Traumatic events and suicide-related outcomes among Mexico City adolescents / Guilherme BORGES in Journal of Child Psychology and Psychiatry, 49-6 (June 2008)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 49-6 (June 2008) . - p.654-666 Titre : Traumatic events and suicide-related outcomes among Mexico City adolescents Type de document : Texte imprimé et/ou numérique Auteurs : Guilherme BORGES, Auteur ; Matthew K. NOCK, Auteur ; Corina BENJET, Auteur ; Maria Elena MEDINA-MORA, Auteur ; Ricardo OROZCO, Auteur ; Beth E. MOLNAR, Auteur Année de publication : 2008 Article en page(s) : p.654-666 Langues : Anglais (eng) Mots-clés : Suicide risk-factors epidemiology survey adolescence trauma Mexico Index. décimale : PER Périodiques Résumé : Background: We report the prevalence and associations between traumatic events and suicidal ideation, suicide plans and suicide attempts among Mexican adolescents. Methods: The data are from a representative multistage probability household survey of 3,005 adolescents aged 12 to 17 years residing in the Mexico City Metropolitan Area that was carried out in 2005. We used discrete time survival analyses to model the net impact of retrospectively reported prior occurrence of traumatic events on ideation, plans and attempts, taking into account the onset of psychiatric disorders. Results: Prevalence of suicidality was high among respondents with traumatic events, ranging from a 43% prevalence of suicidal ideation among those with a history of ‘Being raped’ to a 25% prevalence of suicide attempts among those that reported ‘Purposely injured, tortured or killed someone.’ In cross-sectional estimates, any traumatic event was associated with an increase of 3.2 times the odds of suicide ideation, 5.1 times the odds of a plan and 6.6 times the odds of an attempt. Number of events was also associated with increasing suicidality such that those with three or more events were 13.7 times more likely to report a suicide attempt than those with none. Multivariate discrete time survival models that took into account a large number of demographic, suicide-related and psychiatric disorder variables reduced in strength but did not alter these basic relationships. Conclusions: We conclude that traumatic events such as rape and sexual assault have a profound impact upon suicidality and that this relationship is not entirely explained by the onset of psychiatric disorders. Comprehensive interventions for adolescent victims of traumatic events, especially those with a history of cumulative events, should include, but not be restricted to, treatment of any associated psychiatric disorder. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01868.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457 [article] Traumatic events and suicide-related outcomes among Mexico City adolescents [Texte imprimé et/ou numérique] / Guilherme BORGES, Auteur ; Matthew K. NOCK, Auteur ; Corina BENJET, Auteur ; Maria Elena MEDINA-MORA, Auteur ; Ricardo OROZCO, Auteur ; Beth E. MOLNAR, Auteur . - 2008 . - p.654-666. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 49-6 (June 2008) . - p.654-666 Mots-clés : Suicide risk-factors epidemiology survey adolescence trauma Mexico Index. décimale : PER Périodiques Résumé : Background: We report the prevalence and associations between traumatic events and suicidal ideation, suicide plans and suicide attempts among Mexican adolescents. Methods: The data are from a representative multistage probability household survey of 3,005 adolescents aged 12 to 17 years residing in the Mexico City Metropolitan Area that was carried out in 2005. We used discrete time survival analyses to model the net impact of retrospectively reported prior occurrence of traumatic events on ideation, plans and attempts, taking into account the onset of psychiatric disorders. Results: Prevalence of suicidality was high among respondents with traumatic events, ranging from a 43% prevalence of suicidal ideation among those with a history of ‘Being raped’ to a 25% prevalence of suicide attempts among those that reported ‘Purposely injured, tortured or killed someone.’ In cross-sectional estimates, any traumatic event was associated with an increase of 3.2 times the odds of suicide ideation, 5.1 times the odds of a plan and 6.6 times the odds of an attempt. Number of events was also associated with increasing suicidality such that those with three or more events were 13.7 times more likely to report a suicide attempt than those with none. Multivariate discrete time survival models that took into account a large number of demographic, suicide-related and psychiatric disorder variables reduced in strength but did not alter these basic relationships. Conclusions: We conclude that traumatic events such as rape and sexual assault have a profound impact upon suicidality and that this relationship is not entirely explained by the onset of psychiatric disorders. Comprehensive interventions for adolescent victims of traumatic events, especially those with a history of cumulative events, should include, but not be restricted to, treatment of any associated psychiatric disorder. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2007.01868.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457

