Suicide risk factor and associated factors in rehabilitation institutions for drug addicts in the city of Manizales (Colombia); 2012

Objective: The objective of this study was to identify suicide risk factor and associated factors in a population of patients admitted to rehab for substance use in the city of Manizales (Colombia). Methods: Cross-sectional study with a population of 93 patientsin process of rehabilitation in institutions for substance abuse of Manizales (Colombia). The Plutchik questionnaire to measure suicide risk was used, other questionnaires were applied for associated factors. Results: 57% presented suicide risk accordingto the Plutchik scale, 94.6% were men, 47.3% incurred in suicide attempt, 51.6% had good family functioning, alcohol dependence was of 44.1%, 30.1% presented casesof anxiety and 20.4% of depression, 45.2% presented low self-esteem. The following associated factors showed significant relationship: ecstasy consume (p = 0.01), childhood trauma (p = 0.000), physical abuse (p = 0.000), psychological abuse(p=00.001),child abuse (p = 0.01), mental illness (p = 0.039), anxiety (p = 0.000). According to T tests as well: depression (p = 0.000), self-esteem (p = 0.014), readmissions (p = 0.015). Conclusions: The study confirms the literature data regarding the suicide risk factor and the presence of other factors in this population. It highlights the role of child abuse in all its forms in the high proportion of suicide risk factor in this population.Objetivo: El objetivo de este estudio fue identificar el factor de riesgo suicida según la escala de Plutchik y factores asociados en una población de pacientes internados para rehabilitación por consumo de sustancias en la ciudad de Manizales (Colombia). Materiales y métodos: Estudio de corte transversal con una población de 93 pacientes en proceso de rehabilitación de instituciones para drogadicción de Manizales. Se aplicó el cuestionario de Plutchik para medir riesgo suicida, se aplicaron otros cuestionarios para factores asociados. Resultados: El 57% presentó riesgo suicida según escala de Plutchik, el 94,6% fueron hombres, el 47,3% incurrieron en intento de suicidio, el 51,6% tuvo buena funcionalidad familiar, presentaron una dependencia alcohólica del 44,1%, una proporción de 30,1% de casos de ansiedad y 20,4% de depresión, la baja autoestima fue de 45,2%. Los siguientes factores asociados presentaron relación significativa: consumo de éxtasis (p=0,01), trauma infantil (p=0,000), maltrato físico (p=0,000), maltrato psicológico (p=0,001), maltrato infantil (p=0,01), enfermedad mental (p=0,039), ansiedad (p=0,000). Según prueba t también la depresión (p=0.000), la autoestima (p=0,014), los reingresos al centro de rehabiloitación (p=0,015). Conclusiones: El estudio confirma los datos de la literatura con respecto al factor de riesgo suicida y la presencia de otros factores en esta población. Se destaca el papel preponderante del maltrato infantil en todas sus formas en la alta proporción de factor de riesgo suicida en esta población. Objective: The objective of this study was to identify suicide risk factor and associatedfactors in a population of patients admitted to rehab for substance use in the city ofManizales (Colombia). Methods: Cross-sectional study with a population of 93 patientsin process of rehabilitation in institutions for substance abuse of Manizales (Colombia).The Plutchik questionnaire to measure suicide risk was used, other questionnaireswere applied for associated factors. Results: 57% presented suicide risk accordingto the Plutchik scale, 94.6% were men, 47.3% incurred in suicide attempt, 51.6% hadgood family functioning, alcohol dependence was of 44.1%, 30.1% presented casesof anxiety and 20.4% of depression, 45.2% presented low self-esteem. The followingassociated factors showed significant relationship: ecstasy consume (p = 0.01), childhoodtrauma (p = 0.000), physical abuse (p = 0.000), psychological abuse (p = 0.001),child abuse (p = 0.01), mental illness (p = 0.039), anxiety (p = 0.000). According to Ttests as well: depression (p = 0.000), self-esteem (p = 0.014), readmissions (p = 0.015).Conclusions: The study confirms the literature data regarding the suicide risk factorand the presence of other factors in this population. It highlights the role of child abusein all its forms in the high proportion of suicide risk factor in this population