Monica Bella | Universidad Nacional de Córdoba (original) (raw)
Papers by Monica Bella
Cadernos Saúde Coletiva, 2012
OBJETIVO: Con la finalidad de establecer un diagnóstico para detectar situaciones de riesgos fami... more OBJETIVO: Con la finalidad de establecer un diagnóstico para detectar situaciones de riesgos familiares en niños escolarizados, el objetivo propuesto fue identificar los factores de riesgo vinculados a situaciones familiares que se relacionan con la salud mental, en niños de escuela primaria, de un sector urbano aledaño a la ciudad de Córdoba, en Argentina. METODOLOGÍA: El instrumento utilizado fue el test 'Cómo es tú-su familia'. Se realizó los análisis exploratorio bivariado y lo factorial. Se entrevistaron a 146 niños escolarizados de quinto y sexto grado del nivel primario. RESULTADOS: La estructura familiar más frecuente fue la biparental y el 45% de los encuestados tenían estructuras familiares a cargo de mujeres. Más de la mitad de los niños escolarizados refirieron que sus padres nunca, o algunas veces, dedican tiempo para hablar con ellos; los integrantes de su familia no pueden expresarse fácilmente si lo desean y la posibilidad de afrontar los problemas en familia...
Rev Argent Salud Pública, 2010
Identification of risk factors in child and adolescent suicide attempts ABSTRACT. INTRODUCTION: s... more Identification of risk factors in child and adolescent suicide attempts ABSTRACT. INTRODUCTION: suicide is the third cause of death in the adolescence. It was estimated that for each adolescent that commits suicide there are between fifteen and twenty non fatal attempts. OBJECTIVES: to identify risk factors present in children and adolescents hospitalized due to suicide attempt and to evaluate psychopathology disorder and family (family structure and functioning) as risk factors. METHOD: prospective study based on clinical interviews and test to 41 children and adolescents hospitalized in the Hospital de Niños de Cordoba due to suicide attempt and their parents, compared to a control group. Data were processed with bivariated and multivariated analysis and multiple logistic regression. RESULTS: 56.1% of suicide attempts were female sex and the 43.9% male sex. The average age was lower for males (p<0.001). Psychopathological risk factors associated to suicide attempt were: previous suicide attempt, conduct disorder (p<0,0006), and family factors: suicidal conduct, conduct disorder in relatives, mono-parental family and high risk relationship with father and mother (p<0,0001). Protective factors associated with the control group were: absence of psychopathological disorder, biparental structure family and good communication with parents (p<0.0001) (OR=15,00; IC: 4,47-50,30). CONCLUSIONS: the background of previous suicide attempt, conduct disorder and change in family structure and functioning are risk factors of suicide attempt.
The increase in mental health consultation for sexual abuse in children and adolescents is a real... more The increase in mental health consultation for sexual abuse in children and adolescents is a reality publicly known. Objective: characterize socially, demographically and by family structure the attention that deals with sexual abuse in the year 2004. Materials and method: the descriptive analysis was performed according to the clinical record of the Mental Health Service from the Hospital de Ninos. Results: 56 children and adolescents were assisted for sexual abuse. Diagnose was confirmed in 54%. 62% were women and 38% men. 63% of the children had between 3 and 5 years. From the registers received, 98% were sexual abuses and 2% rape. In 62% of children the aggressor was a relative. There was an increase of 20% compared with the previous year. Differences in the distribution according to ages were also observed, finding an increase of 100% in children between 3 and 5 years (p<0.01) Conclusions: sexual abuse in children and adolescents is a public health problem that is growing bi...
![Research paper thumbnail of [Risk factors and behaviors among children and adolescents hospitalized for a suicidal attempt]](https://attachments.academia-assets.com/84340079/thumbnails/1.jpg)
](Revista médica de Chile, 2012
Suicidal behavior is the result of the interaction of several factors and represents an increasin... more Suicidal behavior is the result of the interaction of several factors and represents an increasing health problem. To characterize epidemiologically children and adolescents with suicidal attempts and compare them to a control group. A case-control and prospective study, based on clinical interviews and tests performed to 30 children and adolescents hospitalized due to a suicidal attempt and their parents or tutors, (GIS) and 40 ambulatory controls without such history (CG). Psychopathological disorders, risk behaviors (substance use, maltreatment, peer violence, sexual abuse and early sexual relations), family factors and their association with suicidal attempts, were analyzed. Seventy seven percent of participants with a history of suicidal attempt had psychopathological disorders (depression in 38%) and a higher prevalence of suicidal behavior, maltreatment, substance and sexual abuse. Male sex was a risk factor for suicide among children under 12 years and female sex was a risk ...
