Asociación entre el consumo de Cannabis y el riesgo de suicidio en adolescentes escolarizados de Santa Marta, Colombia

Introducción. La prevalencia del consumo de Cannabis sigue en aumento en el mundo, especialmente, entre adolescentes. Dicho consumo se sobrepone al de cigarrillos y otras sustancias lícitas e ilícitas, y se ha asociado con síntomas depresivos e incremento del riesgo suicida. En el contexto colombian...

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Autores:
Campo Arias, Adalberto
Caballero Dominguez, Carmen Cecilia
Suárez Colorado, Yuly Paola
Tipo de recurso:
Article of journal
Fecha de publicación:
2020
Institución:
Universidad Cooperativa de Colombia
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Repositorio UCC
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oai:repository.ucc.edu.co:20.500.12494/33209
Acceso en línea:
https://doi.org/10.7705/biomedica.4988
https://hdl.handle.net/20.500.12494/33209
Palabra clave:
Fumar marihuana
Suicidio
Adolescente
Estudiantes
Salud pública
Estudios transversales
Marijuana smoking
Suicide;
Adolescent
Students
Public health
Cross-sectional studies
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License
Atribución – No comercial – Sin Derivar
id COOPER2_01c46feaec3b963aa62eb8419baa7631
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network_acronym_str COOPER2
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repository_id_str
dc.title.spa.fl_str_mv Asociación entre el consumo de Cannabis y el riesgo de suicidio en adolescentes escolarizados de Santa Marta, Colombia
title Asociación entre el consumo de Cannabis y el riesgo de suicidio en adolescentes escolarizados de Santa Marta, Colombia
spellingShingle Asociación entre el consumo de Cannabis y el riesgo de suicidio en adolescentes escolarizados de Santa Marta, Colombia
Fumar marihuana
Suicidio
Adolescente
Estudiantes
Salud pública
Estudios transversales
Marijuana smoking
Suicide;
Adolescent
Students
Public health
Cross-sectional studies
title_short Asociación entre el consumo de Cannabis y el riesgo de suicidio en adolescentes escolarizados de Santa Marta, Colombia
title_full Asociación entre el consumo de Cannabis y el riesgo de suicidio en adolescentes escolarizados de Santa Marta, Colombia
title_fullStr Asociación entre el consumo de Cannabis y el riesgo de suicidio en adolescentes escolarizados de Santa Marta, Colombia
title_full_unstemmed Asociación entre el consumo de Cannabis y el riesgo de suicidio en adolescentes escolarizados de Santa Marta, Colombia
title_sort Asociación entre el consumo de Cannabis y el riesgo de suicidio en adolescentes escolarizados de Santa Marta, Colombia
dc.creator.fl_str_mv Campo Arias, Adalberto
Caballero Dominguez, Carmen Cecilia
Suárez Colorado, Yuly Paola
dc.contributor.author.none.fl_str_mv Campo Arias, Adalberto
Caballero Dominguez, Carmen Cecilia
Suárez Colorado, Yuly Paola
dc.subject.spa.fl_str_mv Fumar marihuana
Suicidio
Adolescente
Estudiantes
Salud pública
Estudios transversales
topic Fumar marihuana
Suicidio
Adolescente
Estudiantes
Salud pública
Estudios transversales
Marijuana smoking
Suicide;
Adolescent
Students
Public health
Cross-sectional studies
dc.subject.other.spa.fl_str_mv Marijuana smoking
Suicide;
Adolescent
Students
Public health
Cross-sectional studies
