Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication
Objective To analyze the relationship between suicidal ideation and the concerns or affectations perceived at the family, economic and health levels during the first year of the COVID-19 pandemic in Colombia, and the mediating role of family communication. Method Participants were obtained through c...
- Autores:
-
Garcés-Prettel, Miguel
Geney-Castro, Elías
Gutiérrez-Ruiz, Karol
Santoya-Montes, Yanin
- Tipo de recurso:
- Fecha de publicación:
- 2023
- Institución:
- Universidad Tecnológica de Bolívar
- Repositorio:
- Repositorio Institucional UTB
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.utb.edu.co:20.500.12585/12125
- Acceso en línea:
- https://hdl.handle.net/20.500.12585/12125
- Palabra clave:
- Suicidal ideation
Suicide
Mental health
COVID-19
Family relationships
Communication (source: MeSH, NLM)
Ideación suicida
Suicidio
Expresión de preocupación
Relaciones familiares
comunicación (fuente: DeCS, BIEREME)
- Rights
- openAccess
- License
- http://creativecommons.org/licenses/by-nc-nd/4.0/
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Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication |
| dc.title.alternative.spa.fl_str_mv |
Riesgo suicida y crisis sufridas en el contexto del COVID-19, mediadas por la comunicación familiar |
| title |
Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication |
| spellingShingle |
Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication Suicidal ideation Suicide Mental health COVID-19 Family relationships Communication (source: MeSH, NLM) Ideación suicida Suicidio Expresión de preocupación Relaciones familiares comunicación (fuente: DeCS, BIEREME) |
| title_short |
Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication |
| title_full |
Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication |
| title_fullStr |
Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication |
| title_full_unstemmed |
Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication |
| title_sort |
Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication |
| dc.creator.fl_str_mv |
Garcés-Prettel, Miguel Geney-Castro, Elías Gutiérrez-Ruiz, Karol Santoya-Montes, Yanin |
| dc.contributor.author.none.fl_str_mv |
Garcés-Prettel, Miguel Geney-Castro, Elías Gutiérrez-Ruiz, Karol Santoya-Montes, Yanin |
| dc.subject.keywords.spa.fl_str_mv |
Suicidal ideation Suicide Mental health COVID-19 Family relationships Communication (source: MeSH, NLM) Ideación suicida Suicidio Expresión de preocupación Relaciones familiares comunicación (fuente: DeCS, BIEREME) |
| topic |
Suicidal ideation Suicide Mental health COVID-19 Family relationships Communication (source: MeSH, NLM) Ideación suicida Suicidio Expresión de preocupación Relaciones familiares comunicación (fuente: DeCS, BIEREME) |
| description |
Objective To analyze the relationship between suicidal ideation and the concerns or affectations perceived at the family, economic and health levels during the first year of the COVID-19 pandemic in Colombia, and the mediating role of family communication. Method Participants were obtained through cluster sampling and quotas, resulting in 660 Colombians (Z=1.96; variance=0.25; error=3.9%), who answered a questionnaire consisting of three reliable scales between November 1 and 30, 2020, after providing informed consent. Binary logistic regression was used to evaluate the concerns or affectations that most influenced suicidal ideation during this period. Results Thirty-five percent of the Colombian participants presented a high level of suicidal ideation. The concerns or affectations that most strongly explain this level come from the realm of health and intrafamily relationships. The effect of health concerns or affectations on suicidal ideation decreases by up to 32.4% when family communication is open. Likewise, when this type of positive communication is present, the effect of the concerns or affectations perceived in the family, such as breakdowns, distancing, and crisis of coexistence, on suicidal ideation decrease between 29.1% and 70.1%. Conclusion Open family communication is a protective factor for mental health in crisis contexts because it can contribute to preventing suicide and alleviate to the concerns or affectations generated by COVID-19. Therefore, it is necessary to strengthen mental health programs through a communicative approach aimed at promoting assertive family dialog to achieve greater attention and openness to talk about concerns and affectations suffered |