Archivos argentinos de pediatría
To analyze mortality from suicide in children, adolescents and youth aged 5 to 24 years by gender... more To analyze mortality from suicide in children, adolescents and youth aged 5 to 24 years by gender, method used, place where the incident occurred and residence (province) in Argentina over the period 2005-2007. Data of Statistical Death Reports were used. Mortality rates from suicide were estimated per 100 000 inhabitants using ICD-10 (X60- X84). The statistical method included categorical data analysis. Total deaths from suicide in the 5 to 24 year old group were 861 in 2005, 897 in 2006, and 815 in 2007. During the period 2005-2007, 6 deaths occurred in children younger than 10 years old. In the 10 to 24 year old group males had higher rates than females (p < 0.01). Analysis by gender and age group showed an increase of suicide in males in the group aged 20-24 years old (p < 0.01), while females had the highest rates of suicide in the 15 to 19 year old group. Hanging and use of firearms were the most frequent methods (p < 0.01). The home was the most frequent place where ...
Cadernos Saúde Coletiva, 2012
INTRODUCCIÓN: Las muertes de jóvenes por causas violentas son las principales causas de muerte en... more INTRODUCCIÓN: Las muertes de jóvenes por causas violentas son las principales causas de muerte en Latinoamérica. En función de la crisis económico-social producida en Argentina a partir del 2001, el objetivo del presente trabajo fue analizar la tendencia de mortalidad por causas violentas en jóvenes de 10 a 24 años en el período 2000-2008. METODOLOGÍA: Se utilizaron las Bases de Datos de los Informes Estadísticos de Defunción y los Anuarios de Estadísticas Vitales. Fueron calculadas tasas de mortalidad por causas violentas por los 100.000 habitantes, utilizando la clasificación de la Clasificación Estadística Internacional de Enfermedades y Problemas Relacionados con la Salud (CIE-10). El análisis estadístico se llevó a cabo teniendo en cuenta la naturaleza de la variable. RESULTADOS: La tasa de mortalidad por causas violentas en el 2000 fue de 42,48º/0000 muertes, y en el 2008 fue de 43,09º/0000, con una mayor incidencia de muerte por causas violentas en varones (p=0,0015). Dentro ...
Archivos argentinos de pediatría, 2010
Until recently, suicidal behaviour in children and adolescents was associated to less serious psy... more Until recently, suicidal behaviour in children and adolescents was associated to less serious psychopathological disorders, such as adjustment disorder. In the last decades, according to international sources, psychopathological disorders associated to suicide attempts have become more serious. To describe the frequency of mental and conduct disorders in children and adolescents that attempted suicide, in order to identify self-aggression methods and previous psychopathological antecedents. Cross sectional study based on clinical interviews to 41 children and adolescents hospitalized in Hospital de Niños de Córdoba for suicide attempt. Ingestion of psychotropics is the most frequent self-aggression method (p< 0.0001). Psychopathological history, such as previous suicide attempt and conduct disorder, were predominant (p< 0.0001) in children and adolescents hospitalized for suicide attempt. Pathologies most frequently associated to suicide attempt were depression (29.27%) and co...