description Introducción. La prevalencia del consumo de Cannabis sigue en aumento en el mundo, especialmente, entre adolescentes. Dicho consumo se sobrepone al de cigarrillos y otras sustancias lícitas e ilícitas, y se ha asociado con síntomas depresivos e incremento del riesgo suicida. En el contexto colombiano poco se conoce sobre la relación entre el consumo de Cannabis y el riesgo de suicidio. Objetivo. Evaluar la asociación entre el consumo de Cannabis y el riesgo suicida en adolescentes escolarizados de Santa Marta, Colombia. Materiales y métodos. Se hizo un estudio transversal con una muestra probabilística de estudiantes de media vocacional entre los 13 y los 17 años de edad en colegios oficiales y privados. Se indagó sobre el consumo de Cannabis alguna vez en la vida y se cuantificó el riesgo suicida con la Center for Epidemiologic Studies on Depression Scale. Las puntuaciones superiores a ocho se categorizaron como riesgo suicida elevado. Se estimó la razón de oportunidad (OR) cruda y la ajustada. Resultados. Participaron 1.462 estudiantes. La media para la edad fue de 14,4 años (desviación estándar, DE=0,8) y el 60,3 % correspondía a mujeres. La prevalencia del consumo de Cannabis alguna vez en la vida fue del 11,6 % (IC95% 10,0-13,2) y el 13,3 % (IC95% 11,6-15,0) de los estudiantes presentó riesgo suicida elevado. El consumo de Cannabis se asoció con dicho riesgo ajustado por otras variables (OR=1,88; IC95% 1,23-2,88). Conclusiones. El consumo de Cannabis se asoció con el riesgo suicida elevado en adolescentes escolarizados de Santa Marta, Colombia. Es necesario analizar otras variables que pueden mediar esta asociación.
publishDate 2020
dc.date.issued.none.fl_str_mv 2020-06
dc.date.accessioned.none.fl_str_mv 2021-02-05T20:30:38Z
dc.date.available.none.fl_str_mv 2021-02-05T20:30:38Z
dc.type.none.fl_str_mv Artículo
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dc.identifier.uri.spa.fl_str_mv https://doi.org/10.7705/biomedica.4988
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dc.identifier.bibliographicCitation.spa.fl_str_mv Campo-Arias A, Suárez-Colorado YP, CaballeroDomínguez CC. Asociación entre el consumo de Cannabis y el riesgo de suicidio en adolescentes escolarizados de Santa Marta, Colombia. Biomédica. 2020;40:569-77. https://doi.org/10.7705/biomedica.4988
identifier_str_mv 2590-7379
Campo-Arias A, Suárez-Colorado YP, CaballeroDomínguez CC. Asociación entre el consumo de Cannabis y el riesgo de suicidio en adolescentes escolarizados de Santa Marta, Colombia. Biomédica. 2020;40:569-77. https://doi.org/10.7705/biomedica.4988
url https://doi.org/10.7705/biomedica.4988
https://hdl.handle.net/20.500.12494/33209
dc.relation.isversionof.spa.fl_str_mv http://www.scielo.org.co/pdf/bio/v40n3/2590-7379-bio-40-03-569.pdf
dc.relation.ispartofjournal.spa.fl_str_mv Revista Biomédia
dc.relation.references.spa.fl_str_mv United National Office on Drugs and Crime. World Drug Report 2017. Vienna: United Nations; 2017
Martínez-Torres J, Rangel-Navia H, Rivera-Capacho E. Prevalencia de vida y factores asociados al consumo de marihuana en estudiantes escolarizados de Pamplona-Colombia, durante el primer período de 2015: estudio Emtamplona. Rev Med Chile. 2018;146:1016-23. https://doi.org/10.4067/s0034-98872018000901016
Guxensa M, Nebot M, Ariza C, Ochoa D. Factors associated with the onset of Cannabis use: A systematic review of cohort studies. Gac Sanit. 2007;21:252-60. https://doi.org/10.1157/13106811
Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Krishna Bose, et al. Global patterns of mortality in young people: A systematic analysis of population health data. Lancet. 2009;374:881-92. https://doi.org/10.1016/S0140-6736(09)60741-8
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Carvalho AF, Stubbs B, Vancampfort D, Kloiber S, Maes M, Firth J, et al. Cannabis use and suicide attempts among 86,254 adolescents aged 12-15 years from 21 low-and middleincome countries. Eur Psychiatry. 2019;56:8-13. https://doi.org/10.1016/j.eurpsy.2018.10.006
