Ideación suicida y depresión en pacientes VIH+: Estudio transversal sobre prevalencia y factores de riesgo
Bibliographic record
Abstract
espanolIntroduccion. Si bien existe una asociacion clara entre el riesgo suicida y la depresion en la poblacion VIH+, existe cierta controversia acerca de los otros factores de riesgo suicida. El objetivo de este estudio es determinar la prevalencia de ideacion suicida y depresion en nuestro medio e identificar los posibles factores de riesgo asociados a su aparicion. Metodologia. Estudio epidemiologico, transversal, con muestreo simple aleatorio de pacientes con VIH+ en seguimiento por la Seccion de Enfermedades Infecciosas del Hospital Universitario de Canarias. Se recogieron datos sociodemograficos, clinicos y analiticos y se utilizaron la escala de riesgo suicida de Plutchik y la escala de Depresion de Calgary (CDS) para las evaluaciones psicologicas. Resultados. Se estudiaron un total de 125 pacientes. La prevalencia de ideacion suicida y depresion en nuestro medio asciende al 20,8% y 23,2% respectivamente. El consumo de toxicos, un estado CDC actual avanzado, una funcionalidad mermada, residir en una zona rural y tener antecedentes psiquiatricos y de riesgo suicida personales, fueron identificados como factores de riesgo potenciales para la aparicion de depresion y riesgo suicida. Poseer un diagnostico > 2 anos, cierto grado de lipodistrofia y coinfeccion con VHC fue correlacionado con la aparicion de depresion. La presencia de antecedentes familiares de conducta suicida y estar desempleado se relaciono con un aumento de riesgo suicida. Conclusiones. La prevalencia de ideacion suicida y depresion en pacientes VIH en nuestro medio es elevada. La identificacion de los factores asociados a su aparicion es un factor clave para su manejo clinico precoz. EnglishIntroduction. Suicidal risk factors are crucial on its prevention, unless its relation with depression is a fact, others remain controversial. The aim of this study is to assess prevalence of suicidal ideation and depression in this population and to identify possible associated risk factors. Methodology. A cross-sectional epidemiologic study randomized sampling was conducted in HIV+ patients attending Infectious Diseases Section of Hospital Universitario de Canarias. Sociodemographical, clinical, psychological and analytical data were collected. Plutchik Suicide Risk and Calgary Depression Scales (CDS) were used in psychological assessment Results. Suicidal ideation and depression prevalence amount to 20.8% and 23.2% respectively, in our environment. Consumption of toxic substances, an advanced CDC status, impaired functionality, residing at rural area, and having a personal history of psychiatric and suicidal risk records (background) were identified as potential risk factors for depression and suicidal risk onset. Having an old diagnosis (> 2 years), some grade of lipodystrophy and coinfection with HCV was correlated with the onset of depression. While the presence of a family history of suicidal behavior and being unemployed was associated with an increased risk of suicide. Conclusions. The prevalence of suicidal ideation and depression in HIV+ patients in our environment is high. The identification of the factors associated with its onset is a key feature for its early clinical management.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".