Revista de la Facultad de Ciencias Médicas
Ciencias Médicas Universidad Nacional de Córdoba.ResumenLa violencia doméstica es actualmente un ... more Ciencias Médicas Universidad Nacional de Córdoba.ResumenLa violencia doméstica es actualmente un problema de salud pública debido a su magnitud y repercusiones sociosanitarias. Objetivo: explorar las características epidemiológicas sociodemográficas y psicopatológicas de personas denunciadas como agresores en la ciudad de Córdoba. Material y Métodos: estudio exploratorio, retrospectivo y transversal de los registros de personas denunciadas como presuntos agresores de violencia intrafamiliar en la fiscalía de violencia familiar de los tribunales Judiciales Provinciales de Córdoba Capital en el período junio 2011 a mayo 2012. Resultados: el (86%) fueron varones y el (14%) mujeres con una edad de ±35 años. La violencia de pareja fue la más prevalente en el (69%). El grupo etario más comprometido fue el de 20 a 39 años El tipo de lesión más frecuente fue la amenaza (45,6%), seguida de lesiones graves (35,3%). La mayor parte de los casos no presentó diagnóstico de trastorno mental (64...
![Research paper thumbnail of [Exploratory study of the socio-demographic and psychopathological features of persons reported as perpetrators of violence in Cordoba City]](https://attachments.academia-assets.com/75474275/thumbnails/1.jpg)
](Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina), Dec 21, 2017
Nowadays, domestic violence is a public health problem due to its magnitude and socio-sanitary ef... more Nowadays, domestic violence is a public health problem due to its magnitude and socio-sanitary effects. Examine the epidemiological, sociodemographic and psychopathological characteristics of people denounced as aggressors in the city of Córdoba. exploratory, retrospective and cross-sectional study of people denounced as alleged intrafamiliar violence aggressors at the Family Violence Prosecution Unit of the Córdoba Province Court of Law throughout the period from June 2011 to May 2012. 86% were men and 14% women of an age ±35. Couple violence was the most predominant in 69%. The denounced people had an educational level in 60.7%. The most frequent aggression was threat in 45.6%.Then, serious injuries in 35.3%. Most of the cases did not have a diagnosis of mental disorder (64.3%). The most common disorder was substance abuse (28.3%). The most frequently denounced form of violence was the intimate partner violence and it affects people at an early and productive age, showing a gender...
![Research paper thumbnail of [Demand for hospitalization due to psychosocial causes in a pediatric hospital]](https://attachments.academia-assets.com/75474274/thumbnails/1.jpg)
](Archivos argentinos de pediatria, 2016
Health care services show epidemiological changes and an increase in the number of consultations ... more Health care services show epidemiological changes and an increase in the number of consultations due to mental causes and violence without having the necessary capacity to respond to this increasing demand. To analyze and compare the demand for hospitalization due to psychosocial causes in a pediatric hospital during three different periods. Descriptive, retrospective study. The cases were children/adolescents hospitalized for psychosocial causes at Hospital de Niños de la Santísima Trinidad, Córdoba. The data were processed using frequency analysis and chi-square test. 221 records were analyzed. The hospitalization rate was 0.73% in the year 2000, 1.44% in 2005 and 1.26% in 2010. The hospitalization rate for psychosocial causes increased from 0.06 in 2000 to 0.10 in the years 2005 and 2010. The most common reasons for admission were: suspected child abuse in 44.2% (p < 0.0001), suicidal behavior in 18.7%, suspected sexual abuse in 10.05% and substance abuse in 6.8%. The psychomo...
