title: [Risk Factors for Suicidal Ideation in Patients with Depressive Disorders in Colombia].
abstract: BACKGROUND
  Suicidal ideation is a poor prognostic factor in patients with depression, due to the risk of suicide attempt or completed suicide. However, it is a relatively unexplored aspect in the Colombian population. It is important to identify the associated factors in order to develop appropriate treatment strategies.
  
  
  OBJECTIVE
  To identify risk factors for suicidal ideation in patients with major depressive disorder between 18 and 65 years in 5 Colombian cities.
  
  
  METHODS
  Data from 295 patients diagnosed with major depressive disorder were used from the Study of the Economic Burden of Depression in Colombia. The association between the clinical and psychosocial variables with the presence of suicidal ideation was assessed using two-level hierarchical models.
  
  
  RESULTS
  Female sex was a factor associated with a lower risk of suicidal ideation. Factors associated with the presence of suicidal ideation include unemployment, smoking and alcohol use in the past 30 days, mental health perceived as fair or poor, diagnosis of double depression, inpatient treatment, low income, unemployment, and a major financial crisis in the last 2 years.
  
  
  CONCLUSIONS
  Suicidal ideation is highly prevalent in patients with major depressive disorder. Risk factors associated with both the clinical and psychosocial domain must be carefully evaluated during risk assessment of patients with this diagnosis.
authors.affiliation: Médico, residente de Psiquiatría de tercer año, Departamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Bogotá, Colombia. Electronic address: sergiomariocastro@gmail.com.
authors.forename: Sergio
authors.initials: S
authors.lastname: Castro-Díaz
authors.affiliation: Médico psiquiatra, psicoanalista, epidemiólogo clínico, profesor del Departamento de Psiquiatría y Salud Mental, director del Departamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Bogotá, Colombia.
authors.forename: Carlos
authors.initials: C
authors.lastname: Gómez-Restrepo
authors.affiliation: Estadístico y bioestadístico, profesor asistente del Departamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Fabián
authors.initials: F
authors.lastname: Gil
authors.affiliation: Médico psiquiatra, psicoanalista, Departamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Miguel
authors.initials: M
authors.lastname: Uribe Restrepo
authors.affiliation: Médico psiquiatra, director médico del Hospital Psiquiátrico Universitario del Valle, profesor de la Universidad del Valle, Cali, Colombia.
authors.forename: Carlos
authors.initials: C
authors.lastname: Miranda
authors.affiliation: Médico psiquiatra, director médico de la Clínica Nuestra Señora del Perpetuo Socorro, Pasto. Profesor del Departamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Pasto, Colombia.
authors.forename: Mauricio
authors.initials: M
authors.lastname: de la Espriella
authors.affiliation: Médico psiquiatra, director científico de la Clínica la Inmaculada. Instructor del Departamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Arenas
authors.affiliation: Médica, magistra en Administración de Salud, DSc en Economía y Política de Salud Internacional. Profesora asociada del Departamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Diana
authors.initials: D
authors.lastname: Pinto
keywords: Depresión; Depression; Elderly; Factores de riesgo; Ideación suicida; Intentos suicidas; Risk factors; Suicide attempts; Suicide ideas; Tercera edad