Keywords
suicidal ideation
suicide risk factors
suicide risk model
college
How to Cite
Abstract
University students are considered a vulnerable group to the presence of suicidal ideation. The objective of this study was to analyze the goodness of fit of the main proximal and contextual factors, based on the biopsychosocial model by Turecki et al., in a sample of university students from the central-western region of Mexico. Suicidal ideation, family function, and the main proximal and contextual factors of the model were evaluated in 165 university students. The goodness of fit of the proximal and contextual risk factors for suicidal ideation was analyzed using a structural equation model. An excellent absolute and incremental fit and an adequate parsimony fit were observed in the proposed model. The following were identified as risk factors: social isolation, emotional dysregulation, depressive symptoms, hopelessness, and family function. It is concluded that the fit of the proposed model suggests that these proximal and contextual factors can be used as references for the identification and addressing of suicidal ideation in university students.
References
Abdalla, R. R., Miguel, A. C., Brietzke, E., Caetano, R., Laranjeira, R., & Madruga, C. S. (2019). Suicidal Behavior Among Substance Users: Data from the Second Brazilian National Alcohol and Drug Survey (II BNADS). Brazilian Journal of Psychiatry, 41, 437-440. https://doi.org/10.1590/1516-4446-2018-0054
Al-Halabí, S., Sáiz, P. A., Burón, P., Garrido, M., Benabarre, A., Jiménez, E., Cervilla, J., Navarrete, M. I., Díaz-Mesa, E. M., García-Álvarez, L., Muñiz, J., Posner, K., Oquendo, M. A., García-Portilla, M. P. y Bobes, J. (2016). Validación de la versión en español de la Columbia-Suicide Severity Rating Scale (Escala Columbia para Evaluar el Riesgo de Suicidio). Revista de Psiquiatria y Salud Mental, 9(3), 134–142. https://doi.org/10.1016/j.rpsm.2016.02.002
Allen, K. J., Bozzay, M. L., & Edenbaum, E. R. (2019). Neurocognition and Suicide Risk in Adults. Current Behavioral Neuroscience Reports, 6, 151-165. https://doi.org/10.1007/s40473-019-00189-y
Alothman, D., & Fogarty, A. (2020). Global Differences in Geography, Religion and Other Societal Factors Are Associated with Sex Differences in Mortality from Suicide: An Ecological Study of 182 Countries. Journal of Affective Disorders, 260, 67-72. https://doi.org/10.1016/j.jad.2019.08.093
Amarilla, J., Barrios, F., Bogado, F., Centurión, R., Careaga, D., Cardozo, J., Guillén, W., Ferreira, Y., Trinidad, A., Maggi, C. y Arce, A. (2018). Ideación suicida en Estudiantes de Medicina de la Universidad Nacional de Asunción. Medicina Clínica y Social, 2(1), 13–24. https://doi.org/10.52379/mcs.v2i1.45
Bakhiyi, C. L., Calati, R., Guillaume, S., & Courtet, P. (2016). Do Reasons for Living Protect Against Suicidal Thoughts and Behaviors? A Systematic Review of the Literature. Journal of Psychiatric Research, 77, 92-108. https://doi.org/10.1016/j.jpsychires.2016.02.019
Benjet, C., Borges, G., Miah, S., Albor, Y., Gutiérrez-García, R. A., Zavala Berbena, A., Guzmán, R., Vargas-Contreras, E., Hermosillo de la Torre, A. E., Hernández Uribe, P. C., Quevedo, G., Covarrubias Díaz, A., Martínez Ruiz, S., Valdés-García, K. P., Martínez Jerez, A. M., & Mortier, P. (2022). One-Year Incidence, Predictors, and Accuracy of Prediction of Suicidal Thoughts and Behaviors from the First to Second Year of University. Depression and Anxiety, 39(12), 727–740. https://doi.org/10.1002/da.23278
Borges, G., Benjet, C., Orozco, R., Medina-Mora, M. E., Méndez, E., & Molnar, B. E. (2021). Traumatic Life-Events and Suicidality Among Mexican Adolescents as They Grow Up: A Longitudinal Community Survey. Journal of Psychiatric Research, 142, 171–178. https://doi.org/10.1016/j.jpsychires.2021.08.001