Archivos Argentinos De Pediatria, Apr 1, 2010
Las conductas suicidas en niños y adolescentes se asociaban hasta hace poco con trastornos psicop... more Las conductas suicidas en niños y adolescentes se asociaban hasta hace poco con trastornos psicopatológicos de menor gravedad, como los trastornos reactivos. En las últimas décadas, según referencias internacionales, se observa un agravamiento de los trastornos psicopatológicos que se asocian a los intentos de suicidio en niños y adolescentes. Objetivo. Describir la frecuencia de los trastornos mentales y del comportamiento que presentan los niños y adolescentes con intentos de suicidio e identificar el método de autoagresión utilizado y los antecedentes psicopatológicos previos. Material y método. Estudio transversal, en base a entrevistas clínicas a 41 niños y adolescentes hospitalizados por intento de suicidio en el Hospital de Niños de Córdoba. Resultados. El método de autoagresión más utilizado fue la ingesta de psicofármacos (p< 0,0001) y los antecedentes psicopatológicos previos más prevalentes fueron los intentos de suicidio previos y el trastorno de conducta disocial (p< 0,0001) en los niños y adolescentes hospitalizados por intentos de suicidio. Las patologías más frecuentes en los intentos de suicidio fueron la depresión (29,27%) y el trastorno de conducta disocial (24,39%). Conclusiones. Los niños y adolecentes con intento de suicidio presentaron antecedentes psicopatológicos previos y trastornos mentales de importancia, como depresión y trastorno de conducta disocial, que requieren tratamientos y seguimientos sanitarios oportunos para evitar consecuencias de mayor gravedad. El método más utilizado para el intento de suicidio fue la ingesta de psicofármacos. Palabras clave: intentos de suicidio, niños, adolescentes, trastorno de conducta disocial, depresión. SUMMARY Until recently, suicidal behaviour in children and adolescents was associated to less serious psychopathological disorders, such as adjustment disorder. In the last decades, according to international sources, psychopathological disorders associated to suicide attempts have become more serious. Objective. To describe the frequency of mental and conduct disorders in children and adolescents that attempted suicide, in order to identify self-aggression methods and previous psychopathological antecedents. Material and methods. Cross sectional study based on clinical interviews to 41 children and adolescents hospitalized in Hospital de Niños de Córdoba for suicide attempt. Results. Ingestion of psychotropics is the most frequent self-aggression method (p< 0.0001). Psychopathological history, such as previous suicide attempt and conduct disorder, were predominant (p< 0.0001) in children and adolescents hospitalized for suicide attempt. Pathologies most frequently associated to suicide attempt were depression (29.27%) and conduct disorder (24.39%). Conclusions. Children and adolescents with suicide attempt had previous psychopathological antecedents and important mental disorders such as depression and conduct disorder, which require adequate treatment and sanitary control, in order to avoid more severe consequences. The most used method to attempt suicide was ingestion of psychotropics.
Cuad Med Soc, Sep 1, 1997
Vertex Rev Argent Psiquiatr, Apr 1, 2008
... Autor: Bella, Mónica Edith; Fernández, Alicia Ruth; Acevedo, Gabriel; Willington, José María.... more ... Autor: Bella, Mónica Edith; Fernández, Alicia Ruth; Acevedo, Gabriel; Willington, José María. ... Conclusiones: este grupo se caracteriza por la presencia de intentos de suicidio previo y cuadros psicopatológicos sin diagnóstico y tratamiento que podrían ser detectados y tratados ...
Introducción: En los últimos tiempos se ha profundizado el estudio de este grupo de edad y se ha ... more Introducción: En los últimos tiempos se ha profundizado el estudio de este grupo de edad y se ha observado que la frecuencia de morbi-mortalidad es de baja, pero que son más vulnerables a la mortalidad vinculada a la violencia y que se incrementó en los últimos años. Objetivo: Analizar las causas de mortalidad en adolescentes y jóvenes de la provincia de Córdoba en el año 2005. Material y Métodos: Población: todas las muertes ocurridas en ambos sexos, de 10 a 24 años, en el año 2005 en la provincia de Córdoba. Se estudió en tres grupos según las fases evolutivas: 10 a 14 (adolescencia temprana), 15 a 19 (adolescencia media) y 20 a 24 años (adolescencia tardía o juventud). Análisis estadístico: análisis de frecuencia y tasas con datos categorizados y técnica de ANOVA con nivel de significación de 0,05. Resultados: Las primeras 10 causas de muerte en la provincia de Córdoba fueron distintas según el grupo etario. Donde la muerte por causas violentas ocupa entre el segundo y cuarto lug...
INTRODUCTION: Violence is the leading cause of death among young people in Latin America. The obj... more INTRODUCTION: Violence is the leading cause of death among young people in Latin America. The objective of this study was to analyze the trends of youth (ages 10 to 24) mortality resulting from violence, over the period 2000-2008, in the context of the socioeconomic crisis that started in Argentina, in 2001. METHODOLOGY: Databases of the Statistical Reports of Death and Vital Statistics Yearbooks were used. Violent deaths were defined by the International Statistical Classification of Diseases and Related Health Problems (ICD-10), and violent mortality rates for every 100,000 inhabitants were calculated. Statistical analysis was performed according to the nature of the variable involved. RESULTS: Violent mortality rates were 42.48º/0000 deaths for 2000, and 43.09º/0000 for 2008, with the incidence being higher for males (p=0.0015). For both sexes, there was an increase of violent deaths due to car accidents. There was also an increase of deaths by aggression in males. The highest su...
