bachelorThesis
Factores asociados a intento suicida en pacientes con antecedente psicótico
Autor
Gongora Salgado, Angie Carolina
Gonzalez Patiño, Angelica
Institución
Resumen
Suicide is a health issue resulting in 1’000.000 deaths/year, being more frequent in
patients with psychiatric illnesses, generating high costs in medical attention of
approximately 46,024 USD per year.
Objective: Determine the prevalence and the factors associated with suicide
attempts in patients with history of psychosis.
Methods: Cross sectional study of 226 outpatients attending La Paz clinic in
Bogotá between 2008-2009. The information was collected through direct interview
with the patient or person responsible of patient’s care. The interview assessed
demographic factors, substance abuse, clinical aspects of the current disease and
access to medical care.
Results: The gender distribution was similar, with a mean age of 41,11±12,5 years.
The prevalence of suicide attempt was 26%. The most frequent diagnosis was
schizophrenia (53,5%), most of the patients lived with their families (91,2%). Within
the factors that increased the probability of suicide attempts, we found female
gender (OR = 1,77; CI 0,919-3,422), alcohol use (OR = 2,43; IC 1,07-5,51) and
previous hospitalizations with length of stay less than 10 days (OR = 2,065; CI 95:
1,086-3,928). While factors associated with less probability of suicide attempts
within the last year were the ones related with adherence to treatment. Alcohol
was a factor associated with an increase of probability of suicide attempts in the
last 5 years (OR = 1,68 CI 1,17-22,17).
Conclusions: Female gender, alcohol use and previous hospitalization with length
of stay less than 10 days were factors associated with higher probability of suicide
attempts, while adherence to treatment was associated with less probability.