Suicidal Risk and its Association with Anxiety, Depression and Impulsivity According to Sex in Colombian Adolescents

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dc.contributor.affiliationGómez-Tabares A.S., Universidad Católica Luis Amigó, Colombia
dc.contributor.affiliationNúñez C., Universidad de Medellín, Colombia
dc.contributor.affiliationMoreno-Méndez J.H., Universidad Católica de Colombia, Colombia
dc.contributor.affiliationHidalgo-Rasmussen C.A., Universidad de Guadalajara, Centro Universitario del Sur, Mexico
dc.contributor.affiliationMuñoz-Arbeláez A.C., Corporación Psicológica Iberoamericana de Clínica y Salud -APICSA, Colombia
dc.contributor.affiliationAguirre-Loaiza H., Universidad Católica de Pereira, Colombia
dc.contributor.authorGómez-Tabares A.S.
dc.contributor.authorNúñez C.
dc.contributor.authorMoreno-Méndez J.H.
dc.contributor.authorHidalgo-Rasmussen C.A.
dc.contributor.authorMuñoz-Arbeláez A.C.
dc.contributor.authorAguirre-Loaiza H.
dc.date.accessioned2025-09-08T14:23:56Z
dc.date.available2025-09-08T14:23:56Z
dc.date.issued2025
dc.descriptionSuicide is a multicausal phenomenon, with a higher incidence in adolescents. Studies to identify risk factors have increased in recent decades and are useful for prevention and intervention. However, studies rarely examine the effects of multiple psychological factors in predicting suicidal risk. The aim of this study was to analyze the effect of anxiety, depression, and impulsivity in the prediction of suicidal risk in adolescents from municipalities in southeastern Antioquia (Colombia). A quantitative, non-experimental, cross-sectional study was conducted with the participation of 354 adolescents between 14 and 18 years of age (M=15.58, SD=1.22; 57.1% female). Plutchik’s suicide risk scale (SRS), Beck’s depression (BDI) and anxiety (BAI), and Barratt’s impulsivity (BIS) were used. A suicidal risk factor of 15.5% and significant correlations were found between SRS, AIS, BDI, BAI, and BIS. Women scored significantly higher than men on suicide risk, depression, and anxiety. Binary regression analysis showed that depression (OR=1.1), anxiety (OR=1), and impulsivity (OR=1.1) explained between 24% (R2 Cox and Snell) and 42% (R2 Nagelkerke) of the variance in suicidal risk. It is concluded that in women, impulsivity, when associated with anxious and depressive symptoms, increases the risk of suicide; while for men this risk is greater when it is mainly related to depression and to a lesser extent with anxiety. These findings contribute to the formulation of public policies on suicide prevention in school contexts. Copyright© 2025 RPCNA.
dc.identifier.doi10.21134/rpcna.2025.12.1.1
dc.identifier.instnameinstname:Universidad de Medellínspa
dc.identifier.issn23408340
dc.identifier.reponamereponame:Repositorio Institucional Universidad de Medellínspa
dc.identifier.repourlrepourl:https://repository.udem.edu.co/
dc.identifier.urihttp://hdl.handle.net/11407/9135
dc.language.isoeng
dc.publisher.facultyFacultad de Ciencias Sociales y Humanasspa
dc.publisher.programPsicologíaspa
dc.relation.citationendpage75
dc.relation.citationissue1
dc.relation.citationstartpage68
dc.relation.citationvolume12
dc.relation.isversionofhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85219112972&doi=10.21134%2frpcna.2025.12.1.1&partnerID=40&md5=f751fd5acd2fb92b6aa565d4e99f975d
dc.relation.referencesAn J. H., Jeon H. J., Cho S., Chang S. M., Kim B., Hahm B, Hong J. P., Subthreshold lifetime depression and anxiety are associated with increased lifetime suicide attempts: A Korean nationwide study, Journal of Affective Disorders, 302, pp. 170-176, (2022)
dc.relation.referencesArango-Tobon O. E., Gomez-Tabares A. S, Serrano S., Structural Model of Suicidal Ideation and Behavior: Mediating Effect of Impulsivity, Anais da Academia Brasileira de Ciências, 93, 4, (2021)