Cadernos Saúde Coletiva, 2012
OBJETIVO: Con la finalidad de establecer un diagnóstico para detectar situaciones de riesgos fami... more OBJETIVO: Con la finalidad de establecer un diagnóstico para detectar situaciones de riesgos familiares en niños escolarizados, el objetivo propuesto fue identificar los factores de riesgo vinculados a situaciones familiares que se relacionan con la salud mental, en niños de escuela primaria, de un sector urbano aledaño a la ciudad de Córdoba, en Argentina. METODOLOGÍA: El instrumento utilizado fue el test 'Cómo es tú-su familia'. Se realizó los análisis exploratorio bivariado y lo factorial. Se entrevistaron a 146 niños escolarizados de quinto y sexto grado del nivel primario. RESULTADOS: La estructura familiar más frecuente fue la biparental y el 45% de los encuestados tenían estructuras familiares a cargo de mujeres. Más de la mitad de los niños escolarizados refirieron que sus padres nunca, o algunas veces, dedican tiempo para hablar con ellos; los integrantes de su familia no pueden expresarse fácilmente si lo desean y la posibilidad de afrontar los problemas en familia...
Rev Argent Salud Pública, 2010
Identification of risk factors in child and adolescent suicide attempts ABSTRACT. INTRODUCTION: s... more Identification of risk factors in child and adolescent suicide attempts ABSTRACT. INTRODUCTION: suicide is the third cause of death in the adolescence. It was estimated that for each adolescent that commits suicide there are between fifteen and twenty non fatal attempts. OBJECTIVES: to identify risk factors present in children and adolescents hospitalized due to suicide attempt and to evaluate psychopathology disorder and family (family structure and functioning) as risk factors. METHOD: prospective study based on clinical interviews and test to 41 children and adolescents hospitalized in the Hospital de Niños de Cordoba due to suicide attempt and their parents, compared to a control group. Data were processed with bivariated and multivariated analysis and multiple logistic regression. RESULTS: 56.1% of suicide attempts were female sex and the 43.9% male sex. The average age was lower for males (p<0.001). Psychopathological risk factors associated to suicide attempt were: previous suicide attempt, conduct disorder (p<0,0006), and family factors: suicidal conduct, conduct disorder in relatives, mono-parental family and high risk relationship with father and mother (p<0,0001). Protective factors associated with the control group were: absence of psychopathological disorder, biparental structure family and good communication with parents (p<0.0001) (OR=15,00; IC: 4,47-50,30). CONCLUSIONS: the background of previous suicide attempt, conduct disorder and change in family structure and functioning are risk factors of suicide attempt.
The increase in mental health consultation for sexual abuse in children and adolescents is a real... more The increase in mental health consultation for sexual abuse in children and adolescents is a reality publicly known. Objective: characterize socially, demographically and by family structure the attention that deals with sexual abuse in the year 2004. Materials and method: the descriptive analysis was performed according to the clinical record of the Mental Health Service from the Hospital de Ninos. Results: 56 children and adolescents were assisted for sexual abuse. Diagnose was confirmed in 54%. 62% were women and 38% men. 63% of the children had between 3 and 5 years. From the registers received, 98% were sexual abuses and 2% rape. In 62% of children the aggressor was a relative. There was an increase of 20% compared with the previous year. Differences in the distribution according to ages were also observed, finding an increase of 100% in children between 3 and 5 years (p<0.01) Conclusions: sexual abuse in children and adolescents is a public health problem that is growing bi...
