El Cutting en jóvenes y su asociación con las relaciones familiares
Keywords:
cutting, relaciones familiares, estilos de parentalidad, jóvenes, género, MéxicoAbstract
Los cortes en la piel (cutting) son una de las prácticas de auto lesión más comunes en jóvenes, y de las que más permanecen ocultas. Nos proponemos indagar la prevalencia del cutting en jóvenes y su asociación con las relaciones familiares en función del género, y comparar su manifestación entre los estratos rural y urbano. Realizamos un estudio cuantitativo transversal con una muestra aleatoria y representativa del municipio de San Juan del Río, Querétaro. Participaron 1,630 educandos de bachillerato contestando el Cuestionario a Estudiantes. Encontramos que el cutting se presenta en el 21.26% de los/as jóvenes (34.47% de las mujeres y 7.77% de los hombres; RM=6.24 [IC: 4.23-9.22], ?2=170.06, p<0.001), sin mediar diferencia estadística en los contextos urbano y el rural (?2 =0.001, gl=1, p=0.99). Las relaciones familiares negligentes son un factor de riesgo para el cutting en jóvenes. En mujeres también lo es tener padres/madres: autoritarios, que ejercen violencia física y/o psicológica. Los resultados evidencian la necesidad de impulsar política pública con perspectiva de género, que incida en el ámbito de las relaciones familiares.References
& Berk, M. (2017). Youth self-harm in low- and middle-income countries: Systematic review of the risk and protective factors. International Journal of Social Psychiatry, 63(4), 359–375. doi: 10.1177/0020764017700175
Albores, L., Méndez, J., Delgadillo, Y., Chávez, C., & Martínez, O. (2014). Nonsuicidal self-injury in a community sample of older children and adolescents of Mexico City. Actas Esp Psiquiatría, 42(4), 159–168. Recuperado de: https://www.actaspsiquiatria.es/repositorio/16/90/ENG/16-90-ENG-159-168-700617.pdf
American Psychological Association. (2010). Publication manual of the American Psychological Association (6a ed.). Washington, DC: Inst.
Arensman, E., Larkin, C., Corcoran, P., Reulbach, U., & Perry, I. J. (2014). Factors associated with self-cutting as a method of self-harm: Findings from the Irish National Registry of Deliberate Self-Harm. European Journal of Public Health, 24(2), 292–297. doi: 10.1093/eurpub/ckt087
Benjet, C., González, I., Castro E., Méndez, E., Borges, G., Casanova, L., & Medina, M. E. (2017). Non-suicidal self-injury in Mexican young adults : Prevalence, associations with suicidal behavior and psychiatric disorders, and DSM-5 proposed diagnostic criteria. Journal of Affective Disorders, 215, 1–8. doi: 10.1016/j.jad.2017.03.025
Brown, T. B., & Kimball, T. (2013). Cutting to Live: A Phenomenology of self-harm. Journal of Marital and Family Therapy, 39(2), 195–208. doi: 10.1111/j.1752-0606.2011.00270.x
Canoville, M.F. (2016). Non Suicidal self-injuries: the assessment of “self-cutting” in emergency departments, by emergency staff. A role of education and supervision for psychiatrists. L’Information Psychiatrique, 92(2), 126–130. doi: 10.1684/ipe.2016.1447
Carroll, R., Metcalfe, C., & Gunnell, D. (2014). Hospital presenting self-harm and risk of fatal and non- fatal repetition: Systematic review and meta-analysis. PLoS ONE, 9(2). doi: 10.1371/journal.pone.0089944
Carroll, R., Thomas, K. H., Bramley, K., Williams, S., Griffin, L., Potokar, J., & Gunnell, D. (2016). Self-cutting and risk of subsequent suicide. Journal of Affective Disorders, 192, 8–10. doi: 10.1016/j.jad.2015.12.007
Cassels, M., van Harmelen, A. L., Neufeld, S., Goodyer, I., Jones, P. B., & Wilkinson, P. (2018). Poor family functioning mediates the link between childhood adversity and adolescent nonsuicidal self-injury. Journal of Child Psychology and Psychiatry and Allied Disciplines, 8, 881–887. doi: 10.1111/jcpp.12866
Castro, E., Benjet, C., Juárez, F., Jurado, S., Lucio, M., & Valencia, A. (2017). Non-suicidal self-injuries in a sample of Mexican university students, Revista salud mental 40(5), 191–199. Recuperado de: https://www.medigraphic.com/pdfs/salmen/sam-2017/sam175c.pdf
Chávez, J., Villatoro, J., Robles, L., Bretón, M., Sánchez, V., Gutiérrez, M., …, y Medina-Mora, M. E.(2009). Encuesta escolar sobre adicciones en el Estado de Jalisco. Instituto Nacional de Psiquiatria Ramón de la Fuente Muñiz. México, D.F. Recuperado de: https://cecaj.jalisco.gob.mx/sites/cecaj.jalisco.gob.mx/files/cd_encuesta_2009_completo.pdf
