Artículos de revista
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Item Diagnostic profiles in adolescence and emerging adulthood: transition patterns and risk factors(Elsevier, 2023) Torre-Luque, Alejandro de la; Borges, Guilherme; Benjet, Corina; Orozco, Ricardo; Medina-Mora, María Elena; Ayuso-Mateos, Jose Luis; Department of Legal Medicine, Psychiatry and Pathology, Universidad Complutense de Madrid, Spain; af.delatorre@ucm.es (A. de la Torre-Luque)Item Service use among Mexico City adolescents with suicidality(ELSEVIER SCIENCE BV, PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS, 2010) Borges, Guilherme; Benjet, Corina; Medina-Mora, María Elena; Orozco, Ricardo; Familiar, Itziar; Nock, Matthew K.; Wang, Philip S.; Inst Nacl Psiquiatria Ramon de la Fuente, Direcc Invest Epidemiol & Psicosociales, Mexico City 14370, DF, Mexico; guibor@imp.edu.mxBackground: We report the lifetime and 12-month prevalence and associations of mental health treatment among Mexican adolescents with suicide-related outcomes (SROs; including ideation, plans, gestures and attempts). Methods: A representative multistage probability household survey of 3005 adolescents aged 12 to 17 years residing in the Mexico City Metropolitan Area was carried out in 2005. Discrete-time survival analyses were used to assess the relationships between SROs and receiving treatment for emotional, alcohol, or drug problems. Results: The prevalence of lifetime service use among respondents with SROs was 35% for those with ideation only, 44% for those with ideation and plan, 49% for those with gesture and 50% for those with attempt; the prevalence of 12-month service use was 10%, 24%, 6% and 21%, respectively. Timing between onset of SRO and receiving treatment for emotional, alcohol, or drug problems showed that about 50% of adolescents will have contact with a service provider before developing any SRO. Healthcare professionals were the most likely to be consulted, followed by school-based programs. Limitations: This survey was limited to adolescents living in one of the largest metropolitan areas in the world and the analyses used data on retrospectively reported ages of onset that are subject to recall errors. Conclusions: Most suicidal adolescents do not receive treatment, and many adolescents develop their suicidality in spite of prior contacts with service providers. Interventions to increase treatment, prevention, and monitoring are sorely needed for this vulnerable population. (C) 2009 Elsevier B.V. All rights reserved.Item Traumatic events and suicide-related outcomes among Mexico City adolescents(Wiley-Blackwell, Commerce Place, 350 Main ST, Malden 02148, MA USA, 2008) Borges, Guilherme; Benjet, Corina; Medina-Mora, María Elena; Orozco, Ricardo; Molnar, Beth E.; Nock, Matthew K.; Inst Nacl Psiquiatria Ramon de la Fuente, Direcc Invest Epidemiol & Psicosociales, Mexico City 14370, DF, Mexico; guibor@imp.edu.mxBackground: We report the prevalence and associations between traumatic events and suicidal ideation, suicide plans and suicide attempts among Mexican adolescents. Methods: The data are from a representative multistage probability household survey of 3,005 adolescents aged 12 to 17 years residing in the Mexico City Metropolitan Area that was carried out in 2005. We used discrete time survival analyses to model the net impact of retrospectively reported prior occurrence of traumatic events on ideation, plans and attempts, taking into account the onset of psychiatric disorders. Results: Prevalence of suicidality was high among respondents with traumatic events, ranging from a 43% prevalence of suicidal ideation among those with a history of 'Being raped' to a 25% prevalence of suicide attempts among those that reported 'Purposely injured, tortured or killed someone.' In cross-sectional estimates, any traumatic event was associated with an increase of 3.2 times the odds of suicide ideation, 5.1 times the odds of a plan and 6.6 times the odds of an attempt. Number of events was also associated with increasing suicidality such that those with three or more events were 13.7 times more likely to report a suicide attempt than those with none. Multivariate discrete time survival models that took into account a large number of demographic, suicide-related and psychiatric disorder variables reduced in strength but did not alter these basic relationships. Conclusions: We conclude that traumatic events such as rape and sexual assault have a profound impact upon suicidality and that this relationship is not entirely explained by the onset of psychiatric disorders. Comprehensive interventions for adolescent victims of traumatic events, especially those with a history of cumulative events, should include, but not be restricted to, treatment of any associated psychiatric disorder.Item Body Mass Index and the Prevalence of Metabolic Syndrome among Children and Adolescents in Two Mexican Populations(ELSEVIER SCIENCE INC, 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA, 2007) Halley Castillo, Elizabeth; Borges, Guilherme; Talavera, Juan O.; Orozco, Ricardo; Vargas-Alemán, Claudia; Huitrón-Bravo, Gerardo; Díaz-Montiel, Juan Carlos; Castañón, Susana; Salmerón, Jorge; Inst Nacl Psiquiatria Ramon de la Fuente, Direcc Invest Epidemiol & Psicosociales, Mexico City 14370, DF, Mexico; guibor@imp.edu.mxTo report the prevalence of metabolic syndrome (MS) among children and adolescents living in central Mexico, and its association with body mass index (BMI). Methods: In a sample of 1366 subjects from 7 to 24-years-old, a self-administered questionnaire was used to determined demographic characteristics. The definition of pediatric MS was determined using analogous criteria to Adult Treatment Panel III (ATPIII) as _ 3 of the following: concentration of triglycerides _ 100 mg/dL, HDL cholesterol _ 45 mg/dL for males and _ 50 mg/dL for females, waist circumference _ 75th percentile (sex specific), glucose concentration _ 110 to _ 126 mg/dL, and systolic or diastolic blood pressure _ 90th percentile (age, height, and sex specific). Results: Most of the sample was in the 10–14- (32.4%) and the 15–19-year (35.4%) age groups, mostly females (57%), and 31% of this young sample was overweight (mean BMI _ 21.6 kg/m2). About 1 in every 5 participants had full criteria for MS (19.2%, 95% confidence interval [CI]: 16.4 –22.1 among females, and 20.2%, 95% CI: 17.1–23.7 among males), and only 1 in every 10 was free of any MS component. The most common component was a low HDL level, observed in 85.4% of the sample. Unfavorable fat distribution, as indicated by a large waist circumference, was present in 27.9% of the sample. About 66% of those 10–14-year-olds with a large BMI were positive for MS. Conclusions: MS and overweight are major problems for youth in Mexico. Immediate and comprehensive actions at home and schools are needed if Mexico wants to avoid the heavy burden that this disorder will have for its population in the near future. © 2007 Society for Adolescent Medicine. All rights reserved.Item Eight‑year incidence of psychiatric disorders and service use from adolescence to early adulthood: longitudinal follow‑up of the Mexican Adolescent Mental Health Survey(2016) Benjet, Corina; Borges, Guilherme; Méndez, Enrique; Albor, Yesica; Casanova, Leticia; Orozco, Ricardo; Curiel, Teresa; Fleiz, Clara; Medina‑Mora, María Elena; Instituto Nacional de Psiquiatría Ramón de la Fuente, Calzada México‑Xochimilco 101, San Lorenzo Huipulco, México, DF 14370, México; cbenjet@imp.edu.mx