Revista médica de Chile, 2012
Suicidal behavior is the result of the interaction of several factors and represents an increasin... more Suicidal behavior is the result of the interaction of several factors and represents an increasing health problem. To characterize epidemiologically children and adolescents with suicidal attempts and compare them to a control group. A case-control and prospective study, based on clinical interviews and tests performed to 30 children and adolescents hospitalized due to a suicidal attempt and their parents or tutors, (GIS) and 40 ambulatory controls without such history (CG). Psychopathological disorders, risk behaviors (substance use, maltreatment, peer violence, sexual abuse and early sexual relations), family factors and their association with suicidal attempts, were analyzed. Seventy seven percent of participants with a history of suicidal attempt had psychopathological disorders (depression in 38%) and a higher prevalence of suicidal behavior, maltreatment, substance and sexual abuse. Male sex was a risk factor for suicide among children under 12 years and female sex was a risk ...
Archivos argentinos de pediatría
To analyze mortality from suicide in children, adolescents and youth aged 5 to 24 years by gender... more To analyze mortality from suicide in children, adolescents and youth aged 5 to 24 years by gender, method used, place where the incident occurred and residence (province) in Argentina over the period 2005-2007. Data of Statistical Death Reports were used. Mortality rates from suicide were estimated per 100 000 inhabitants using ICD-10 (X60- X84). The statistical method included categorical data analysis. Total deaths from suicide in the 5 to 24 year old group were 861 in 2005, 897 in 2006, and 815 in 2007. During the period 2005-2007, 6 deaths occurred in children younger than 10 years old. In the 10 to 24 year old group males had higher rates than females (p < 0.01). Analysis by gender and age group showed an increase of suicide in males in the group aged 20-24 years old (p < 0.01), while females had the highest rates of suicide in the 15 to 19 year old group. Hanging and use of firearms were the most frequent methods (p < 0.01). The home was the most frequent place where ...
Cadernos Saúde Coletiva, 2012
INTRODUCCIÓN: Las muertes de jóvenes por causas violentas son las principales causas de muerte en... more INTRODUCCIÓN: Las muertes de jóvenes por causas violentas son las principales causas de muerte en Latinoamérica. En función de la crisis económico-social producida en Argentina a partir del 2001, el objetivo del presente trabajo fue analizar la tendencia de mortalidad por causas violentas en jóvenes de 10 a 24 años en el período 2000-2008. METODOLOGÍA: Se utilizaron las Bases de Datos de los Informes Estadísticos de Defunción y los Anuarios de Estadísticas Vitales. Fueron calculadas tasas de mortalidad por causas violentas por los 100.000 habitantes, utilizando la clasificación de la Clasificación Estadística Internacional de Enfermedades y Problemas Relacionados con la Salud (CIE-10). El análisis estadístico se llevó a cabo teniendo en cuenta la naturaleza de la variable. RESULTADOS: La tasa de mortalidad por causas violentas en el 2000 fue de 42,48º/0000 muertes, y en el 2008 fue de 43,09º/0000, con una mayor incidencia de muerte por causas violentas en varones (p=0,0015). Dentro ...
Archivos argentinos de pediatría, 2010
Until recently, suicidal behaviour in children and adolescents was associated to less serious psy... more Until recently, suicidal behaviour in children and adolescents was associated to less serious psychopathological disorders, such as adjustment disorder. In the last decades, according to international sources, psychopathological disorders associated to suicide attempts have become more serious. To describe the frequency of mental and conduct disorders in children and adolescents that attempted suicide, in order to identify self-aggression methods and previous psychopathological antecedents. Cross sectional study based on clinical interviews to 41 children and adolescents hospitalized in Hospital de Niños de Córdoba for suicide attempt. Ingestion of psychotropics is the most frequent self-aggression method (p< 0.0001). Psychopathological history, such as previous suicide attempt and conduct disorder, were predominant (p< 0.0001) in children and adolescents hospitalized for suicide attempt. Pathologies most frequently associated to suicide attempt were depression (29.27%) and co...
