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La influencia de la comorbilidad en la prevalencia de la conducta suicida

Published online by Cambridge University Press:  12 May 2020

Y. Lecrubier
Y. Lecrubier*
Affiliation:
Hospital de la Salpétriére, Pabellón Clérambault, 47, Boulevard de l'Hópital, 75651París, Cedex 13, Francia
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Resumen

La existencia de trastornos mentales es casi constante en los sujetos que tratan de quitarse la vida. Además, una mayoría de las personas que intentan suicidarse tiene más de un diagnóstico. Esto es especialmente cierto si se tienen en cuenta los trastornos subumbral del Eje II o el Eje I. La existencia de un trastorno explica en gran parte la asociación entre la mayoría de las variables socioeconómicas (sexo, matrimonio, nivel educativo) y la suicidalidad. Los trastornos depresivos son el factor de riesgo principal, riesgo asociado probablemente a un episodio actual justo antes del intento. La asociación con episodios depresivos de un trastorno de ansiedad o la existencia de rasgos impulsivos (trastorno de la personalidad del grupo B, abuso de drogas o ambos) aumenta el riesgo de actuación. La ideación suicida y los intentos de suicidio muestran curvas de comienzo paralelas con picos entre los 14-20 años de edad, con la existencia de un diagnóstico previo del DSM-III-R como un predictor poderoso. El número de trastornos asociados aumenta linealmente la probabilidad de intentar el suicidio y es el único predictor significativo de la mortalidad. Un tratamiento adecuado de los trastornos mentales podría reducir sustancialmente la suicidalidad.

Keywords

comorbilidaddiagnósticoimpulsividadpersonalidadsuicidio
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 9 , Issue 2 , March 2002 , pp. 90 - 97
Copyright
Copyright © European Psychiatric Association 2002