Di Pierro, R., Sarno, I., Perego, S., Gallucci, M., & Madeddu, F. (2012). Adolescent nonsuicidal self-injury: the effects of personality traits, family relationships and maltreatment on the presence and severity of behaviours. European Child & Adolescent Psychiatry, 21(9), 511–520. doi: 10.1007/s00787-012-0289-2
Gatta, M., Miscioscia, M., Sisti, M., Comis, I., & Battistella, P. A. (2017). Interactive family dynamics and non-suicidal self-injury in psychiatric adolescent patients: A single case study. Frontiers in Psychology, 8(46), 1–5. doi:10.3389/fpsyg.2017.00046
González, C., Alvarez, M., Saldaña, A., & Carreño, S. (2005). Prevalence of deliberate self-harm in teenage students in the state of Guanajuato, Mexico : 2003. Social Behavior and Personality, 33(8), 777–792. doi: 10.2224/sbp.2005.33.8.777
Guvendeger, N., Zahmacioglu, O., Ciftci, A., Kocaman, G. M., & Erdogan, A. (2017). Association of suicide attempts and non-suicidal self-injury behaviors with substance use and family characteristics among children and adolescents seeking treatment for substance use disorder. Substance Use & Misuse, 52(5), 604–613. doi: 10.1080/10826084.2016.1245745
Halstead, R. O., Pavkov, T. W., Hecker, L. L., & Seliner, M. M. (2014). Family dynamics and self‐injury behaviors: A correlation analysis. Journal of Marital and Family Therapy, 40(2), 246–259. doi: 10.1111/j.1752-0606.2012.00336.x
Hawton, K., Bergen, H., Cooper, J., Turnbull, P., Waters, K., Ness, J., Kapur, N. (2015). Suicide following self-harm: findings from the multicenter study of self-harm in England, 2000–2012. J.Affect.Disord., 175, 147–151. doi: 10.1016/j.jad.2014.12.062
Hernández, R., Fernández, C., y Baptista, P. (2010). Metodología de la investigación (4a.). México: McGraw Hill.
Instituto Nacional de Estadística y Geografía . (2015). Cuéntame. Recuperado de: http://cuentame.inegi.org.mx/monografias/informacion/queret/territorio/div_municipal.aspx?tema=me&e=22
Instituto Nacional de Estadística y Geografía. (2018). Estadísticas a propósito del Día Internacional de la Juventud (12 de agosto). Recuperado de: https://www.inegi.org.mx/contenidos/saladeprensa/aproposito/2018/juventud2018_Nal.pdf
Kelada, L., Hasking, P., & Melvin, G. (2016). The relationship between nonsuicidal self-injury and family functioning: Adolescent and parent perspectives. Journal of Marital and Family Therapy, 42(3), 536–549. doi: 10.1111/jmft.12150
Kerr, P. L., Muehlenkamp, J. J., & Turner, J. M. (2010). Nonsuicidal self-injury: A review of current research for family medicine and primary care physicians. The Journal of the American Board of Family Medicine, 23(2), 240–259. doi: 10.3122/jabfm.2010.02.090110
Kinahan, J. C., & MacHale, S. (2014). The surgeon and self-harm: At the cutting edge. Surgeon, 12(6), 345–349. doi: 10.1016/j.surge.2014.03.002
Larkin, C., Corcoran, P., Perry, I., & Arensman, E. (2014). Severity of hospital-treated self-cutting and risk of future self-harm: A national registry study. Journal of Mental Health, 23(3), 115–119. doi: 10.3109/09638237.2013.841867
Lockwood, J., Daley, D., Townsend, E., & Sayal, K. (2017). Impulsivity and self-harm in adolescence: a systematic review. European Child and Adolescent Psychiatry, 26(4), 387–402. doi: 10.1007/s00787-016-0915-5
Makowska, I., Kropiwinicki, P., & Gmitrowicz, A. (2016). Social and family risk factors of self-injury in Polish population of psychiatrically hospitalized adolescents. European Psychiatry, 33, S140. doi: 10.1016/j.eurpsy.2016.01.190
Martin, J., Bureau, J. F., Yurkowski, K., Fournier, T. R., Lafontaine, M. F., & Cloutier, P. (2016). Family-based risk factors for non-suicidal self-injury: Considering influences of maltreatment, adverse family-life experiences, and parent-child relational risk. Journal of Adolescence, 49, 170–180. doi: 10.1016/j.adolescence.2016.03.015
Morey, C., Corcoran, P., Arensman, E., & Perry, I. J. (2008). The prevalence of self-reported deliberate self harm in Irish adolescents. BMC Public Health, 8(79), 2–8. doi: 10.1186/1471-2458-8-79
Segrin, C., & Flora, J. (2011). Family communication (2nd ed.). New York: Routledge.