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2023 |
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2023-07-18T19:23:21Z |
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2023-07-18T19:23:21Z |
| dc.date.issued.none.fl_str_mv |
2023-01-23 |
| dc.date.submitted.none.fl_str_mv |
2023-07 |
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http://purl.org/coar/version/c_b1a7d7d4d402bcce |
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http://purl.org/coar/resource_type/c_6501 |
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Garcés-Prettel, M., Geney Castro, E., Gutiérrez Ruiz, K. y Santoya Montes, Y. (2023). Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication. Revista de Salud Pública, 25(2), 1–7. https://doi.org/10.15446/rsap.v25n2.105378 |
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https://hdl.handle.net/20.500.12585/12125 |
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10.15446/rsap.v25n2.105378 |
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Universidad Tecnológica de Bolívar |
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Repositorio Universidad Tecnológica de Bolívar |
| identifier_str_mv |
Garcés-Prettel, M., Geney Castro, E., Gutiérrez Ruiz, K. y Santoya Montes, Y. (2023). Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication. Revista de Salud Pública, 25(2), 1–7. https://doi.org/10.15446/rsap.v25n2.105378 10.15446/rsap.v25n2.105378 Universidad Tecnológica de Bolívar Repositorio Universidad Tecnológica de Bolívar |
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https://hdl.handle.net/20.500.12585/12125 |
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eng |
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info:eu-repo/semantics/openAccess |
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Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
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7 páginas |
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Revista de Salud Pública - Vol. 25 No. 2 (2023) |
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Garcés-Prettel, Miguelc69d076e-f450-42a5-98f8-9c96a3d4fdf3Geney-Castro, Elías2db1b743-6171-49d3-8fc4-5ee6c8fd7b36Gutiérrez-Ruiz, Karold3f50412-ff11-44ae-8e80-d0760d310e32Santoya-Montes, Yanindc3034fa-2b08-4454-a1d5-5eba0b9c5faa2023-07-18T19:23:21Z2023-07-18T19:23:21Z2023-01-232023-07Garcés-Prettel, M., Geney Castro, E., Gutiérrez Ruiz, K. y Santoya Montes, Y. (2023). Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communication. Revista de Salud Pública, 25(2), 1–7. https://doi.org/10.15446/rsap.v25n2.105378https://hdl.handle.net/20.500.12585/1212510.15446/rsap.v25n2.105378Universidad Tecnológica de BolívarRepositorio Universidad Tecnológica de BolívarObjective To analyze the relationship between suicidal ideation and the concerns or affectations perceived at the family, economic and health levels during the first year of the COVID-19 pandemic in Colombia, and the mediating role of family communication. Method Participants were obtained through cluster sampling and quotas, resulting in 660 Colombians (Z=1.96; variance=0.25; error=3.9%), who answered a questionnaire consisting of three reliable scales between November 1 and 30, 2020, after providing informed consent. Binary logistic regression was used to evaluate the concerns or affectations that most influenced suicidal ideation during this period. Results Thirty-five percent