solà, V., Kessler, R.C., Haro, J.M.,& Alonso, J. (2021). Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic. Epidemiology and Psychiatric Sciences, 30, E19. http://doi.org/10.1017/S2045796021000093
  • Nock, M. K., Prinstein, M. J., &Sterba, S. K. (2009). Revealing the form and function of self-injurious thoughts and behaviors: A real-time ecological assessment study among adolescents and young adults. Journal of abnormal psychology, 118(4), 816.https://doi.org/10.1037/a0016948
  • Pacheco Tabuenca, T. (2016). Factores predictores de la conducta suicida y actuaciones preventivas en el ámbito extrahospitalario (Doctoral dissertation, Universidad Complutense de Madrid). Available in: https://eprints.ucm.es/id/eprint/38876/
  • Pardo Merino, & Ruiz, M. A. (2015). Análisis de datos en ciencias sociales y de la salud. III. Síntesis
  • Pelizza, L., Poletti, M., Azzali, S., Paterlini, F., Garlassi, S., Scazza, I., Chiri, L. R.,Pupo, S., Pompili, M., &Raballo, A. (2020). Suicide risk in young people at Ultra-High Risk (UHR) of psychosis: Findings from a 2-year longitudinal study. Schizophrenia research, 220, 98-105. https://doi.org/10.1016/j.schres.2020.03.051
  • Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Currier, G. W., Melvin, G. A., Greenhill, L., Shen, S., &Mann, J. J. (2011). The Columbia-Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. The American journal of psychiatry, 168(12), 1266–1277. https://doi.org/10.1176/appi.ajp.2011.10111704
  • Ramírez, R. H. (2015). Conducta suicida en la población general adulta española: un estudio epidemiológico (Tesis doctoral). Universidad Autónoma de Madrid. Available in: http://hdl.handle.net/10486/664923
  • Ranganathan, P., Pramesh, C. S., & Aggarwal, R. (2017). Common pitfalls in statistical analysis: Logistic regression. Perspectives in clinical research, 8(3), 148–151. https://doi.org/10.4103/picr.PICR_87_17
  • Ribeiro, J. D., Franklin, J. C., Fox, K. R., Bentley, K. H., Kleiman, E. M., Chang, B. P., &Nock, M. K. (2016). Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: a meta-analysis of longitudinal studies. Psychological medicine, 46(2), 225-236.http://doi.org/10.1017/S0033291715001804
  • 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, 212(5), 279-286.http://doi.org/10.1192/bjp.2018.27
  • Sanz, J., & García-Vera, M. P. (2013). Rendimiento diagnóstico y estructura factorial del Inventario para la Depresión de Beck–Segunda Edición (BDI-II) en pacientes españoles con trastornos psicológicos. Anales de Psicología/Annals of Psychology, 29(1), 66-75. https://doi.org/10.6018/analesps.29.1.130532
  • Sueki, H. (2020). Relationship between Beck Hopelessness Scale and suicidal ideation: A short-term longitudinal study. Death studies, 1-6. https://doi.org/10.1080/07481187.2020.1740833
  • Taylor, P. J., Hutton, P., & Wood, L. (2015). Are people at risk of psychosis also at risk of suicide and self-harm? A systematic review and meta-analysis. Psychological Medicine, 45(5), 911-926.http://doi.org/10.1017/S0033291714002074
  • Toro-Tobar, R. A., Grajales-Giraldo, F. L., & Sarmiento-López, J. C. (2016). Riesgo suicida según la tríada cognitiva negativa, ideación, desesperanza y depresión. Aquichan, 16(4), 473-486.https://doi.org/10.5294/aqui.2016.16.4.6.
  • Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner Jr, T. E. (2010). The interpersonal theory of suicide. Psychological review, 117(2), 575-600.https://doi.org/10.1037/a0018697
Fuente de los datos: Dialnet