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Modelado del riesgo de suicidio en los trastornos afectivos

Published online by Cambridge University Press:  12 May 2020

A.P. Boardman  and
D. Healy
A.P. Boardman
Affiliation:
Departamento de Investigación de Servicios de la Salud, Instituto de Psiquiatría, King's College de Londres, De Crespigny Park, Londres SE5 9AF, Inglaterra; Departamento de Medicina Psicológica del Norte de Gales, Unidad Hergest, Bangor, GalesLL57 2PW, Reino Unido
D. Healy
Affiliation:
Departamento de Investigación de Servicios de la Salud, Instituto de Psiquiatría, King's College de Londres, De Crespigny Park, Londres SE5 9AF, Inglaterra; Departamento de Medicina Psicológica del Norte de Gales, Unidad Hergest, Bangor, GalesLL57 2PW, Reino Unido
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Resumen

Antecedentes.

El riesgo vital de suicidio en los trastornos afectivos se cita comúnmente como el 15%. Este porcentaje se deriva de poblaciones hospitalarias de trastornos afectivos.

Propósitos.

Modelar la prevalencia vital del suicidio utilizando los datos sobre suicidios consumados de un distrito sanitario inglés y las tasas comunitarias de prevalencia de los trastornos afectivos.

Métodos.

Se emprendió un análisis secundario de un conjunto de datos primarios basado en 212 suicidios en North Staffordshire. Las tasas de morbilidad psiquiátrica de la población se obtuvieron del Estudio de Comorbilidad Nacional.

Resultados.

El modelo propone una tasa de prevalencia vital del suicidio para cualquier trastorno afectivo de 2,4%, con una tasa para pacientes sin complicaciones por abuso de sustancias, trastorno de la personalidad o psicosis no afectiva de 2,4% y una tasa para los casos no complicados que no tuvieron contacto con los servicios de salud mental de 1,1%.

Conclusiones.

Las tasas de prevalencia vital del suicidio en los subgrupos de trastornos afectivos pueden ser más bajas que las tasas tradicionales citadas para la depresión hospitalaria. Esto tiene implicaciones para los proyectos de atención primaria diseñados para investigar la existencia y la prevención del suicidio.

Keywords

trastornos del estado de ánimoatención primariauso inadecuado de sustanciassuicidio
Type
Artículo Original
Information
European Psychiatry (Ed. Española) , Volume 9 , Issue 1 , February 2002 , pp. 39 - 45
Copyright
Copyright © European Psychiatric Association 2002

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