of the Colombian participants presented a high level of suicidal ideation. The concerns or affectations that most strongly explain this level come from the realm of health and intrafamily relationships. The effect of health concerns or affectations on suicidal ideation decreases by up to 32.4% when family communication is open. Likewise, when this type of positive communication is present, the effect of the concerns or affectations perceived in the family, such as breakdowns, distancing, and crisis of coexistence, on suicidal ideation decrease between 29.1% and 70.1%. Conclusion Open family communication is a protective factor for mental health in crisis contexts because it can contribute to preventing suicide and alleviate to the concerns or affectations generated by COVID-19. Therefore, it is necessary to strengthen mental health programs through a communicative approach aimed at promoting assertive family dialog to achieve greater attention and openness to talk about concerns and affectations sufferedAnalizar la relación entre la ideación suicida y las preocupaciones o afectaciones percibidas a nivel familiar, económico y de salud durante el primer año de la pandemia por COVID-19 en Colombia y el rol mediador de la comunicación familiar. Método Los participantes se obtuvieron mediante muestreo por conglomerados y cuotas, de lo cual resultaron 660 colombianos (Z=1.96; varianza=0.25; error=3.9%) que respondieron a tres escalas confiables aplicadas en noviembre de 2020, previo consentimiento informado. Se utilizó regresión logística binaria para evaluar las preocupaciones o afectaciones que más influyeron en la ideación suicida en este período. Resultados El 35% de los participantes presentó un nivel alto de ideación suicida. Las preocupaciones o afectaciones que más explican este nivel provienen del ámbito de la salud y las relaciones intrafamiliares. El efecto de las preocupaciones o afectaciones de salud sobre la ideación suicida disminuye hasta en un 32.4% cuando la comunicación familiar es abierta. Cuando está presente este tipo de comunicación positiva, el efecto de las preocupaciones o afectaciones percibidas en la familia, como rupturas, distanciamiento y crisis de convivencia, sobre la ideación suicida disminuye entre un 29.1% y un 70.1%. Conclusión La comunicación familiar abierta es un factor protector para la salud mental en contextos de crisis sanitaria porque puede contribuir a prevenir el suicidio. Por ello, es necesario fortalecer los programas de salud mental a través de un enfoque comunicativo encaminado a promover el diálogo familiar asertivo para lograr una mayor atención y apertura para hablar de las preocupaciones y afectaciones sufridas7 páginasPdfapplication/pdfenghttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://purl.org/coar/access_right/c_abf2Revista de Salud Pública - Vol. 25 No. 2 (2023)Suicide risk and crises suffered in the context of COVID-19, mediated by interpersonal family communicationRiesgo suicida y crisis sufridas en el contexto del COVID-19, mediadas por la comunicación familiarinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/drafthttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/version/c_b1a7d7d4d402bccehttp://purl.org/coar/resource_type/c_2df8fbb1Suicidal ideationSuicideMental healthCOVID-19Family relationshipsCommunication (source: MeSH, NLM)Ideación suicidaSuicidioExpresión de preocupaciónRelaciones familiarescomunicación (fuente: DeCS, BIEREME)Cartagena de IndiasTorales J, O’Higgins M, Castaldelli-Maia JM, Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health. Int J Soc Psychiatry [Internet]. 2020; 66(4):317–320. Available from: http://dx.doi.org/10.1177/0020764020915212Scholten H, Quezada-Scholz VE, Salas G, Barria-Asenjo NA, Molina R, García JE, et al. Abordaje psicológico del COVID-19: una revisión narrativa de la experiencia latinoamericana. Interam J Psychol [Internet]. 