Chabrol H, Melioli T, Goutaudier N. Cannabis use and suicidal ideations in high-school students. Addict Behav. 2014;39:1766-8. https://doi.org/10.1016/j.addbeh.2014.06.008
Borges G, Bagge CL, Orozco R. A literature review and meta-analyses of Cannabis use and suicidality. J Affect Disord. 2016;195:63-74. https://doi.org/10.1016/j.jad.2016.02.007
Gobbi G, Atkin T, Zytynski T, Wang S, Askari S, Boruff J, et al. Association of Cannabis use in adolescence and risk of depression, anxiety, and suicidality in young adulthood: A systematic review and meta-analysis. JAMA Psychiatry. 2019;76:426-34. https://doi.org/10.1001/jamapsychiatry.2018.4500
Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47:372-94. https://doi.org/10.1111/j.1469-7610.2006.01615.x
van Ours JC, Williams J. Cannabis use and mental health problems. J Appl Econometric. 2011;26:1137-56. https://doi.org/10.1002/jae.1182
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van Ours JC, Williams J, Fergusson D, Horwood LJ. Cannabis use and suicidal ideation. J Health Econ. 2013;32:524-37. https://doi.org/10.1016/j.jhealeco.2013.02.002
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Zarrouq B, Bendaou B, Elkinany S, Rammouz I, Aalouane R, Lyoussi B, et al. Suicidal behaviors among Moroccan school students: Prevalence and association with sociodemographic characteristics and psychoactive substances use: A cross-sectional study. BMC Psychiatry. 2015;15:284. https://doi.org/10.1186/s12888-015-0680-x
Guvendeger N, Zahmacioglu O, Ciftci A, Kocaman GM, Erdogan A. Association of suicide attempts and non-suicidal self-injury behaviors with substance use and family characteristics among children and adolescents seeking treatment for substance use disorder. Subst Use Misuse. 2017;52:604-13. https://doi.org/10.1080/10826084.2016.1245745
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Hoch E, Bonnet U, Thomasius R, Ganzer F, Havemann-Reinecke U, Preuss UW. Risks associated with the non-medicinal use of Cannabis. Deutsch Ärzteblatt Int. 2015;112:271-8. https://doi.org/10.3238/arztebl.2015.0271
Clarke MC, Coughlan H, Harley M, Connor D, Power E, Lynch F, et al. The impact of adolescent Cannabis use, mood disorder and lack of education on attempted suicide in young adulthood. World Psychiatry. 2014;13:322-3. https://doi.org/10.1002/wps.20170
Silins E, Horwood LJ, Patton GC, Fergusson DM, Olsson CA, Hutchinson DM, et al. Young adult sequelae of adolescent Cannabis use: An integrative analysis. Lancet Psychiatry. 2014;1:286-93. https://doi.org/10.1016/S2215-0366(14)70307-4
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dc.format.extent.spa.fl_str_mv 9
dc.coverage.temporal.spa.fl_str_mv Vol 40 No 3
dc.publisher.spa.fl_str_mv Instituto Nacional de Salud
Universidad Cooperativa de Colombia, Facultad de Ciencias Sociales, Programa de Psicología, Santa Marta, Colombia,
dc.publisher.program.spa.fl_str_mv Psicología
dc.publisher.place.spa.fl_str_mv Santa Marta
institution Universidad Cooperativa de Colombia