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References

Bibliografía

Allebeck, PAllugander, CFisher, LD.Predictors of completad suicide in a cohort of 50,465 young men: role of personality and deviant behaviour. Br Med J 1988;297:176-8.CrossRefGoogle Scholar
Balázs, JBitter, ILecrubier, YCsiszér, NOstorharics, G.Prevalence of subthreshold forms of psychiatric disor-ders in persons making suicide attempts in Hungary. Eur Psychiatry 2000;15:354-61.CrossRefGoogle Scholar
Beautrais, AJoyce, PMulder, RFergusson, DDeavoll, BNightingale, S.Prevalence and comorbidity of mental disorders in persons making serious suicide attempts: A case-control study. Am J Psychiatry 1996;153:1009-14.Google ScholarPubMed
Cheng, ATA.Mental illness and suicide. Arch Gen Psychiatry 1995;52:594-603.CrossRefGoogle ScholarPubMed
Cremniter, DJain, SKollenbach, KAlvarez, JCLecrubier, YGilton, A, et al.CSF 5-HVA levels are lower in impul-sive as comparad to non impulsive violent suicide attempters and controls. Biol Psychiatry 1999;45:1572-9.CrossRefGoogle Scholar
Henriksson, MAro, HMarttunen, MHeikkinen, MIsometsä, EKuoppasalmi, K, et al.Mental disorders and comorbidity in suicide. AmJ Psychiatry 1993;150:935-40.Google ScholarPubMed
Isometsä, EHenriksson, MHeikkinen, MAro, HMarttunen, MKuoppasalmi, K, et al.Suicide among sub-jects with personality disorders. Am J Psychiatry 1996;153:667-73.Google Scholar
Kessler, RBorges, GWalters, E.Prevalence of and risk factors for lifetime suicide. Attempts in the National Comorbidity Survey. Arch Gen Psychiatry 1999;56:617-26.CrossRefGoogle ScholarPubMed
Lecrubier, Y.The impact of comorbidity on the treat-ment of panic disorder. J Clin Psychiatry 1998;59(Suppl 8):11-4.Google Scholar
Lecrubier, Y.Risk factors for suicide attempts: epide-miological evidence. Eur Neuropsychopharmacol 1998;X:S114.CrossRefGoogle Scholar
Lecrubier, YÜstün, TB.Panic and depression: a world-wide primary care perspective. Int Clin Psychophar-macol 1998;13(Suppl 4):7-11.Google Scholar
Mann, JWaternaux, CHaas, GLMalone, K.Toward a clinical modal of suicidal behavior in psychiatric patients. Am J Psychiatry 1999;156:181-9.Google Scholar
McDermut, WMattia, JZimmerman, M.Brief report. Comorbidity burden and its impact on psychosocial morbidity in depressed outpatients. J Affective Disord 2001;65:289-95.CrossRefGoogle Scholar
Moscicki, EKO’Carroll, PRae, DSLocke, BZRoy, ARegier, DA.Suicide attempts in the epidemiologic catch-ment area study. Yale J Biol Med 1988;61:259-68.Google Scholar
Petronis, KRSamuels, JFMoscicki, EKAnthony, UJC.An epidemiologic investigation of potential risk factors for suicide attempts. Soc Psychiatry Psychiatr Epidemiol 1990;25:193-9.Google ScholarPubMed
Pokorny, AD.Prediction of suicide in psychiatric patients: report of a prospective study. Arch Gen Psychiatry 1983;40:249-53.CrossRefGoogle ScholarPubMed
Reinherz, HZGiaconia, RMSilverman, ABFriedman, APakiz, BFrost, AK, et al.Early psychosocial risks for adolescent suicidal ideation and attempts. J Am Acad Child Adolesc Psychiatry 1995;34:599-611.CrossRefGoogle ScholarPubMed
Rich, CLRuneson, BS.Similarities in the diagnostic comorbidity between suicide among young people in Sweden and the United States. Acta Psychiatr Stand 1992;86:335-9.CrossRefGoogle ScholarPubMed
Rudd, MDDahm, PDRajab, MH.Diagnostic comorbidity in persons with suicidal ideation and behavior. Am J Psychiatry 1993;150:928-34.Google ScholarPubMed
Sakinofsky, IRoberts, RSBrown, YCumming, CJames, P.Problem resolution and repetition of parasuicide: a prospective study. Br J Psychiatry 1990;156:395-9.CrossRefGoogle ScholarPubMed
Samuels, JFNestadt, GRomanoski, AJFolstein, MFMcHugh, PR.DSM-III personality disorders in the com-munity. AmJ Psychiatry 1994;151:1055-62.Google Scholar
Sartorios, NUstün, TBCosta de Silva, JAGoldberg, DLecrubier, YOrmel, J.An international study of psycho-logical problems in primary care: preliminary report from the World Health Organisation project on psycho-logical problems in general health care. Arch Gen Psychiatry 1993;50:819-24.CrossRefGoogle Scholar
Sorenson, SBGolding, JM.Suicide ideation and attempts in Hispanics and non-Hispanic whites: demographic and psychiatric disorder issues. Suicide Life Threat Behav 1988;18:205-18.CrossRefGoogle ScholarPubMed
Strakowski, SMMcElroy, SLKeck, PEWest, SA.Sui-cidality among patients with mixed and manic bipolar disorder. Am J Psychiatry 1996;153:674-6.Google ScholarPubMed
Szadoczky, EVitrai, JRihmer, ZFüredi, J.Suicide attempts in the Hungarian adult population. Their rela-tion with DIS/ DSM-III-R affective and anxiety disorders. Eur Psychiatry 2000;15:343-7.CrossRefGoogle Scholar
Tondo, LBaldessarini, RHennen, JMinnai, GPSalis, PScamonatti, L, et al.Suicide attempts in major affective disorder patients with comorbid substance use disorders. J Clin Psychiatry 1999;60(Suppl 2):63-9.Google ScholarPubMed
Weissman, MMKlerman, GLMarkowitz, JSOuellette, R.Suicidal ideation and suicide attempts in panic disorder and attacks. N Engl J Med 1989;321:1209-14.CrossRefGoogle ScholarPubMed