3 years ago

El perfil de disregulación del SDQ y su relación con conductas y pensamientos de suicidio en adolescentes evaluados en contexto clínico

Irene Caro-cañizares, Rebeca García-nieto, Mónica Díaz De Neira-hernando, Sara A. Brandt, Enrique Baca-garcía, Juan J. Carballo

Publication date: Available online 2 October 2018

Source: Revista de Psiquiatría y Salud Mental

Author(s): Irene Caro-Cañizares, Rebeca García-Nieto, Mónica Díaz de Neira-Hernando, Sara A. Brandt, Enrique Baca-García, Juan J. Carballo

Resumen
Introducción

La ideación suicida, la conducta suicida y las conductas autolesivas sin intención suicida (autolesiones) son un grave problema de salud pública en la adolescencia. Una proporción significativa de de adolescentes evaluados en contexto clínico muestran un perfil de disregulación (DP). El DP se caracteriza por inquietud, irritabilidad, «tormentas afectivas», inestabilidad emocional y agresiones que aparecen de forma desproporcionada ante determinadas situaciones, y parece estar relacionado con un mayor riesgo de pensamientos y conductas suicidas y autolesivas.

Métodos

Doscientos treinta y nueve adolescentes del Centro de Salud Mental Infantojuvenil del Servicio de Psiquiatría de la Fundación Jiménez Díaz fueron evaluados con la Escala de Fortalezas y Dificultades para obtener el DP y con la entrevista estructurada sobre suicidio y autolesiones; se recogió también información sociodemográfica.

Resultados

Estudios de regresión logística mostraron que los adolescentes con elevación del DP tenían más riesgo de presentar planes de suicidio, gestos suicidas e intentos suicidas. Igualmente, mostraron más riesgo de autolesiones.

Conclusiones

Los resultados apuntan a dificultades de autorregulación tras la presencia de planes de suicidio, gestos suicidas, intentos de suicidio y autolesiones. De cara al futuro, estudios longitudinales permitirían esclarecer la dirección de dicha relación.

Abstract
Introduction

Suicidal ideation, suicidal behavior, and non-suicidal self-injury behavior are serious public health problems among adolescents. A significant proportion of adolescents evaluated in clinical settings meet criteria for the dysregulation profile (DP). DP is characterized by restlessness, irritability, “affective storms”, mood instability, and aggression in a disproportionate grade to the situation. This DP might be related to increased risk of self-injurious thoughts and behaviors.

Methods

Two hundred and thirty-nine adolescents from the Child and Adolescent Outpatient Psychiatric Services of the Jimenez Diaz Foundation, Madrid, were assessed with the Strengths and Difficulties Questionnaire-Dysregulation Profile, the Self-Injurious Thoughts and Behaviors Interview and socio-demographic questionnaires.

Results

Logistic regression showed that DP adolescents were at increased risk for suicide plans, gestures, and suicide attempts. They also tended to present more self-injurious behaviors than adolescents without DP.

Conclusions

Our results point to the role of self-regulatory problems in the presence of suicide plans, suicide gestures, suicide attempts, and in non-suicidal self-injury behavior. Longitudinal studies are needed to confirm the relationship between the Strengths and Difficulties Questionnaire-Dysregulation Profile and self-injurious thoughts and behaviors.

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