TY - JOUR
PY - 2018//
TI - Association of health-related quality of life and suicidal risk in adolescents: a cross-sectional study
JO - Revista Chilena de pediatría
A1 - Faure, María Ignacia
A1 - Urquidi, Cinthya
A1 - Bustamante, Francisco
A1 - Florenzano, Ramón
A1 - Ampuero, Karla
A1 - Terán, Laura
A1 - Figueroa, María Inés
A1 - Farías, Magdalena
A1 - Rueda, María Livia
A1 - Giacaman, Eduardo
SP - 318
EP - 324
VL - 89
IS - 3
N2 - 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.
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.
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).
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. Language: es
LA - es
SN - 0370-4106
UR - http://dx.doi.org/10.4067/S0370-41062018005000103
ID - ref1
ER -