Resumen Objetivo: caracterizar clinicamente el intento de suicidio desde el enfoque del constructo de violencia en la poblacion pediatrica femenina. Metodologia: estudio descriptivo, retrospectivo y transversal, multivariado, desarrollado en el Hospital Infantil Los Angeles de la ciudad de Pasto (Narino), sobre la atencion de pacientes femeninas entre 10 y 17 anos, con diagnostico de intento de suicidio, entre los anos 2009 a 2014. Resultados: 97 pacientes (IC: 95%, Z=1,96, e: 10, p=50%). Mayor incidencia entre los 13 y 16 anos (88%), predominio ano 2011 (37%) y en los meses de abril, mayo, julio y agosto. Municipios de Narino con mayor numero de casos: Pasto, La Union y El Tambo (56%). Putumayo (21%). Intentos de suicidio previos (33%). Mecanismo mayormente utilizado: ingestion de toxicos y medicamentos (92%). Como factores de riesgo emocional: las discusiones con familiares (32%), las relaciones afectivas fallidas (14%) y la convivencia diferente a sus padres (17%), representan mas del 88%. Subregistro en la determinacion de violencia intrafamiliar, abuso sexual y consumo de sustancias psicoactivas (70%). Valoracion por parte de psicologia (98%), y por psiquiatria (65%), frente a una ideacion suicida y seguimientos menores del 5%. Discusion: la caracterizacion clinica del intento de suicidio desde el constructo de violencia, teniendo en cuenta el analisis de los diferentes factores de riesgo, permitiran identificar el abordaje clinico de las pacientes, fuente del adecuado plan de tratamiento, seguimiento y pautas de prevencion, como base correlativa y reproducible para el manejo multidisciplinario. Abstract Objective: to characterize attempted suicide clinically from the perspective of the construct of violence among female pediatric population. Methodology: a descriptive, retrospective, crosssectional and multivariate study conducted at the Los Angeles Children's Hospital in the city of Pasto, Narino. The study focused on the care provided to female patients aged 10 to 17 and diagnosed with attempted suicide between 2009 and 2014. Results: a total of 97 patients (95% CI, Z = 1.96, e: 10, p = 50%) were studied. There was increased incidence among those aged 13 to 16 (88%). Incidence was predominant in 2011 (37%) and in the months of April, May, July and August. Municipalities of Narino with more cases: Pasto, La Union, El Tambo (56%), Putumayo (21%). Previous suicide attempts: 33%. Most used mechanism: ingestion of toxic and drugs (92%). Emotional risk factors: having arguments with family members (32%), failed emotional relationships (14%) and different coexistence with their parents (17%). These represent more than 88%. Registration in the determination of domestic violence, sexual abuse and psychoactive substance use (70%). Rating by psychology (98%), and psychiatry (65%) compared with suicidal ideation and minor follow-up of 5%. Discussion: the clinical characterization of attempted suicide based on the construct of violence becomes perennial. Furthermore, taking into account the analysis of the different risk factors will make it possible to identify the clinical way to approach patients, the source of an appropriate treatment plan and the monitoring and prevention guidelines as a correlative and reproducible basis for multidisciplinary handling.
Tópico:
Suicide and Self-Harm Studies
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FuenteRevista De La Escuela Nacional De Salud Pública