dc.relation.referencesArenas-Landgrave P., Lucio-Gomez Marqueo E., Forns M., Indicadores diferenciales de personalidad frente al riesgo de suicidio en adolescentes, Revista Iberoamericana de Diagnóstico y Evaluación - e Avaliação Psicológica, 1, 33, pp. 51-74, (2012)
dc.relation.referencesBeck A. T., Epstein N., Brown G., Steer R. A., An inventory for measuring clinical anxiety: psychometric properties, Journal of Consulting and Clinical Psychology, 56, pp. 893-897, (1988)
dc.relation.referencesBeck A. T., Rush A. J., Shaw B. F., Emery G., Cognitive therapy of depression, (1979)
dc.relation.referencesChen C. Y., Yeh H. H., Huang N., Lin Y. C., Socioeconomic and clinical characteristics associated with repeat suicide attempts among young people, Journal of Adolescent Health, 54, pp. 550-557, (2014)
dc.relation.referencesCohen J., Statistical Power Analysis for the Behavioral Sciences, (1988)
dc.relation.referencesConnolly E. J., Cooke E. M., Beaver K. M., Brown W., Do developmental changes in impulsivity and sensation seeking uniquely predict violent victimization? A test of the dual systems model, Journal of Criminal Justice, 66, (2020)
dc.relation.referencesDing R., Wu N., Tang S., Liu T., Li W., Ni S., Relations between parental response to children’s negative emotions and suicidal ideation in Chinese adolescents: Internalizing problems, emotion regulation, and perceived relationship quality with parents as mediators, Journal of Affective Disorders, 301, pp. 205-216, (2022)
dc.relation.referencesEhlers C. L., Gilder D. A., Karriker-Jaffe K. J., Bernert R., Comorbidity of anxiety/affective, conduct/antisocial, attention deficit, and alcohol use disorders with suicidal behaviors in an American Indian community sample of adults and adolescents, Journal of Psychiatric Research, 167, pp. 63-70, (2023)
dc.relation.referencesGijzen M. W. M., Rasing S. P. A., Creemers D. H. M., Smit F., Engels R. C. M. E., De Beurs D., Suicide ideation as a symptom of adolescent depression. a network analysis, Journal of Affective Disorders, 278, pp. 68-77, (2021)
dc.relation.referencesGomez A. S., Psychosocial Factors and Clinical Predictors of Suicide Risk in College Students, Mediterranean Journal of Clinical Psychology, 8, 3, (2020)
dc.relation.referencesGomez A. S., Perspectivas de estudio sobre el comportamiento suicida en niños y adolescentes: Una revisión sistemática de la literatura utilizando la teoría de grafos, Psicología desde el Caribe, 38, 3, pp. 408-451, (2021)
dc.relation.referencesGomez A. S, Nunez C., Caballo V., Osorio M., Grisales A., Predictores psicológicos del riesgo suicida en estudiantes universitarios, Behavioral Psychology/ Psicologia Conductual, 27, 3, pp. 391-413, (2019)
dc.relation.referencesGomez A. S., Nunez C., Osorio M. P., Aguirre A., Riesgo e ideación suicida y su relación con la impulsividad y la depresión en adolescentes escolares, Revista Iberoamericana de Diagnóstico y Evaluación - e Avaliação Psicológica, 1, 54, pp. 147-163, (2020)
dc.relation.referencesGlenn C. R., Klonsky E. D., A multimethod analysis of impulsivity in nonsuicidal self-injury, Personality Disorders: Theory, Research, & Treatment, 1, 1, pp. 67-75, (2010)
dc.relation.referencesHumphreys K. L., Gleason M. M., Drury S. S., Miron D., Nelson C. A., Fox N. A., Zeanah C. H., Effects of institutional rearing and foster care on psychopathology at age 12 years in Romania: follow-up of an open, randomised controlled trial, The Lancet Psychiatry, 2, 7, pp. 625-634, (2015)
dc.relation.referencesIm Y., Oh W., Suk M., Risk factors for suicide ideation among adolescents: Five-year national data analysis, Archives of Psychiatric Nursing, 31, 3, pp. 282-286, (2017)
