[Risk factors found in suicide attempters]. / Magnitud de la disfunción familiar y depresión como factores de riesgo para intento de suicidio.

BACKGROUND: A better understanding of risk factors for suicide in general population is crucial for the design of suicide prevention programs. Our objective was to identify personal and family risk factors in suicide attempters. METHODS: Case-control design. We searched in patients with an acute intoxication, those subjects with and intoxication attributable to suicide attempt. These patients were matched with controls by gender and the date of intoxication. We use a structured questionnaire to identify personal characteristics, family features and network support. Odds ratio (OR) and 95 % confidence interval were obtained. RESULTS: 25 cases and 25 controls were evaluated. The risk factors associated with suicide attempt adjusted by age, were being a student and smoking habits. Family violence background showed OR = 3.8 (IC 95 % = 1.1-13), family disintegration a OR = 8.5 (IC 95 % = 2.1-35), critical events background OR = 8.8 (IC 95 % = 2.1-36), poor self-esteem OR = 8.2 (IC 95 % 2-35), depression OR = 22 (IC 95 % = 3-190), anxiety OR = 9 (IC 95 % = 2-47), family dysfunction OR = 25 (IC 95 % = 4-151). CONCLUSIONS: The principal risk factor for suicide attempt was family dysfunction and psychological traits.

[Family dysfunction and paediatric patients with asthma]. / Disfunción familiar en pacientes pediátricos con asma.

OBJECTIVE: To determine family function of pediatric patients with asthma. DESIGN: Cross-sectional study. SETTING: Family medicine clinic number 51, Mexican Institute of Social Security, Primary Care, in Guadalajara, Jalisco, Mexico. PARTICIPANTS: Fifty families were studied; 25 of which had a pediatric patient previously diagnosed with asthma, and a control group of 25 with pediatric patients without asthma. METHODS: From September 2006 to February 2007 family function was evaluated using family APGAR and associations were estimated using odds ratio (OR) and 95% confidence interval (CI). RESULTS: Family dysfunction was more often present in families with asthmatic patients compared to those without; OR=3.7 (95% CI, 1.1-13). Severe dysfunction is markedly higher in families with asthmatic members. CONCLUSIONS: Family dysfunction is more frequent in families with asthmatic children; family functionality should be seen as an important part of the integral approach in those families.

Disfunción familiar en pacientes pediátricos con asma / Family dysfunction and pediatric patients with asthma

Objetivo. Determinar la funcionalidad familiaren pacientes pediátricos asmáticos.Diseño. Estudio transversal.Emplazamiento. Unidad de Medicina Familiarnúmero 51 del IMSS, primer nivel deatención, en la ciudad de Guadalajara, Jalisco,México.Participantes. Se estudió a 50 familias de lasque 25 tenían un paciente pediátrico condiagnóstico de asma previamente establecidoy otras 25 con pacientes pediátricos sindiagnóstico de asma que participaron comogrupo control.Métodos. De septiembre de 2006 a febrerode 2007 se evaluó la funcionalidad familiarmediante el instrumento Apgar familiar, lasasociaciones se determinaron mediante oddsratio (OR) e intervalos de confianza (IC) del95%.Resultados. La disfunción familiar es un factorasociado con mayor frecuencia a familias conpacientes asmáticos en comparación conaquellas que no tienen este tipo de pacientesOR = 3,7 (IC del 95%, 1,1-13), la disfunciónsevera es notoriamente mayor en familias conintegrantes asmáticos.Conclusiones. La disfunción familiar sepresenta más frecuentemente en familias conniños asmáticos, por lo que la evaluación de lafuncionalidad familiar se debe considerarcomo parte del abordaje integral de lasfamilias con niños asmáticos

Objective. To determine family functionof pediatric patients with asthma.Design. Cross-sectional study.Setting. Family medicine clinic number 51,Mexican Institute of Social Security,Primary Care, in Guadalajara, Jalisco,Mexico.Participants. Fifty families were studied; 25 ofwhich had a pediatric patient previouslydiagnosed with asthma, and a control groupof 25 with pediatric patients withoutasthma.Methods. From September 2006 to February2007 family function was evaluated usingfamily APGAR and associations wereestimated using odds ratio (OR) and 95%confidence interval (CI).Results. Family dysfunction was more oftenpresent in families with asthmatic patientscompared to those without; OR=3.7 (95%CI, 1.1-13). Severe dysfunction is markedlyhigher in families with asthmatic members.Conclusions. Family dysfunction is morefrequent in families with asthmatic children;family functionality should be seen as animportant part of the integral approachin those families