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spelling Campo Arias, AdalbertoCaballero Dominguez, Carmen CeciliaSuárez Colorado, Yuly Paola Vol 40 No 32021-02-05T20:30:38Z2021-02-05T20:30:38Z2020-062590-7379https://doi.org/10.7705/biomedica.4988https://hdl.handle.net/20.500.12494/33209Campo-Arias A, Suárez-Colorado YP, CaballeroDomínguez CC. Asociación entre el consumo de Cannabis y el riesgo de suicidio en adolescentes escolarizados de Santa Marta, Colombia. Biomédica. 2020;40:569-77. https://doi.org/10.7705/biomedica.4988Introducción. La prevalencia del consumo de Cannabis sigue en aumento en el mundo, especialmente, entre adolescentes. Dicho consumo se sobrepone al de cigarrillos y otras sustancias lícitas e ilícitas, y se ha asociado con síntomas depresivos e incremento del riesgo suicida. En el contexto colombiano poco se conoce sobre la relación entre el consumo de Cannabis y el riesgo de suicidio. Objetivo. Evaluar la asociación entre el consumo de Cannabis y el riesgo suicida en adolescentes escolarizados de Santa Marta, Colombia. Materiales y métodos. Se hizo un estudio transversal con una muestra probabilística de estudiantes de media vocacional entre los 13 y los 17 años de edad en colegios oficiales y privados. Se indagó sobre el consumo de Cannabis alguna vez en la vida y se cuantificó el riesgo suicida con la Center for Epidemiologic Studies on Depression Scale. Las puntuaciones superiores a ocho se categorizaron como riesgo suicida elevado. Se estimó la razón de oportunidad (OR) cruda y la ajustada. Resultados. Participaron 1.462 estudiantes. La media para la edad fue de 14,4 años (desviación estándar, DE=0,8) y el 60,3 % correspondía a mujeres. La prevalencia del consumo de Cannabis alguna vez en la vida fue del 11,6 % (IC95% 10,0-13,2) y el 13,3 % (IC95% 11,6-15,0) de los estudiantes presentó riesgo suicida elevado. El consumo de Cannabis se asoció con dicho riesgo ajustado por otras variables (OR=1,88; IC95% 1,23-2,88). Conclusiones. El consumo de Cannabis se asoció con el riesgo suicida elevado en adolescentes escolarizados de Santa Marta, Colombia. Es necesario analizar otras variables que pueden mediar esta asociación.Introduction: The use of Cannabis continues to increase worldwide, especially among adolescents. This use overlaps with cigarette smoking and other illicit and licit drugs and is associated with depressive symptoms and suicide risk. In our national context, little is known about the relationship between Cannabis use and suicide risk. Objective: To evaluate the association between Cannabis use and elevated suicide risk in high school adolescents in Santa Marta, Colombia. Materials and methods: We conducted a cross-sectional study with a probabilistic sample of high school students between 13 and 17 years of age from official and private schools. We analyzed the use of Cannabis some time in life and suicide risk was quantified using the suicide ideation scale designed by the Center for Epidemiological Studies on Depression. Scores greater than eight were categorized as a high suicide risk. The crude and adjusted opportunity ratio (OR) was estimated. Results: A total of 1,462 students participated. Their mean age was 14.4 years (SD=0.8) and 60.3% were women. The lifetime prevalence of Cannabis use was 11.6% (95%CI: 10.013.2) and 13.3% of the students reported high suicide risk (95%CI: 11.6-15.0). Cannabis consumption was associated with high suicide risk adjusted by other variables (OR=1.88; 95%CI: 1.23-2.88). Conclusions: Cannabis use was associated with high suicide risk in high school adolescents in Santa Marta, Colombia. Other variables should be studied in order to further examine this association.https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001404153https://orcid.org/0000-0001-7715acampo@unimagdalena.edu.coccaballero@unimagdalena.edu.coyuli.suarezcol@campusucc.edu.cohttps://scholar.google.es/citations?user=mRUw4xIAAAAJ&hl=es&oi=ao9Instituto Nacional de SaludUniversidad Cooperativa de Colombia, Facultad de Ciencias Sociales, Programa de Psicología, Santa Marta, Colombia,PsicologíaSanta Martahttp://www.scielo.org.co/pdf/bio/v40n3/2590-7379-bio-40-03-569.pdfRevista BiomédiaUnited National Office on Drugs and Crime. World Drug Report 2017. Vienna: United Nations; 2017Martínez-Torres J, Rangel-Navia H, Rivera-Capacho E. Prevalencia de vida y factores asociados al consumo de marihuana en estudiantes escolarizados de Pamplona-Colombia, durante el primer período de 2015: estudio Emtamplona. Rev Med Chile. 