Swannell, S. V., Martin, G. E., Page, A., Hasking, P., & St John, N. J. (2014). Prevalence of nonsuicidal self-injury in nonclinical samples: Systematic review, meta-analysis and meta-regression. Suicide and Life-Threatening Behavior, 44(3), 273–303. doi: 10.1111/sltb.12070
Teague-Palmieri, E. B., & Gutierrez, D. (2016). Healing together: family therapy resource and strategies for increasing attachment security in individuals engaging in nonsuicidal self-injury. The Family Journal, 24(2), 157–163. doi: 10.1177/1066480716628629
Thrane, L. E., Hoyt, D. R., Whitbeck, L. B., & Yoder, K. A. (2006). Impact of family abuse on running away, deviance, and street victimization among homeless rural and urban youth. Child Abuse & Neglect, 30(10), 1117–1128. doi: 10.1016/j.chiabu.2006.03.008
Turner, B. J., Jin, H. M., Anestis, M. D., Dixon-Gordon, K. L., & Gratz, K. L. (2018). Personality pathology and intentional self-harm: cross-cutting insights from categorical and dimensional models. Current Opinion in Psychology, 21, 55–59. doi: 10.1016/j.copsyc.2017.09.009
Ulloa, R., Contreras, C., Paniagua, K., y Victoria, G. (2013). Frecuencia de autolesiones y características clínicas asociadas en adolescentes que acudieron a un hospital psiquiátrico infantil. Salun Mental, 36(5), 417–420. Recuperado de: http://www.scielo.org.mx/pdf/sm/v36n5/v36n5a10.pdf
Voth, J. (2001). Relationships between rural/urban living, family environment, and coping strategies. Fort Hays State University. Recuperado de: https://scholars.fhsu.edu/theses/2834
Xavier, A., Pinto-Gouveia, J., Cunha, M., & Carvalho, S. (2016). Self-criticism and depressive symptoms mediate the relationship between emotional experiences with family and peers and self-injury in adolescence. The Journal of Psychology, 150(8), 1046–1061. doi: 10.1080/00223980.2016.1235538
Ystgaard, M., Arensman, E., Hawton, K., Madge, N., Heeringen, K. Van, Hewitt, A., … Fekete, S. (2009). Deliberate self-harm in adolescents : Comparison between those who receive help following self-harm and those who do not. Journal of Adolescence, 32, 875–891. doi: 10.1016/j.adolescence.2008.10.010
Zhang, W., & Fuligni, A. J. (2006). Authority , autonomy , and family relationships among adolescents in urban and rural china. Journal of Research on Adolescence, 16(4), 527–537. doi: 10.1111/j.1532-7795.2006.00506.x
Downloads
Published
Issue
Section
License
Those authors who have publications with the Journal of Psychology and Behavioral Sciences of the Academic Unit of Legal and Social Sciences, accept the following terms:
a. The authors will retain their copyright and guarantee the journal the right to first publish their work, which will be simultaneously subject to the Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License. which allows third parties to share the work as long as its author and his first publication are indicated this journal.
b. Authors may adopt other non-exclusive license agreements for the distribution of the version of the published work (e.g., deposit it in an institutional telematic archive or publish it in a monographic volume) provided that the initial publication in this journal is indicated.
C. Authors are allowed and recommended to disseminate their work through personal communication (e.g. colleagues) before and during the submission process, for purposes of feedback or enrichment of the work, which can produce interesting exchanges