dc.relation.referencesBoletín estadístico mensual, (2022)
dc.relation.referencesForensis, Datos para la Vida, (2020)
dc.relation.referencesJanis I. B., Nock M. K., Are self-injurers impulsive? Results from two behavioral laboratory studies, Psychiatry Research, 169, 3, pp. 261-267, (2009)
dc.relation.referencesKlonsky E. D, May A., Rethinking impulsivity in suicide, Suicide and Life-Threatening Behavior, 40, 6, pp. 612-619, (2010)
dc.relation.referencesKlonsky E. D., May A. M., Glenn C. R., The relationship between nonsuicidal self-injury and attempted suicide: Converging evidence from four samples, Journal of Abnormal Psychology, 122, 1, pp. 231-237, (2013)
dc.relation.referencesKlonsky E. D., May A. M., Differentiating suicide attempters from suicide ideators: a critical frontier for suicidology research, Suicide and Life-Threatening Behavior, 44, pp. 1-5, (2014)
dc.relation.referencesKlonsky E. D., May A. M., The Three-Step Theory (3ST): A new theory of suicide rooted in the “ideation-to-action” framework, International Journal of Cognitive Therapy, 8, 2, pp. 114-129, (2015)
dc.relation.referencesKoyama E., Zai C. C., Bryushkova L., Kennedy J. L., Beitchman J. H., Predicting risk of suicidal ideation in youth using a multigene panel for impulsive aggression, Psychiatry Research, 285, (2020)
dc.relation.referencesLawrence D., Johnson S., Hafekost J., Boterhoven De Haan K., Sawyer M., Ainley J., Zubrick S. R., The mental health of children and adolescents, (2015)
dc.relation.referencesLee S., Dwyer J., Paul E., Clarke D., Treleaven S., Roseby R., Differences by age and sex in adolescent suicide, Australian and New Zealand Journal of Public Health, 43, 3, pp. 248-253, (2019)
dc.relation.referencesLew B., Huen J., Yu P., Yuan L., Wang D. F., Ping F., Jia C. X., Associations between depression, anxiety, stress, hopelessness, subjective well-being, coping styles and suicide in Chinese university students, PloS one, 14, 7, (2019)
dc.relation.referencesLockwood J., Townsend E., Daley D., Sayal K., Impulsivity as a predictor of self-harm onset and maintenance in young adolescents: a longitudinal prospective study, Journal of Affective Disorders, 274, pp. 583-592, (2020)
dc.relation.referencesLopez-Steinmetz L. C., Godoy J. C., Fong S. B., Altitude and latitude variations in trait-impulsivity, depression, anxiety, suicidal risk, and negative alcohol-related consequences in Argentinean adolescents, Heliyon, 6, 7, (2020)
dc.relation.referencesLynn E., Cousins G., Lyons S., Bennett K. E., Comparing characteristics of suicide to non-suicide drug poisoning deaths, by sex, in Ireland, Journal of Affective Disorders, 306, pp. 80-89, (2022)
dc.relation.referencesMadge N., Hawton K., McMahon E.M., Corcoran P., De Leo, D. D., De Wilde, Psychological characteristics, stressful life events and deliberate self-harm: Findings from the child & adolescent self-harm in Europe (CASE) study, European Child and Adolescent Psychiatry, 20, 10, pp. 499-508, (2011)
dc.relation.referencesMarceau K., Hottle S., Yatcilla J. K., Puberty in the last 25 years: A retrospective bibliometric analysis, Journal of Research on Adolescence, 29, 1, pp. 96-114, (2019)
dc.relation.referencesMcDonald R. P., Test theory: A unified treatment, (1999)
dc.relation.referencesMoreno J., Echavarria K., Pardo A., Quinones Y., Funcionalidad familiar, conductas internalizadas y rendimiento académico en un grupo de adolescentes de la ciudad de Bogotá. [Family functionality, internalizing behaviors and academic performance in a group of adolescents from the city of Bogotá, Psychologia: Avances de la Disciplina, 8, 2, pp. 37-46, (2014)
dc.relation.referencesMuehlenkamp J. J., Claes L., Havertape L., Plener P. L., International prevalence of adolescent non-suicidal self-injury and deliberate self-harm, Child and Adolescent Psychiatry and Mental Health, 6, (2012)