2020; 54(1):e1287. Available from: http://dx.doi.org/10.30849/ripijp.v54i1.1287Ozamiz-Etxebarria N, Dosil-Santamaria M, Picaza-Gorrochategui M, Idoiaga-Mondragon N. Niveles de estrés, ansiedad y depresión en la primera fase del brote del COVID-19 en una muestra recogida en el norte de España. Cad Saude Publica [Internet]. 2020; 36(4). Available from: http://dx.doi.org/10.1590/0102-311x00054020.Cénat JM, Blais-Rochette C, Kokou-Kpolou CK, Noorishad P-G, Mukunzi JN, McIntee S-E, et al. Prevalence of symptoms of depression, anxiety, insomnia, posttraumatic stress disorder, and psychological distress among populations affected by the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Res [Internet]. 2021; 295(113599):113599. Available from: http://dx.doi.org/10.1016/j.psychres.2020.113599.Pan American Health Organization (paho). La pandemia por covid-19 provoca un aumento del 25 % en la prevalencia de la ansiedad y la depresión en todo el mundo [Internet]. paho. 2022 [cited 2022 Mar 30]. Available from: https://shorturl.at/ouW27.Brülhart M, Klotzbücher V, Lalive R, Reich SK. Mental health concerns during the COVID-19 pandemic as revealed by helpline calls. Nature [Internet]. 2021; 600(7887):121–126. Available from: http://dx.doi.org/10.1038/s41586-021-04099-6.Kämpfen F, Kohler IV, Ciancio A, Bruine de Bruin W, Maurer J, Kohler H-P. Predictors of mental health during the COVID-19 pandemic in the US: Role of economic concerns, health worries and social distancing. PLoS One [Internet]. 2020; 15(11):e0241895. Available from: http://dx.doi.org/10.1371/journal.pone.0241895.Hao F, Tan W, Jiang L, Zhang L, Zhao X, Zou Y, et al. Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain Behav Immun [Internet]. 2020; 87:100–106. Available from: http://dx.doi.org/10.1016/j.bbi.2020.04.069.Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to Coronavirus disease 2019. JAMA Netw Open [Internet]. 2020; 3(3):e203976. Available from: http://dx.doi.org/10.1001/jamanetworkopen.2020.3976.Gunnell D, Appleby L, Arensman E, Hawton K, John A, Kapur N, et al. Suicide risk and prevention during the COVID-19 pandemic. Lancet Psychiatry [Internet]. 2020; 7(6):468–471. Available from: http://dx.doi.org/10.1016/S2215-0366(20)30171-1.Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res [Internet]. 2020; 288(112954):112954. Available from: http://dx.doi.org/10.1016/j.psychres.2020.112954. Sher L. The impact of the COVID-19 pandemic on suicide rates. QJM [Internet]. 2020; 113(10):707–712. Available from: http://dx.doi.org/10.1093/qjmed/hcaa202.Pan American Health Organization (paho). Prevención del suicidio [Internet]. paho. 2021 [cited 2022 July 21]. Available from: https://shorturl.at/hlsS9.World Health Organization (WHO). Suicide worldwide in 2019: Global Health Estimates. Ginebra: Editorial WHO; 2021.. Pan American Health Organization (paho). La ops insta a priorizar la prevención del suicidio tras 18 meses de pandemia por covid-19. paho. 2021 [cited 2022 July 30]. Available from: https://shorturl.at/wFGU8Allen J, Wexler L, Rasmus S. Protective factors as a unifying framework for strength-based intervention and culturally responsive American Indian and Alaska Native suicide prevention. Prev Sci [Internet]. 2022; 23(1):59–72. Available from: http://dx.doi.org/10.1007/s11121-021-01265-0Berryhill MB, Harless C, Kean P. College student cohesive-flexible family functioning and mental health: Examining gender differences and the mediation effects of positive family communication and self-compassion. Fam J Alex Va [Internet]. 2018; 26(4):422–432. Available from: http://dx.doi.org/10.1177/1066480718807411.Beiter R, Nash R, McCrady M, Rhoades D, Linscomb M, Clarahan M, et al. The prevalence and correlates of depression, anxiety, and stress in a sample of college students. J Affect Disord [Internet]. 2015; 173:90–96. Available from: http://dx.doi.org/10.1016/j.jad.2014.10.054.Zarnaghash M, Zarnaghash M, Zarnaghash N. The relationship between family communication patterns and mental health. Procedia Soc Behav Sci [Internet]. 