Youth mental health in a populous city of the developing world: results from the Mexican Adolescent Mental Health Survey / Corina BENJET in Journal of Child Psychology and Psychiatry, 50-4 (April 2009)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 50-4 (April 2009) . - p.386-395 Titre : Youth mental health in a populous city of the developing world: results from the Mexican Adolescent Mental Health Survey Type de document : Texte imprimé et/ou numérique Auteurs : Corina BENJET, Auteur ; Joaquin FUENTES, Auteur ; Guilherme BORGES, Auteur ; Maria Elena MEDINA-MORA, Auteur ; Sergio AGUILAR-GAXIOLA, Auteur Année de publication : 2009 Article en page(s) : p.386-395 Langues : Anglais (eng) Mots-clés : Psychiatric-disorder epidemiology adolescents Hispanic World-Mental-Health-Survey-Initiative Mexico Index. décimale : PER Périodiques Résumé : Background: Because the epidemiologic data available for adolescents from the developing world is scarce, the objective is to estimate the prevalence and severity of psychiatric disorders among Mexico City adolescents, the socio-demographic correlates associated with these disorders and service utilization patterns. Methods: This is a multistage probability survey of adolescents aged 12 to 17 residing in Mexico City. Participants were administered the computer-assisted adolescent version of the World Mental Health Composite International Diagnostic Interview by trained lay interviewers in their homes. The response rate was 71% (n = 3005). Descriptive and logistic regression analyses were performed considering the multistage and weighted sample design of the survey. Results: One in every eleven adolescents has suffered a serious mental disorder, one in five a disorder of moderate severity and one in ten a mild disorder. The majority did not receive treatment. The anxiety disorders were the most prevalent but least severe disorders. The most severe disorders were more likely to receive treatment. The most consistent socio-demographic correlates of mental illness were sex, dropping out of school, and burden unusual at the adolescent stage, such as having had a child, being married or being employed. Parental education was associated with treatment utilization. Conclusions: These high prevalence estimates coupled with low service utilization rates suggest that a greater priority should be given to adolescent mental health in Mexico and to public health policy that both expands the availability of mental health services directed at the adolescent population and reduces barriers to the utilization of existing services. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01962.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=723 [article] Youth mental health in a populous city of the developing world: results from the Mexican Adolescent Mental Health Survey [Texte imprimé et/ou numérique] / Corina BENJET, Auteur ; Joaquin FUENTES, Auteur ; Guilherme BORGES, Auteur ; Maria Elena MEDINA-MORA, Auteur ; Sergio AGUILAR-GAXIOLA, Auteur . - 2009 . - p.386-395. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 50-4 (April 2009) . - p.386-395 Mots-clés : Psychiatric-disorder epidemiology adolescents Hispanic World-Mental-Health-Survey-Initiative Mexico Index. décimale : PER Périodiques Résumé : Background: Because the epidemiologic data available for adolescents from the developing world is scarce, the objective is to estimate the prevalence and severity of psychiatric disorders among Mexico City adolescents, the socio-demographic correlates associated with these disorders and service utilization patterns. Methods: This is a multistage probability survey of adolescents aged 12 to 17 residing in Mexico City. Participants were administered the computer-assisted adolescent version of the World Mental Health Composite International Diagnostic Interview by trained lay interviewers in their homes. The response rate was 71% (n = 3005). Descriptive and logistic regression analyses were performed considering the multistage and weighted sample design of the survey. Results: One in every eleven adolescents has suffered a serious mental disorder, one in five a disorder of moderate severity and one in ten a mild disorder. The majority did not receive treatment. The anxiety disorders were the most prevalent but least severe disorders. The most severe disorders were more likely to receive treatment. The most consistent socio-demographic correlates of mental illness were sex, dropping out of school, and burden unusual at the adolescent stage, such as having had a child, being married or being employed. Parental education was associated with treatment utilization. Conclusions: These high prevalence estimates coupled with low service utilization rates suggest that a greater priority should be given to adolescent mental health in Mexico and to public health policy that both expands the availability of mental health services directed at the adolescent population and reduces barriers to the utilization of existing services. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2008.01962.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=723

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