dc.relation.referencesMusci. R. J., Ballard E. D., Stapp E. K., Adams L., Wilcox H. C., Ialongo N., Suicide attempt endophenotypes: Latent profiles of child and adolescent aggression and impulsivity differentially predict suicide attempt in females, Preventive Medicine Reports, 28, (2022)
dc.relation.referencesPatton J. H., Stanford M. S., Barratt E. S., Factor structure of the Barratt ImpulsivenessScale, JournalofClinicalPsychology, 51, 6, pp. 768-764, (1995)
dc.relation.referencesPeterson C. M., Fischer S., A prospective study of the influence of the UPPS model of impulsivity on the co-occurrence of bulimic symptoms and non-suicidal self-injury, Eating Behaviors, 13, 4, pp. 335-341, (2012)
dc.relation.referencesPham T. S., Qi H., Chen D., Chen H., Fan F., Prevalences of and correlations between childhood trauma and depressive symptoms, anxiety symptoms, and suicidal behavior among institutionalized adolescents in Vietnam, Child Abuse & Neglect, 115, (2021)
dc.relation.referencesPlutchik R., Van Praag H. M., The measurement of suicidality, aggressivity and impulsivity, Progress in Neuro-Psychopharmacology & Biological Psychiatry, 13, pp. 23-24, (1989)
dc.relation.referencesQaddoura N., Dardas L. A., Pan W., Psychosocial determinants of adolescent suicide: A national survey, Archives of Psychiatric Nursing, 40, pp. 15-24, (2022)
dc.relation.referencesRasing S. P. A., Braam M. W. G., Brunwasser S. M., Janssens J. M. A. M., Creemers D. H. M., Scholte R. H. J., Depression and anxiety symptoms in female adolescents: Relations with parental psychopathology and parenting behavior, Journal of Research on Adolescence, 30, 1, pp. 298-313, (2019)
dc.relation.referencesRiley E. N., Combs J. L., Jordan C. E., Smith G. T., Negative urgency and lack of perseverance: Identification of differential pathways of onset and maintenance risk in the longitudinal prediction of nonsuicidal self-injury, Behavior Therapy, 46, 4, pp. 439-448, (2015)
dc.relation.referencesRockstroh F., Reichl C., Lerch S., Fischer-Waldschmidt G., Ghinea D., Koenig J., Resch F., Kaess M., Self-rated risk as a predictor of suicide attempts among high-risk adolescents, Journal of Affective Disorders, 282, pp. 852-857, (2021)
dc.relation.referencesRubio G., Montero I., Jauregui J., Villanueva R., Casado M. A., Marin J. J., Santo-Domingo J., Validación de la Escala de riesgo suicida de Plutchik en población española, Archivos de Neurobiología, 61, pp. 143-152, (1998)
dc.relation.referencesSanz J., Gutierrez S., Gesteira C., Garcia-Vera M. P., Criterios y baremos para interpretar el “Inventario de depresión de Beck-II” (BDI-II), Behavioral Psychology/Psicología Conductual, 22, 1, pp. 37-59, (2014)
dc.relation.referencesSchotte C. K., Maes M., Cluydts R., De Doncker D., Cosyns P., Construct validity of the Beck Depression Inventory in a depressive population, Journal of Affective Disorders, 46, 2, pp. 115-125, (1997)
dc.relation.referencesSelby E. A., Anestis M. D., Joiner T. E., Understanding the relationship between emotional and behavioral dysregulation: Emotional cascades, Behaviour Research and Therapy, 46, 5, pp. 593-611, (2008)
dc.relation.referencesSilva D., Vicente B., Saldivia S., Kohn R., Conducta suicida y trastornos psiquiátricos en Chile, un estudio poblacional, Revista Médica de Chile, 141, 10, pp. 1275-1282, (2013)
dc.relation.referencesSilva D., Valdivia M., Vicente B., Arevalo E., Dapelo R., Soto C., Intento de suicidio y factores de riesgo en una muestra de adolescentes escolarizados de Chile, Revista de Psicopatología y Psicología Clínica, 22, pp. 33-42, (2017)
