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A risk index for 12-month suicide attempts in the National Comorbidity Survey Replication (NCS-R)

dc.creatorBorges, Guilherme
dc.creatorAngst, Jules
dc.creatorNock, Matthew K.
dc.creatorRuscio, Ayelet Meron
dc.creatorWalters, Ellen E.
dc.creatorKessler, Ronald C.
dc.date.accessioned2017-06-29T04:39:37Z
dc.date.available2017-06-29T04:39:37Z
dc.date.issued2006es_ES
dc.identifier498es_ES
dc.identifier.issn0033-2917es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/5185
dc.identifier.urihttp://doi.org/10.1017/S0033291706008786es_ES
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1924761/es_ES
dc.language.isoenges_ES
dc.publisherCAMBRIDGE UNIV PRESS, 32 AVENUE OF THE AMERICAS, NEW YORK, NY 10013-2473 USAes_ES
dc.relation36 (12) 1747-1757 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.titleA risk index for 12-month suicide attempts in the National Comorbidity Survey Replication (NCS-R)es_ES
dc.typearticlees_ES
dc.contributor.affiliationInst Nacl Psiquiatria Ramon de la Fuente, Direcc Invest Epidemiol & Psicosociales, Mexico City 14370, DF, Mexicoes_ES
dc.contributor.emailguibor@imp.edu.mxes_ES
dc.relation.jnabreviadoPSYCHOL MEDes_ES
dc.relation.journalPsychological medicinees_ES
dc.identifier.placeNew Yorkes_ES
dc.date.published2006es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.doi10.1017/S0033291706008786   es_ES
dc.description.monthDices_ES
dc.description.abstractotrodiomaBackground. Clinical judgments about the likelihood of suicide attempt Would be aided by an index of risk Factors that could be quickly assessed in diverse settings. We Sought to develop such a risk index for 12-month suicide attempts among suicide ideators. Method. The National Comorbidity Survey Replication (NCS-R), a household survey of adults aged 18 +, assessed the 12-month occurrence Of Suicide ideation, plans and attempts in a subsample of 5692 respondents. Retrospectively assessed correlates include history of prior suicidality, socio-demographics, parental psychopathology and 12-month DSM-IV disorders. Results. Twelve-month prevalence estimates of suicide ideation, plans and attempts are 2(.)6, 0(.)7 and 0(.)4 % respectively. Although ideators with a plan are more likely to make an attempt (31(.)9%,,) than those without a plan (9(.)6%), 43% of attempts were described as unplanned. History or prior attempts is the strongest correlate of 12-month attempts. Other significant correlates include shorter duration of ideation, presence of a suicide plan, and several socio-demographic and parental psychopathology variables. Twelve-month disorders are not powerful correlates. A four-category summary index of correlates is strongly related to attempts among ideators [area under the receiver operator characteristic curve (AUC)=0(.)88]. The distribution (conditional probability of attempt) of the risk index is: 19(.)0% very low (0(.)0%), 51(.)1% low (3(.)5 %), 16(.)2 % intermediate (21(.)3 %), and 13(.)7% high (78(.)1 %). Two-thirds (67(.)1 %) of attempts were made by ideators in the high-risk category. Conclusions. A short, preliminary risk index based on retrospectively reported responses to fully structured questions is strongly correlated with 12-month suicide attempts among ideators, with a high concentration or attempts among high-risk ideators.es_ES
dc.subject.koMAJOR DEPRESSIVE DISORDERes_ES
dc.subject.koFAMILY HISTORY METHODes_ES
dc.subject.koACTUARIAL ASSESSMENTes_ES
dc.subject.koPSYCHIATRIC-PATIENTSes_ES
dc.subject.koADOLESCENT SUICIDEes_ES
dc.subject.koBIPOLAR DISORDERes_ES
dc.subject.koPREVENTION TRIALes_ES
dc.subject.koUNITED-STATESes_ES
dc.subject.koFOLLOW-UPes_ES
dc.subject.koBEHAVIORes_ES


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