Revista de la Facultad de Ciencias Médicas
Ciencias Médicas Universidad Nacional de Córdoba.ResumenLa violencia doméstica es actualmente un ... more Ciencias Médicas Universidad Nacional de Córdoba.ResumenLa violencia doméstica es actualmente un problema de salud pública debido a su magnitud y repercusiones sociosanitarias. Objetivo: explorar las características epidemiológicas sociodemográficas y psicopatológicas de personas denunciadas como agresores en la ciudad de Córdoba. Material y Métodos: estudio exploratorio, retrospectivo y transversal de los registros de personas denunciadas como presuntos agresores de violencia intrafamiliar en la fiscalía de violencia familiar de los tribunales Judiciales Provinciales de Córdoba Capital en el período junio 2011 a mayo 2012. Resultados: el (86%) fueron varones y el (14%) mujeres con una edad de ±35 años. La violencia de pareja fue la más prevalente en el (69%). El grupo etario más comprometido fue el de 20 a 39 años El tipo de lesión más frecuente fue la amenaza (45,6%), seguida de lesiones graves (35,3%). La mayor parte de los casos no presentó diagnóstico de trastorno mental (64...
Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina), Dec 21, 2017
Nowadays, domestic violence is a public health problem due to its magnitude and socio-sanitary ef... more Nowadays, domestic violence is a public health problem due to its magnitude and socio-sanitary effects. Examine the epidemiological, sociodemographic and psychopathological characteristics of people denounced as aggressors in the city of Córdoba. exploratory, retrospective and cross-sectional study of people denounced as alleged intrafamiliar violence aggressors at the Family Violence Prosecution Unit of the Córdoba Province Court of Law throughout the period from June 2011 to May 2012. 86% were men and 14% women of an age ±35. Couple violence was the most predominant in 69%. The denounced people had an educational level in 60.7%. The most frequent aggression was threat in 45.6%.Then, serious injuries in 35.3%. Most of the cases did not have a diagnosis of mental disorder (64.3%). The most common disorder was substance abuse (28.3%). The most frequently denounced form of violence was the intimate partner violence and it affects people at an early and productive age, showing a gender...
Archivos argentinos de pediatria, 2016
Health care services show epidemiological changes and an increase in the number of consultations ... more Health care services show epidemiological changes and an increase in the number of consultations due to mental causes and violence without having the necessary capacity to respond to this increasing demand. To analyze and compare the demand for hospitalization due to psychosocial causes in a pediatric hospital during three different periods. Descriptive, retrospective study. The cases were children/adolescents hospitalized for psychosocial causes at Hospital de Niños de la Santísima Trinidad, Córdoba. The data were processed using frequency analysis and chi-square test. 221 records were analyzed. The hospitalization rate was 0.73% in the year 2000, 1.44% in 2005 and 1.26% in 2010. The hospitalization rate for psychosocial causes increased from 0.06 in 2000 to 0.10 in the years 2005 and 2010. The most common reasons for admission were: suspected child abuse in 44.2% (p < 0.0001), suicidal behavior in 18.7%, suspected sexual abuse in 10.05% and substance abuse in 6.8%. The psychomo...
Archivos Argentinos De Pediatria, Apr 1, 2010
Las conductas suicidas en niños y adolescentes se asociaban hasta hace poco con trastornos psicop... more Las conductas suicidas en niños y adolescentes se asociaban hasta hace poco con trastornos psicopatológicos de menor gravedad, como los trastornos reactivos. En las últimas décadas, según referencias internacionales, se observa un agravamiento de los trastornos psicopatológicos que se asocian a los intentos de suicidio en niños y adolescentes. Objetivo. Describir la frecuencia de los trastornos mentales y del comportamiento que presentan los niños y adolescentes con intentos de suicidio e identificar el método de autoagresión utilizado y los antecedentes psicopatológicos previos. Material y método. Estudio transversal, en base a entrevistas clínicas a 41 niños y adolescentes hospitalizados por intento de suicidio en el Hospital de Niños de Córdoba. Resultados. El método de autoagresión más utilizado fue la ingesta de psicofármacos (p< 0,0001) y los antecedentes psicopatológicos previos más prevalentes fueron los intentos de suicidio previos y el trastorno de conducta disocial (p< 0,0001) en los niños y adolescentes hospitalizados por intentos de suicidio. Las patologías