dc.relation.referencesSmith L., Shin J. I., Carmichael C., Oh H., Jacob L., Lopez Sanchez G. F, Koyanagi A., Prevalence and correlates of multiple suicide attempts among adolescents aged 12–15 years from 61 countries in Africa, Asia, and the Americas, Journal of Psychiatric Research, 144, pp. 45-53, (2021)
dc.relation.referencesSuarez Y., Restrepo D., Caballero C., Palacio J., Exposure to Violence and Suicide Risk in Colombian Adolescents, Terapia psicológica, 36, 2, pp. 101-111, (2018)
dc.relation.referencesSuarez Y, Campo-Arias A., Asociación entre apego y riesgo suicida en adolescentes escolarizados de Colombia, Revista Chilena de Pediatría, 90, 4, pp. 392-398, (2019)
dc.relation.referencesThullen M. J., Taliaferro L. A., Muehlenkamp J. J., Suicide ideation and attempts among adolescents engaged in risk behaviors: A latent class analysis, Journal of Research on Adolescence, 26, 3, pp. 587-594, (2016)
dc.relation.referencesValdivia M., Silva D., Sanhueza F., Cova F., Melipillan R., Prevalencia de intento de suicidio adolescente y factores de riesgo asociados en una comuna rural de la provincia de Concepción, Revista Médica de Chile, 143, 3, pp. 320-328, (2015)
dc.relation.referencesVancampfort D., Stubbs B., Mugisha J., Firth J., Van Damme T., Smith L., Koyanagi A., Leisure-time sedentary behavior and suicide attempt among 126,392 adolescents in 43 countries, Journal of Affective Disorders, 250, pp. 346-353, (2019)
dc.relation.referencesVan Orden K. A., Witte T. K., Cukrowicz K. C., Braithwaite S. R., Selby E. A., Joiner T. E., The interpersonal theory of suicide, Psychological Review, 117, 2, pp. 575-600, (2010)
dc.relation.referencesWang. S ., Xu H., Li S., Jiang Z., Wan Y., Sex differences in the determinants of suicide attempt among adolescents in China, Asian Journal of Psychiatry, 49, (2020)
dc.relation.referencesWang X., Yang X., Zhou X., Perceived parental depression, intrusive rumination, and internalizing problems: A three-wave longitudinal study in adolescents, International Journal of Clinical and Health Psychology, 23, (2023)
dc.relation.referencesWang Y., Zhou X., Cao B., Chen L., Wang R., Qi L., Meng L, Zhou Y., The psychological characteristics and risk factors of suicidal attempt among mood disorders adolescents accompany with non-suicidal self-injury: A multi-center study, Journal of Affective Disorders, 298, pp. 301-307, (2022)
dc.relation.referencesWiebenga J. X. M., Heering H. D., Eikelenboom M., Van Hemert A. M., Van Oppen P., Penninx B. W. J. H., Associations of three major physiological stress systems with suicidal ideation and suicide attempts in patients with a depressive and/or anxiety disorder, Brain, Behavior, and Immunity, 102, pp. 195-205, (2022)
dc.relation.referencesZeanah C. H., Egger H. L., Smyke A. T., Nelson C. A., Fox N. A., Marshall P. J., Guthrie D., Institutional rearing and psychiatric disorders in Romanian preschool children, The American Journal of Psychiatry, 166, 7, pp. 777-785, (2009)
dc.relation.referencesZhang Y. Y., Yang X. F., Liu X., Jia C. X., Longitudinal association of family conflict and suicidal behaviors among Chinese adolescents: The mediation effect of internalizing and externalizing problems, Journal of Affective Disorders, 321, pp. 96-101, (2023)
dc.rights.accesoAll Open Access
dc.rights.accesoGold Open Access
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.sourceRevista de Psicologia Clinica con Ninos y Adolescentes
dc.sourceRev. Psicol. Clin. Ninos Adolesc.
dc.sourceScopus
dc.subjectAnxiety
dc.subjectDepression
dc.subjectImpulsivity
dc.subjectSuicidal risk
dc.subjectSuicide attempt
dc.titleSuicidal Risk and its Association with Anxiety, Depression and Impulsivity According to Sex in Colombian Adolescents
dc.typeArticle
dc.type.localArtículospa
dc.type.versioninfo:eu-repo/semantics/publishedVersion

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