Main Article Content

Authors

Objective: To determine the relationship between hopelessness, loneliness and the level of family health in school-age adolescents with and without suicidal ideation to deepen in the knowledge of this phenomenon from a nursing point of view and to pose promotion and prevention options in Bogotá, Colombia.
Method: This was a cross-sectional, comparative, correlational, descriptive and quantitative study. The sample was selected in the period between February and April 2009, through mixed sampling and 482 school-attending 14-17 year-old adolescents were included. Widely recognized and highly qualified psychometric tools were used to measure the variables concerned. Univariate, bivariate and multivariate statistic analysis were used to describe the behavior of each variable, to explore the relationships and contrasts between these variables and to estimate the effect of the independent variables on the presence of suicidal thoughts. This study has followed the ethical considerations necessary for research involving human beings.
Results: 20% of the sample used reported the presence of suicidal thoughts or desires. All variables studied influence the presence of suicidal thoughts except age, socioeconomic strata, borough and type of school. However, with the use of logistic regression methods, the variables that best express the presence of suicidal thoughts are: previous suicide attempt, low self-esteem, depression and belonging to an unhealthy family.
Conclusions: Data on suicidal ideation and attempts made in this study support the idea of implementing greater preventive efforts within families and schools. Identifying adolescents at risk of suicide or mental health disorders, and build effective prevention and treatment programs is a priority.

Sun F, Long A, Boore J, Tsao Ll. A theory for the nursing careof patients at risk suicide. J Adv Nurs. 2006; 53: 680-90.2.Beck A, Steer R. Beck hopelessness scale: Manual. ThePsychological Corporation. San Antonio: Harcourt Brace &Co; 1993.3.Rueter M, Holm K, McGeorge C, Conger R. Adolescentsuicidal ideation subgroups and their association with suicidalplans and attempts in young adulthood. Suicide Life-ThreatBehav. 2008; 38: 564-75.4.González J, Reyes A, Álvarez C, Rodríguez A. Ideación,intento y suicidio en Bogotá. Un estado de Arte 2000-2002.En: Colombia 2002. Bogotá: Secretaría de Gobierno-AlcaldíaMayor de Bogotá; 2002.5.Wild L, Flisher A, Lombard C. Suicidal ideation and attemptsin adolescents: association with depression and six domains ofself-esteem. J Adolesc. 2004; 27: 611-24.6.Sun R, Hui E. Psychosocial factors contributing to adolescentsuicidal ideation. J Youth Adolesc. 2007; 36: 775-86.7.Perkins D, Hartless G. An ecological risk-factor examinationof suicide ideation and behaviour of adolescents. J AdolescRes. 2002; 17: 3-26.8.Prinstein M, Nock M, Simon V, Aikins J, Cheah C, Spirito A.Longitudinal trajectories and predictors of adolescent suicidalideation and attempts following in-patient hospitalization. JConsult Clin Psychol. 2008; 76: 92-103.9.Anderson M, Jenkins R. The national suicide preventionstrategy for England: the reality of a national strategy for thenursing profession. J Psychiatr Ment Health Nurs. 2006; 13:641-60.10. Kessler R, Berglund P, Borges G, Nock M, Wang P. Trends insuicide ideation, plans, gestures, and attempts in the UnitedStates, 1990-1992 to 2001-2003. JAMA. 2005; 293: 2487-95.11. Daniel S, Goldston D. Interventions for suicidal youth: areview of the literature and development considerations. Sui-cide Life-Threat Behav. 2009; 39: 252-67.12. Kessler R, Borges G, Walters E. Prevalence of and risk factorsfor lifetime suicide attempts in the National Co morbiditySurvey. Arch Gen Psychiatry. 1999; 56: 617-26.13. Thompson E, Eggert L, Randell B, Pike K. Evaluation ofindicated suicide risk prevention approaches for potentialhigh school dropouts. Am J Public Health. 2001; 91: 742-52.14. Taborda L, Téllez J. Suicidio en cifras. En: Té ll ez J, F o rero J .Suicidio: neurolobiología, factores de riesgo y prevención.Bogotá: Nuevo Milenio Editores; 2006. p. 24-41.15. Reinherz H, Tanner J, Berger S, Beardslee W, Fitzmaurice G.Adolescent suicide ideation as predictive of psychopathology,suicidal behavior, and compromised functioning at age 30. AmJ Psychiatr. 2006; 163: 1226-32.16. Chang H, Lin M, Lin K. The mediating and moderating rolesof the cognitive triad on adolescent suicidal ideation. NursRes. 2007; 56: 252-59.17. Wichstrom L. Predictors of adolescent suicide attempts: Anationally representative longitudinal study of Norwegianadolescent. J Am Acad Child Adolescent Psychiatr. 2000; 39:603-10.18. Mann J, Currier D. Prevention of suicide. Psychiatr Ann.2007; 37: 331-39.19. Wu P, Hoven C, Liu X, Cohen P, Fuller C, Shaffer D.Substance use, suicidal ideation and attempts in children andadolescents. Suicide Life-Threat Behav. 2004; 34: 408-20.20. Heinrich L, Gullone E. The clinical significance of loneliness:a literature review. Clin Psychol Rev. 2006; 26: 695-718.21. MacLeod A, Tata P, Tyrer P, Schmidt U, Davidson K,Thompson S. Hopelessness and positive and negative futurethinking in par suicide. Br J Clin Psychol 2005; 44: 495-504.22. Shochet I, Dadds M, Holland D, Whitefield K, Harnett P,Osgarby S. The efficacy of a Universal School-Based Programto prevent adolescent depression. J Clin Child Psychol. 2001;30: 303-15.23. Bearman P, Moody J. Suicide and friendships among Americanadolescents. Am J Public Health. 2004; 94: 89-95.24. Walsh E, Eggert L. Suicide risk and protective factors amongyouth experiencing school difficulties. Int J Ment HealthNurs. 2007; 16: 349-59.25. Chioqueta, A, Stiles, T. Psychometric properties of the BeckScale for Suicide Ideation: A Norwegian study with universitystudents. Nord J Psychiatr. 2006; 60: 400-04.26. Evans E, Hawton K, Rodham K, Deeks J. The prevalence ofsuicidal phenomena in adolescents: A systematic review ofpopulation-based studies. Suicide Life-Threat Behav. 2005;35: 239-50.27. De Zubiria M. Cómo prevenir la soledad, la depresión y elsuicidio en niños y jóvenes: Un manual para que sus hijosvivan mejor. Bogotá: Aguilar; 2007.

Carvajal, G., & Caro, C. V. (2024). Suicidal ideation in adolescence: an explanation from three of its associated variables in Bogotá, 2009. Colombia Medica, 42(2.supl.1), 45–56. https://doi.org/10.25100/cm.v42i2supl1.819 (Original work published July 26, 2011)

Downloads

Download data is not yet available.