2013; 84:405–410. Available from: http://dx.doi.org/10.1016/j.sbspro.2013.06.575.Schrodt P, Ledbetter AM. Communication processes that mediate family communication patterns and mental well-being: A mean and covariance structures analysis of young adults from divorced and nondivorced families. Hum Commun Res [Internet]. 2007; 33(3):330–356. Available from: http://dx.doi.org/10.1111/j.1468-2958.2007.00302.x.Ruiz-Robledillo N, Ferrer-Cascales R, Albaladejo-Blázquez N, Sánchez-SanSegundo M. Family and school contexts as predictors of suicidal behavior among adolescents: The role of depression and anxiety. J Clin Med [Internet]. 2019; 8(12):2066. Available from: http://dx.doi.org/10.3390/jcm8122066.Pérez- Amezcua Berenice, Rivera-Rivera Leonor, Atienzo Erika E, Castro Filipa de, Leyva-López Ahidee, Chávez-Ayala Rubén. Prevalencia y factores asociados a la ideación e intento suicida en adolescentes de educación media superior de la República Mexicana. Salud pública Méx [Internet]. 2010 [cited 2022 July 01];52(4):324-333. Available from: https://shorturl.at/clqw9.Chaparro-Narváez P, Díaz-Jiménez D, Castañeda-Orjuela C. Tendencia de la mortalidad por suicidio en las áreas urbanas y rurales de Colombia, 1979-2014. Biomedica [Internet]. 2019; 39(2):339–353. Available from: http://dx.doi.org/10.7705/biomedica.v39i3.4427.Barnes HL, Olson DH. Parent-Adolescent Communication and the Circumplex Model. Child Dev [Internet]. 1985; 56(2):438. Available from: http://dx.doi.org/10.2307/1129732Osman A, Barrios FX, Gutierrez PM, Wrangham JJ, Kopper BA, Truelove RS, et al. The Positive and Negative Suicide Ideation (PANSI) inventory: psychometric evaluation with adolescent psychiatric inpatient samples. J Pers Assess [Internet]. 2002; 79(3):512–530. Available from: http://dx.doi.org/10.1207/S15327752JPA7903_07Garcés-Prettel M, Santoya-Montes Y, Vázquez-Miraz P, Geney-Castro E. Influencia de la comunicación familiar en el estrés percibido durante la pandemia de COVID-19. Salud Uninorte [Internet]. 2022; 37(03):569–582. Available from: http://dx.doi.org/10.14482/sun.37.3.616.981.Hayes AF. Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. 3rd ed. London: Guilford Press; 2022Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, Sarchiapone M, et al. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry [Internet]. 2016; 3(7):646–659. Available from: http://dx.doi.org/10.1016/S2215-0366(16)30030-X.Mamun MA, Griffiths MD. First COVID-19 suicide case in Bangladesh due to fear of COVID-19 and xenophobia: Possible suicide prevention strategies. Asian J Psychiatr [Internet]. 2020; 51(102073):102073. Available from: http://dx.doi.org/10.1016/j.ajp.2020.102073Soto PAH, Casate REV. Algunas especificidades en torno a la conducta suicida. Medisan [Internet]. 2015 [cited 2022 Oct 8];19(08):1051– 1058. Available from: https://shorturl.at/kmwG0Villca Villegas JL, Moreno Choque RA. Influencia de la pandemia del covid-19 en la salud mental de los trabajadores en salud: Pandemia de covid-19 y Salud Mental en trabajadores en salud. Gac médica boliv [Internet]. 2021 [cited 2022 Oct 8];44(1):75–80. Available from: https://shorturl.at/iKRW9.. Gratz KL, Tull MT, Richmond JR, Edmonds KA, Scamaldo KM, Rose JP. Thwarted belongingness and perceived burdensomeness explain the associations of COVID-19 social and economic consequences to suicide risk. Suicide Life Threat Behav [Internet]. 2020; 50(6):1140– 1148. Available from: http://dx.doi.org/10.1111/sltb.12654.Frederick S, Loewenstein G. Hedonic Adaptation. In: Kahneman D, Ed. Well-Being: Foundations of Hedonic Psychology. New York: Russell Sage Foundation; 1999. p. 302–329.Berkman L.F, Glass T. Social integration, social networks, social support and health. In: Berkman, L.F, Kawachi, D, Eds. Social Epidemiology. New York: Oxford University Press; 2000. p.158-162.Dávila Cervantes CA, Luna Contreras M. Suicide attempt in teenagers: Associated factors. Rev Chil Pediatr [Internet]. 2019; 90(6):606–616. 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