Borges, G., Orozco, R., Gunnell, D., Gutiérrez-García, R. A., Albor, Y., Quevedo Chávez, G. E., Hernández Uribe, P. C., Cruz Hernández, S., Covarrubias Díaz Couder, M. A., Alonso, J., Medina-Mora, M. E., & Benjet, C. (2023). Suicidal Ideation and Behavior Among Mexican University Students Before and During the COVID-19 Pandemic. Archives of Suicide Research. https://doi.org/10.1080/13811118.2023.2176270
Castaño-Castrillón, J. J., Cañón, S. C. y López-Tamayo, J. J. L. (2022). Riesgo suicida en estudiantes universitarios de Manizales (Caldas, Colombia). Informes Psicológicos, 22(1), 77-95. https://doi.org/10.18566/infpsic.v22n1a05
Chang, E. C., Chang, O. D., Lucas, A. G., Li, M., Beavan, C. B., Eisner, R. S., McManamon, B. M., Rodriguez, N. S., Katamanin, O. M., Bourke, E. C., de la Fuente, A., Cardeñoso, O., Wu, K., Yu, E. A., Jeglic, E. L., & Hirsch, J. K. (2019). Depression, Loneliness, and Suicide Risk among Latino College Students: A Test of a Psychosocial Interaction Model. Social Work, 64(1), 51-60. https://doi.org/10.1093/sw/swy052
Conner, K. R. & Bagge, C. L. (2019). Suicidal Behavior: Links Between Alcohol Use Disorder and Acute Use of Alcohol. Alcohol Research: Current Reviews, 40(1), arcr.v40.1.02. https://doi.org/10.35946/arcr.v40.1.02
Córdova-Osnaya, M. y Rosales Pérez, J. C. (2011). Consistencia interna y estructura factorial de la Escala de Desesperanza de Beck en estudiantes mexicanos. Revista de Psicología (PUCP), 29(2), 289-309. https://www.redalyc.org/pdf/3378/337829520005.pdf
Domínguez-González, A. D., Guzmán-Valdivia, G., Ángeles-Téllez, F. S., Manjarrez-Ángeles, M. A., & Secín-Diep, R. (2022). Depression and Suicidal Ideation in Mexican Medical Students During COVID-19 Outbreak. A Longitudinal Study. Heliyon, 8(2), e08851. https://doi.org/10.1016/j.heliyon.2022.e08851
Echávarri, O., Morales, S., Barros, J., Armijo, I., Larraza, D., Longo, A., Martin, C., Maino, M. P., Núñez, C., Fischman, R., Moya, C., Szmulewicz, M. y Tomicic, A. (2018). Validación de la escala razones para vivir en consultantes a salud mental de la Región Metropolitana de Chile. Psykhe, 27(2), 1-17. https://doi.org/10.7764/psykhe.27.2.1153
Escobedo-Portillo, M. T., Hernández-Gómez, J. A., Estebané-Ortega, V. y Martínez-Moreno, G. (2016). Modelos de ecuaciones estructurales: Características, fases, construcción, aplicación y resultados. Ciencia & Trabajo, 18(55), 16-22. http://dx.doi.org/10.4067/S0718-24492016000100004
Fernández-Sevillano, J., González-Pinto, A., Rodríguez-Revuelta, J., Alberich, S., González-Blanco, L., Zorrilla, I., Velasco, Á., López, M. P., Abad, I., & Sáiz, P. A. (2021). Suicidal Behaviour and Cognition: A Systematic Review with Special Focus on Prefrontal Deficits. Journal of Affective Disorders, 278, 488–496. https://doi.org/10.1016/j.jad.2020.09.044
García-Quiñones, J. A., Sánchez-Domínguez, C. N., Serna-Rodríguez, M. F., Marino-Martínez, I. A., Rivas-Estilla, A. M., & Pérez-Maya, A. A. (2023). Genetic Variants Associated with Suicide Risk in the Mexican Population: A Systematic Literature Review. Archives of Suicide Research, 28(1), 71-89. https://doi.org/10.1080/13811118.2023.2176269
Glenn, C. R., Kleiman, E. M., Kellerman, J., Pollak, O., Cha, C. B., Esposito, E. C., Porter, A. C., Wyman, P. A., & Boatman, A. E. (2020). Annual Research Review: A meta‐Analytic Review of Worldwide Suicide Rates in Adolescents. Journal of Child Psychology and Psychiatry, 61(3), 294-308. https://doi.org/10.1111/jcpp.13106
Gómez-Clavelina. F. J. y Ponce-Rosas, E. R. (2010). Una nueva propuesta para la interpretación de Family APGAR (versión en español). Atención Familiar, 17(4), 102-106. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=34451