más frecuentes en los intentos de suicidio fueron la depresión (29,27%) y el trastorno de conducta disocial (24,39%). Conclusiones. Los niños y adolecentes con intento de suicidio presentaron antecedentes psicopatológicos previos y trastornos mentales de importancia, como depresión y trastorno de conducta disocial, que requieren tratamientos y seguimientos sanitarios oportunos para evitar consecuencias de mayor gravedad. El método más utilizado para el intento de suicidio fue la ingesta de psicofármacos. Palabras clave: intentos de suicidio, niños, adolescentes, trastorno de conducta disocial, depresión. SUMMARY Until recently, suicidal behaviour in children and adolescents was associated to less serious psychopathological disorders, such as adjustment disorder. In the last decades, according to international sources, psychopathological disorders associated to suicide attempts have become more serious. Objective. To describe the frequency of mental and conduct disorders in children and adolescents that attempted suicide, in order to identify self-aggression methods and previous psychopathological antecedents. Material and methods. Cross sectional study based on clinical interviews to 41 children and adolescents hospitalized in Hospital de Niños de Córdoba for suicide attempt. Results. Ingestion of psychotropics is the most frequent self-aggression method (p< 0.0001). Psychopathological history, such as previous suicide attempt and conduct disorder, were predominant (p< 0.0001) in children and adolescents hospitalized for suicide attempt. Pathologies most frequently associated to suicide attempt were depression (29.27%) and conduct disorder (24.39%). Conclusions. Children and adolescents with suicide attempt had previous psychopathological antecedents and important mental disorders such as depression and conduct disorder, which require adequate treatment and sanitary control, in order to avoid more severe consequences. The most used method to attempt suicide was ingestion of psychotropics.
Cuad Med Soc, Sep 1, 1997
Vertex Rev Argent Psiquiatr, Apr 1, 2008
... Autor: Bella, Mónica Edith; Fernández, Alicia Ruth; Acevedo, Gabriel; Willington, José María.... more ... Autor: Bella, Mónica Edith; Fernández, Alicia Ruth; Acevedo, Gabriel; Willington, José María. ... Conclusiones: este grupo se caracteriza por la presencia de intentos de suicidio previo y cuadros psicopatológicos sin diagnóstico y tratamiento que podrían ser detectados y tratados ...
Introducción: En los últimos tiempos se ha profundizado el estudio de este grupo de edad y se ha ... more Introducción: En los últimos tiempos se ha profundizado el estudio de este grupo de edad y se ha observado que la frecuencia de morbi-mortalidad es de baja, pero que son más vulnerables a la mortalidad vinculada a la violencia y que se incrementó en los últimos años. Objetivo: Analizar las causas de mortalidad en adolescentes y jóvenes de la provincia de Córdoba en el año 2005. Material y Métodos: Población: todas las muertes ocurridas en ambos sexos, de 10 a 24 años, en el año 2005 en la provincia de Córdoba. Se estudió en tres grupos según las fases evolutivas: 10 a 14 (adolescencia temprana), 15 a 19 (adolescencia media) y 20 a 24 años (adolescencia tardía o juventud). Análisis estadístico: análisis de frecuencia y tasas con datos categorizados y técnica de ANOVA con nivel de significación de 0,05. Resultados: Las primeras 10 causas de muerte en la provincia de Córdoba fueron distintas según el grupo etario. Donde la muerte por causas violentas ocupa entre el segundo y cuarto lug...
INTRODUCTION: Violence is the leading cause of death among young people in Latin America. The obj... more INTRODUCTION: Violence is the leading cause of death among young people in Latin America. The objective of this study was to analyze the trends of youth (ages 10 to 24) mortality resulting from violence, over the period 2000-2008, in the context of the socioeconomic crisis that started in Argentina, in 2001. METHODOLOGY: Databases of the Statistical Reports of Death and Vital Statistics Yearbooks were used. Violent deaths were defined by the International Statistical Classification of Diseases and Related Health Problems (ICD-10), and violent mortality rates for every 100,000 inhabitants were calculated. Statistical analysis was performed according to the nature of the variable involved. RESULTS: Violent mortality rates were 42.48º/0000 deaths for 2000, and 43.09º/0000 for 2008, with the incidence being higher for males (p=0.0015). For both sexes, there was an increase of violent deaths due to car accidents. There was also an increase of deaths by aggression in males. The highest su...