[Factors associated with suicide attempts and persistent suicidal ideation at a Primary Care Unit in Bogotá, 2004-2006].
OBJECTIVE
Characterising patients attempting suicide who were evaluated by psychiatry at the Primary Care Unit (PCU) "La Estrella" from October/2004 to October/2005 and determining persistent suicidal ideation and associated factors.


METHODS
An initial description of attempted suicide patients (n=156). A subsequent case control study (n=77) determined persistent suicidal ideation cases (n=27). A multivariate model was used for determining the remaining factors associated with persistent suicide ideation.


RESULTS
Cases increased from 6 in October/2004 to 10 in October/2005, average 12+/-3.6 cases monthly. 80% were aged 30 or younger, 66.7% were female, 24.4% were students and 20.5% were unemployed. 35.2% suffered family dysfunction and 35.2% had conflicts between couples as precipitant factors. 49% had consumed alcohol prior to the suicide attempt. Persistent suicidal ideation was associated with being 31 years old or older, being unemployed and having a higher number of previous suicide attempts, unresolved conflicts and family dysfunction. Logistical regression revealed unresolved conflicts (OR=106.7; 6.8; 1,668.4 95% CI) and family dysfunction (OR=11.05; 1.7; 71.2 95% CI) as predictor variables for persistent suicidal ideation.


CONCLUSIONS
Unresolved conflicts and family dysfunction were found to be predictor factors for persistent suicidal ideation in subjects who had attempted suicide. Consuming alcohol and other associated factors should be controlled by mental health prevention and promotion programmes.
Pérez-Olmos
Isabel
I
Facultad de Medicina, Universidad del Rosario, Bogotá, Colombia. iperez@urosario.edu.co
Ibáñez-Pinilla
Milcíades
M
Reyes-Figueroa
Julio C
JC
Atuesta-Fajardo
Juana Y
JY
Suárez-Díaz
Mónica J
MJ
D000328:Adult; D003105:Colombia; D005260:Female; D006757:Hospital Units; D006801:Humans; D007092:Imagination; D008297:Male; D011320:Primary Health Care; D013406:Suicide, Attempted / Q000523:psychology*