González‐Castro, T. B., Tovilla‐Zárate, C. A., Genis‐Mendoza, A. D., Juárez‐Rojop, I. E., Nicolini, H., López‐Narváez, M. L., & Martínez‐Magaña, J. J. (2019). Identification of Gene Ontology and Pathways Implicated in Suicide Behavior: Systematic Review and Enrichment Analysis of GWAS Studies. American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, 180(5), 320-329. https://doi.org/10.1002/ajmg.b.32731
González-Sancho, R. y Picado Cortés, M. (2020). Revisión sistemática de literatura sobre suicidio: factores de riesgo y protectores en jóvenes latinoamericanos 1995-2017. Actualidades en Psicología, 34(129), 47-69. https://doi.org/10.15517/ap.v34i129.34298
Guzmán-González, M., Trabucco, C., Urzúa, A., Garrido, L. y Leiva, J. (2014). Validez y confiabilidad de la versión adaptada al español de la Escala de Dificultades de Regulación Emocional (DERS-E) en población chilena. Terapia Psicológica, 32(1), 19-29. http://dx.doi.org/10.4067/S0718-48082014000100002
Hermosillo-De la Torre, A. E., Méndez-Sánchez, C. y Betanzos, F. G. (2020). Evidencias de validez factorial de la Escala de desesperanza de Beck en español con muestras clínicas y no clínicas. Acta Colombiana de Psicología, 23(2), 159-169. http://www.doi.org/10.14718/ACP.2020.23.2.7
Herrero, J. y Gracia, E. (2007). Una medida breve de la sintomatología depresiva (CESD 7). Salud Mental, 30(5), 40-46. https://www.redalyc.org/pdf/582/58230507.pdf
Heuser, C., & Howe, J. (2019). The Relation Between Social Isolation and Increasing Suicide Rates in the Elderly. Quality in Ageing and Older Adults, 20(1), 2-9. https://doi.org/10.1108/QAOA-06-2018-0026
Hill, S. Y., Jones, B. L., & Haas, G. L. (2020). Suicidal Ideation and Aggression in Childhood, Genetic Variation and Young Adult Depression. Journal of Affective Disorders, 276, 954-962. https://doi.org/10.1016/j.jad.2020.07.049
Huang, Y., Kuang, L., Wang, W., Cao, J., & Xu, L. (2019). Association Between Personality Traits and Risk of Suicidal Ideation in Chinese University Students: Analysis of the Correlation Among Five Personalities. Psychiatry Research, 272, 93 99. https://doi.org/10.1016/j.psychres.2018.12.076
Kim, H., Kwon, S. W., Ahn, Y. M., Jeon, H. J., Park, S., & Hong, J. P. (2019). Implementation and Outcomes of Suicide-Prevention Strategies by Restricting Access to Lethal Suicide Methods in Korea. Journal of Public Health Policy, 40, 91-102. https://doi.org/10.1057/s41271-018-0152-x
Koyama, E., Zai, C. C., Bryushkova, L., Kennedy, J. L., & Beitchman, J. H. (2020). Predicting Risk of Suicidal Ideation in Youth Using a Multigene Panel for Impulsive Aggression. Psychiatry Research, 285, 112726. https://doi.org/10.1016/j.psychres.2019.112726
Lew, B., Huen, J., Yu, P., Yuan, L., Wang, D. F., Ping, F., Abu Talib, M., Lester, D., & Jia, C. X. (2019). Associations Between Depression, Anxiety, Stress, Hopelessness, Subjective Well-Being, Coping Styles and Suicide in Chinese University Students. PloS One, 14(7), e0217372. https://doi.org/10.1371/journal.pone.0217372
Li, W., Dorstyn, D. S., & Jarmon, E. (2020). Identifying Suicide Risk Among College Students: A Systematic Review. Death Studies, 44(7), 450-458. https://doi.org/10.1080/07481187.2019.1578305
Lynch, F. L., Peterson, E. L., Lu, C. Y., Hu, Y., Rossom, R. C., Waitzfelder, B. E., Owen-Smith, A. A., Hubley, S., Prabhakar, D., Keoki Williams, L., Beck, A., Simon, G. E., & Ahmedani, B. K. (2020). Substance Use Disorders and Risk of Suicide in a General US Population: A Case Control Study. Addiction Science & Clinical Practice, 15(1), 14. https://doi.org/10.1186/s13722-020-0181-1
Manzano-Patiño, A. P. (2018). Introducción a los modelos de ecuaciones estructurales. Investigación en Educación Médica, 7(25), 67-72. https://doi.org/10.1016/j.riem.2017.11.002
Marín Tejeda, M., Robles García, R., González-Forteza, C. y Andrade Palos, P. (2012). Propiedades psicométricas de la escala" Dificultades en la Regulación Emocional" en español (DERS-E) para adolescentes mexicanos. Salud Mental, 35(6), 521-526.
