{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T09:15:46Z","timestamp":1772615746425,"version":"3.50.1"},"reference-count":82,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001631","name":"University College Dublin","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001631","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Suicidal behaviour is a critical mental health issue in the adolescent population, often linked to serious emotional problems that leave survivors vulnerable to future risk. Psychological crises in adolescence are primarily associated with relational conflicts, with emotional crises involving depression or anxiety significantly increasing suicidal risk.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objective<\/jats:title>\n<jats:p>This study aimed to evaluate the rates of suicidal behaviour in adolescents undergoing emotional crises and explore their association with psychiatric diagnoses and demographic factors in Ecuador.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>An observational, correlational study using a quantitative approach was conducted. Data from 252 adolescents admitted to the Crisis Intervention Unit at the Institute of Neurosciences in Guayaquil, Ecuador, between 2011 and 2023 were analysed. Hospitalisation frequencies by year, gender, and associated psychiatric diagnoses were assessed. Data were obtained from each patient\u2019s unified clinical history.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>The study found that suicidal behaviour in adolescents hospitalised for emotional crises was most prevalent among females aged 16\u201318 years. Depressive episodes were the most common psychiatric diagnosis (73%), and cutting was the most frequent method of self-harm, followed by the ingestion of psychotropic substances. A combination of suicidal ideation and attempts was the most frequent presentation (64%), with family conflicts identified as the main source of distress.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The high frequency of suicidal behaviour in adolescent females aged 16-18 years underscores the need for targeted prevention programs addressing emotional crises and stress management in this high-risk group.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0320381","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T21:19:10Z","timestamp":1743542350000},"page":"e0320381","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":4,"title":["Suicidal behaviour in adolescents with affective disorders: A study in a crisis intervention unit (CIU)"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1696-6892","authenticated-orcid":false,"given":"Jos\u00e9 Alejandro","family":"Valdevila Figueira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9624-5824","authenticated-orcid":true,"given":"Mar\u00eda Alejandra","family":"Espinoza de los Monteros Andrade","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2311-5217","authenticated-orcid":true,"given":"Roc\u00edo","family":"Valdevila Santiesteban","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6996-0443","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Ram\u00edrez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9800-4280","authenticated-orcid":false,"given":"Indira Dayana","family":"Carvajal Parra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4384-9197","authenticated-orcid":true,"given":"Jimmy Daniel","family":"Martin Delgado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1441-3821","authenticated-orcid":false,"given":"Pedro Carlos","family":"Mart\u00ednez-Su\u00e1rez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6612-4231","authenticated-orcid":false,"given":"Luis Patricio","family":"Benenaula Vargas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6664-3423","authenticated-orcid":true,"given":"Mar\u00eda Emilia","family":"Andrade Hidalgo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8217-0238","authenticated-orcid":true,"given":"Jose A.","family":"Rodas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,4,1]]},"reference":[{"key":"pone.0320381.ref001","doi-asserted-by":"crossref","first-page":"48","DOI":"10.47464\/MetroCiencia\/vol29\/4\/2021\/48-54","article-title":"Epidemiological statistics of adolescent suicide during confinement due to the Covid-19 pandemic in Ecuador","volume":"29","author":"AJ Guarnizo","year":"2021","journal-title":"Metro Ciencia"},{"key":"pone.0320381.ref002","article-title":"Suicidal behavior and perinatal period: between taboo and misunderstanding","volume":"42","author":"Universidad de Oviedo","year":"2021","journal-title":"Pap Psicol"},{"key":"pone.0320381.ref003","first-page":"220","volume-title":"The Integrated Motivational-Volitional Model of Suicidal Behavior. 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