Risk-factor differences for nonsuicidal self-injury and suicide attempts in Mexican psychiatric patients

Ana Fresán,1 Beatriz Camarena,2 Thelma Beatriz González-Castro,3 Carlos Alfonso Tovilla-Zárate,4 Isela E Juárez-Rojop,5 Lilia López-Narváez,5 Alicia E González-Ramón,4 Yazmín Hernández-D&...

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Autores principales:	Fresán A, Camarena B, González-Castro TB, Tovilla-Zárate CA, Juárez-Rojop IE, López-Narváez L, González-Ramón AE, Hernández-Díaz Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	suicide impulsivity Mexican population self-injury. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/547354a5b64b476b9b115eac3df1aba7
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spelling	oai:doaj.org-article:547354a5b64b476b9b115eac3df1aba72021-12-02T04:01:59ZRisk-factor differences for nonsuicidal self-injury and suicide attempts in Mexican psychiatric patients1178-2021https://doaj.org/article/547354a5b64b476b9b115eac3df1aba72016-07-01T00:00:00Zhttps://www.dovepress.com/risk-factor-differences-for-nonsuicidal-self-injury-and-suicide-attemp-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Ana Fresán,1 Beatriz Camarena,2 Thelma Beatriz González-Castro,3 Carlos Alfonso Tovilla-Zárate,4 Isela E Juárez-Rojop,5 Lilia López-Narváez,5 Alicia E González-Ramón,4 Yazmín Hernández-Díaz3 1Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, México City, 2Departamento de Genética Psiquiátrica, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, México City, 3División Académica Multidisciplinaria de Jalpa de Méndez, Universidad Juárez Autónoma de Tabasco, Jalpa de Méndez, 4División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco, 5Hospital General de Yajalón, Secretaría de Salud, Yajalón, Chiapas, México Background: The present study compared sociodemographic characteristics, comorbidities with substance use, and impulsivity features in three groups of psychiatric patients – suicide attempters, nonsuicidal self-injury, and nonsuicidal without self-injury – to determine the predictive factors for nonsuicidal self-injury or suicide behavior.Patients and methods: Demographic features and self-reported substance use were assessed in 384 Mexican psychiatric patients. Impulsivity features were evaluated using the Plutchik Impulsivity Scale. Comparison analyses between groups were performed and a logistic regression model used to determine the factors associated with nonsuicidal with self-injury behavior and suicidal behavior.Results: Different predictive factors were observed for nonsuicidal self-injury and suicidal behavior. Females were more likely to present nonsuicidal self-injury behaviors (odds ratio [OR] 0.42, 95% confidence interval [CI] 0.18–0.93; P=0.03). For suicide attempters, the factors associated were younger age (OR 0.89, 95% CI 0.85–0.93; P<0.001), less than 6 years of schooling (OR 0.2, 95% CI 0.06–0.6; P=0.004), and higher impulsivity traits, such as self-control (OR 1.19, 95% CI 1.03–1.36; P=0.01), planning of future actions (OR 0.79, 95% CI 0.66–0.95; P=0.01), and physiological behavior (OR 1.34, 95% CI 1.01–1.78; P=0.03).Conclusion: Our results show that in a Mexican population, impulsivity features are predictors for suicide attempts, but not for self-injury. Other factors related to sociocultural background and individual features (such as personality) may be involved in this behavioral distinction, and should be studied in future research aimed at better understanding of both self-harmful behaviors. Keywords: suicide, impulsivity, Mexican population, self-injuryFresán ACamarena BGonzález-Castro TBTovilla-Zárate CAJuárez-Rojop IELópez-Narváez LGonzález-Ramón AEHernández-Díaz YDove Medical PressarticlesuicideimpulsivityMexican populationself-injury.Neurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1631-1637 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	suicide impulsivity Mexican population self-injury. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	suicide impulsivity Mexican population self-injury. Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Fresán A Camarena B González-Castro TB Tovilla-Zárate CA Juárez-Rojop IE López-Narváez L González-Ramón AE Hernández-Díaz Y Risk-factor differences for nonsuicidal self-injury and suicide attempts in Mexican psychiatric patients
description	Ana Fresán,1 Beatriz Camarena,2 Thelma Beatriz González-Castro,3 Carlos Alfonso Tovilla-Zárate,4 Isela E Juárez-Rojop,5 Lilia López-Narváez,5 Alicia E González-Ramón,4 Yazmín Hernández-Díaz3 1Subdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, México City, 2Departamento de Genética Psiquiátrica, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, México City, 3División Académica Multidisciplinaria de Jalpa de Méndez, Universidad Juárez Autónoma de Tabasco, Jalpa de Méndez, 4División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco, 5Hospital General de Yajalón, Secretaría de Salud, Yajalón, Chiapas, México Background: The present study compared sociodemographic characteristics, comorbidities with substance use, and impulsivity features in three groups of psychiatric patients – suicide attempters, nonsuicidal self-injury, and nonsuicidal without self-injury – to determine the predictive factors for nonsuicidal self-injury or suicide behavior.Patients and methods: Demographic features and self-reported substance use were assessed in 384 Mexican psychiatric patients. Impulsivity features were evaluated using the Plutchik Impulsivity Scale. Comparison analyses between groups were performed and a logistic regression model used to determine the factors associated with nonsuicidal with self-injury behavior and suicidal behavior.Results: Different predictive factors were observed for nonsuicidal self-injury and suicidal behavior. Females were more likely to present nonsuicidal self-injury behaviors (odds ratio [OR] 0.42, 95% confidence interval [CI] 0.18–0.93; P=0.03). For suicide attempters, the factors associated were younger age (OR 0.89, 95% CI 0.85–0.93; P<0.001), less than 6 years of schooling (OR 0.2, 95% CI 0.06–0.6; P=0.004), and higher impulsivity traits, such as self-control (OR 1.19, 95% CI 1.03–1.36; P=0.01), planning of future actions (OR 0.79, 95% CI 0.66–0.95; P=0.01), and physiological behavior (OR 1.34, 95% CI 1.01–1.78; P=0.03).Conclusion: Our results show that in a Mexican population, impulsivity features are predictors for suicide attempts, but not for self-injury. Other factors related to sociocultural background and individual features (such as personality) may be involved in this behavioral distinction, and should be studied in future research aimed at better understanding of both self-harmful behaviors. Keywords: suicide, impulsivity, Mexican population, self-injury
format	article
author	Fresán A Camarena B González-Castro TB Tovilla-Zárate CA Juárez-Rojop IE López-Narváez L González-Ramón AE Hernández-Díaz Y
author_facet	Fresán A Camarena B González-Castro TB Tovilla-Zárate CA Juárez-Rojop IE López-Narváez L González-Ramón AE Hernández-Díaz Y
author_sort	Fresán A
title	Risk-factor differences for nonsuicidal self-injury and suicide attempts in Mexican psychiatric patients
title_short	Risk-factor differences for nonsuicidal self-injury and suicide attempts in Mexican psychiatric patients
title_full	Risk-factor differences for nonsuicidal self-injury and suicide attempts in Mexican psychiatric patients
title_fullStr	Risk-factor differences for nonsuicidal self-injury and suicide attempts in Mexican psychiatric patients
title_full_unstemmed	Risk-factor differences for nonsuicidal self-injury and suicide attempts in Mexican psychiatric patients
title_sort	risk-factor differences for nonsuicidal self-injury and suicide attempts in mexican psychiatric patients
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/547354a5b64b476b9b115eac3df1aba7
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Risk-factor differences for nonsuicidal self-injury and suicide attempts in Mexican psychiatric patients

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