2018;146:1016-23. https://doi.org/10.4067/s0034-98872018000901016Guxensa M, Nebot M, Ariza C, Ochoa D. Factors associated with the onset of Cannabis use: A systematic review of cohort studies. Gac Sanit. 2007;21:252-60. https://doi.org/10.1157/13106811Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Krishna Bose, et al. Global patterns of mortality in young people: A systematic analysis of population health data. Lancet. 2009;374:881-92. https://doi.org/10.1016/S0140-6736(09)60741-8Ministerio de Salud. Encuesta Nacional de Salud Mental 2015. Bogotá: Minsalud; 2015.Hawton K, Saunders KEA, O’Connor RC. Self-harm and suicide in adolescents. Lancet. 2012;379:2373-82. https://doi.org/10.1016/S0140-6736(12)60322-5Carvalho AF, Stubbs B, Vancampfort D, Kloiber S, Maes M, Firth J, et al. Cannabis use and suicide attempts among 86,254 adolescents aged 12-15 years from 21 low-and middleincome countries. Eur Psychiatry. 2019;56:8-13. https://doi.org/10.1016/j.eurpsy.2018.10.006Chabrol H, Melioli T, Goutaudier N. Cannabis use and suicidal ideations in high-school students. Addict Behav. 2014;39:1766-8. https://doi.org/10.1016/j.addbeh.2014.06.008Borges G, Bagge CL, Orozco R. A literature review and meta-analyses of Cannabis use and suicidality. J Affect Disord. 2016;195:63-74. https://doi.org/10.1016/j.jad.2016.02.007Gobbi G, Atkin T, Zytynski T, Wang S, Askari S, Boruff J, et al. Association of Cannabis use in adolescence and risk of depression, anxiety, and suicidality in young adulthood: A systematic review and meta-analysis. JAMA Psychiatry. 2019;76:426-34. https://doi.org/10.1001/jamapsychiatry.2018.4500Bridge JA, Goldstein TR, Brent DA. Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry. 2006;47:372-94. https://doi.org/10.1111/j.1469-7610.2006.01615.xvan Ours JC, Williams J. Cannabis use and mental health problems. 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The relationship between suicidal thoughts and psychoactive substances. Bosn J Basic Med Sci. 2005;5:35-8. https://doi.org/10.17305/bjbms.2005.3268Spears M, Montgomery AA, Gunnell D, Araya R. Factors associated with the development of self-harm amongst a socio-economically deprived cohort of adolescents in Santiago, Chile. Soc Psychiatry Psychiatr Epidemiol. 2014;49:629-37. https://doi.org/10.1007/s00127-013-0767-yZarrouq B, Bendaou B, Elkinany S, Rammouz I, Aalouane R, Lyoussi B, et al. Suicidal behaviors among Moroccan school students: Prevalence and association with sociodemographic characteristics and psychoactive substances use: A cross-sectional study. BMC Psychiatry. 2015;15:284. https://doi.org/10.1186/s12888-015-0680-xGuvendeger N, Zahmacioglu O, Ciftci A, Kocaman GM, Erdogan A. Association of suicide attempts and non-suicidal self-injury behaviors with substance use and family characteristics among children and adolescents seeking treatment for substance use disorder. 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Substance use and suicidal ideation and behaviour in lowand middle-income countries: A systematic review. BMC Public Health. 2018;18:549. https://doi.org/10.1186/s12889-018-5425-6Höfler M. The Bradford Hill considerations on causality: A counterfactual perspective. 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