@article{ref1,
title="Association of health-related quality of life and suicidal risk in adolescents: a cross-sectional study",
journal="Revista Chilena de pediatría",
year="2018",
author="Faure, María Ignacia and Urquidi, Cinthya and Bustamante, Francisco and Florenzano, Ramón and Ampuero, Karla and Terán, Laura and Figueroa, María Inés and Farías, Magdalena and Rueda, María Livia and Giacaman, Eduardo",
volume="89",
number="3",
pages="318-324",
abstract="INTRODUCTION: Health-related quality of life (HRQoL) deterioraton is a risk factor for suicide in adults, however, this aspect has been little studied in adolescents. <br><br>OBJECTIVE: To evaluate the asso ciation between HRQoL (measured with EQ-5D-5L) and suicidal risk in adolescents and its capacity for cross-sectional detection of suicidal risk. PATIENTS AND METHOD: 128 adolescents (15-19 years old) from Puerto Aysen (Chile) responded to the EQ-5D-5L questionnaire, the Okasha Suicide Scale and two anchoring questions of imminent suicide risk. A suicide risk case was considered to have a > 5 score on the Okasha scale or the affirmative answer to one of the anchoring questions. The index value of EQ-5D-5L was calculated and Odds Ratios (ORs) were estimated with confidence intervals (95% CI), adjusted for confounders. Areas under the ROC curve (AUC-ROC) were calculated to assess the discriminatory performance of EQ-5D-5L. <br><br>RESULTS: 21 (16.4%) adolescents were at suicidal risk. Controlling for confounders, the EQ-5D-5L dimensions associated with suicidal risk were pain/ discomfort (OR: 2.5; 95% CI 1.1-6.1) and anxiety/depression (OR: 2.2; 95% CI 1.3-3.6). The AUC- ROC for both dimensions was 85% (95% CI 0.75-0.91) and 81% for the EQ-5D-5L index value (95% CI 0.72-0.89). <br><br>CONCLUSIONS: HRQoL could be a risk factor for suicide in adolescents and in this way, the EQ-5D-5L could help in searching for high risk and hidden cases of suicidal risk.<p /> <p>Language: es</p>",
language="es",
issn="0370-4106",
doi="10.4067/S0370-41062018005000103",
url="http://dx.doi.org/10.4067/S0370-41062018005000103"
}