Mortier, P., Cuijpers, P., Kiekens, G., Auerbach, R. P., Demyttenaere, K., Green, J. G., Kessler, R. C., Nock, M. K., & Bruffaerts, R. (2018). The Prevalence of Suicidal Thoughts and Behaviours Among College Students: A Meta-Analysis. Psychological Medicine, 48(4), 554–565. https://doi.org/10.1017/S0033291717002215
Niederkrotenthaler, T., Braun, M., Pirkis, J., Till, B., Stack, S., Sinyor, M., Tran, U. S., Voracek, M., Cheng, Q., Arendt, F., Scherr, S., Yip, P. S. F., & Spittal, M. J. (2020). Association Between Suicide Reporting in the Media and Suicide: Systematic Review and Meta-Analysis. BMJ, 368, m575. https://doi.org/10.1136/bmj.m575
OMS (WHO, 2021). Suicide Worldwide in 2019: Global Health Estimates. WHO. https://www.who.int/publications/i/item/9789240026643
Park, C. H. K., Lee, J. W., Lee, S. Y., Moon, J., Jeon, D. W., Shim, S. H., Cho, S. J., Kim, S. G., Lee, J., Paik, J. W., Kim, M. H., You, S., Jeon, H. J., Rhee, S. J., Kim, M. J., Kim, J., & Ahn, Y. M. (2020). Suicide Risk Factors Across Suicidal Ideators, Single Suicide Attempters, and Multiple Suicide Attempters. Journal of Psychiatric Research, 131, 1–8. https://doi.org/10.1016/j.jpsychires.2020.08.018
Rahman, M. E., Saiful Islam, M., Mamun, M. A., Moonajilin, M. S., & Yi, S. (2022). Prevalence and Factors Associated with Suicidal Ideation Among University Students in Bangladesh. Archives of Suicide Research, 26(2), 975-984. https://doi.org/10.1080/13811118.2020.1833800
Rentería, R., Benjet, C., Gutierrez-Garcia, R. A., Ábrego Ramírez, A., Albor, Y., Borges, G., Covarrubias Díaz Couder, M. A., Durán, M. D. S., González González, R., Guzmán Saldaña, R., Hermosillo De la Torre, A. E., Martínez-Jerez, A. M., Martinez Martinez, K. I., Medina-Mora, M. E., Martínez Ruiz, S., Paz Pérez, M. A., Pérez Tarango, G., Zavala Berbena, M. A., Méndez, E., Auerbach, R. P., … & Mortier, P. (2021). Suicide Thought and Behaviors, Non-Suicidal Self-Injury, and Perceived Life Stress Among Sexual Minority Mexican College Students. Journal of Affective Disorders, 281, 891–898. https://doi.org/10.1016/j.jad.2020.11.038
Santor, D. A., & Coyne, J. C. (1997). Shortening the CES–D to Improve its Ability to Detect Cases of Depression. Psychological Assessment, 9(3), 233-243. https://doi.org/10.1037/1040-3590.9.3.233
Schafer, K. M., Kennedy, G., & Joiner, T. (2022). Hopelessness, Interpersonal, and Emotion Dysregulation Perspectives on Suicidal Ideation: Tests in a Clinical Sample. Archives of Suicide Research, 26(3), 1159-1172. https://doi.org/10.1080/13811118.2020.1859031
Schiweck, C., Claes, S., Van Oudenhove, L., Lafit, G., Vaessen, T., de Beeck, G. O., Berghmans, R., Wijkhuijs, A., Müller, N., Arolt, V., Drexhage, H., & Vrieze, E. (2020). Childhood Trauma, Suicide Risk and Inflammatory Phenotypes of Depression: Insights from Monocyte Gene Expression. Translational Psychiatry, 10(1), 296. https://doi.org/10.1038/s41398-020-00979-z
Suárez-Cuba, M. y Espinoza-Alcalá, M. (2014). APGAR familiar: Una herramienta para detectar disfunción familiar. Revista Médica La Paz, 20(1), 53-57. http://www.scielo.org.bo/pdf/rmcmlp/v20n1/v20n1_a10.pdf
Turecki, G., Brent, D. A., Gunnell, D., O’Connor, R. C., Oquendo, M. A., Pirkis, J., & Stanley, B. H. (2019). Suicide and Suicide Risk. Nature Reviews Disease Primers, 5(1), 74. https://doi.org/10.1038/s41572-019-0121-0
Vandoros, S., Avendano, M., & Kawachi, I. (2019). The Association Between Economic Uncertainty and Suicide in the Short-Run. Social Science & Medicine, 220, 403-410. https://doi.org/10.1016/j.socscimed.2018.11.035
Zou, W., Tang, L., & Bie, B. (2022). The Stigmatization of Suicide: A Study of Stories Told by College Students in China. Death Studies, 46(9), 2035-2045. https://doi.org/10.1080/07481187.2021.1958396
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2023