{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T14:11:12Z","timestamp":1792591872362,"version":"4.5.0"},"reference-count":66,"publisher":"Universidad del Valle","issue":"1","license":[{"start":{"date-parts":[[2025,3,17]],"date-time":"2025-03-17T00:00:00Z","timestamp":1742169600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["colombiamedica.univalle.edu.co"],"crossmark-restriction":true},"short-container-title":["Colomb Med"],"abstract":"<jats:p>Objetivo: Identificar los factores demogr\u00e1ficos, psicosociales y del ciclo de vida que aumentan el riesgo de suicidio en la zona cafetera de Colombia entre la segunda mitad de 2017 y finales de 2019.M\u00e9todos: Dise\u00f1o de casos y controles emparejados. Se utiliz\u00f3 una muestra de 176 personas, de las cuales 101 eran muertes por suicidio (casos) y 75 eran muertes por accidentes de tr\u00e1nsito (controles); se utilizaron autopsias psicol\u00f3gicas con fines de investigaci\u00f3n. Se realizaron an\u00e1lisis de regresi\u00f3n log\u00edstica de m\u00e1xima verosimilitud penalizada, que indicaban la oportunidad o ventaja relativa (OR) de suicidio, ajustando por sexo, grupo de edad, provincia de la autopsia m\u00e9dico-legal y fuente de los datos. Las regresiones log\u00edsticas se aplicaron en tres bloques: problemas de salud mental, consumo de sustancias psicoactivas y adversidades durante el curso de la vida. El an\u00e1lisis estad\u00edstico se realiz\u00f3 con Stata\u00ae.Resultados: El 78.2 % de los casos y el 84.0 % de los controles eran hombres. La edad media de los casos era de 39 a\u00f1os y la de los controles, de 43 a\u00f1os. Los factores de riesgo clave para el suicidio, con p&lt; 0,05, fueron el trabajo forzoso durante la adolescencia (OR: 32,41), la dependencia econ\u00f3mica (OR: 4,3), el maltrato verbal o f\u00edsico por parte de la pareja (OR: 10,28), cualquier trastorno mental (OR: 26,14), un intento previo de suicidio (OR: 11,64; p= 0.061) y antecedentes de trastorno depresivo mayor (OR: 24.86). Un factor protector fue la muerte de un familiar cercano en alg\u00fan momento de la vida (OR: 0.34; p= 0.073).Conclusiones: El trabajo forzado en la adolescencia, el abuso verbal y f\u00edsico por parte de la pareja, la dependencia econ\u00f3mica de otras personas, cualquier trastorno mental, el trastorno depresivo severo y los intentos de suicidio previos fueron factores de riesgo de suicidio; la muerte de cualquier familiar cercano en alg\u00fan momento de la vida fue un factor de protecci\u00f3n contra el suicidio.<\/jats:p>","DOI":"10.25100\/cm.v56i1.5175","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T16:33:31Z","timestamp":1758040411000},"page":"e2025175","update-policy":"https:\/\/doi.org\/10.25100\/cm.crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Estudio de autopsia psicol\u00f3gica sobre los factores de riesgo de suicidio en la regi\u00f3n cafetera de Colombia, 2017-2019"],"prefix":"10.25100","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9583-108X","authenticated-orcid":false,"given":"Carolina","family":"Gonz\u00e1lez Zapata","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1071-6307","authenticated-orcid":false,"given":"Oscar Mauricio","family":"Casta\u00f1o Ram\u00edrez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1286-6330","authenticated-orcid":false,"given":"Jairo","family":"Franco Londo\u00f1o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7132-872X","authenticated-orcid":false,"given":"Juan Carlos","family":"Medina Osorio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2758-5104","authenticated-orcid":false,"given":"Jennifer Nessim","family":"Salazar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5210-2517","authenticated-orcid":false,"given":"Germ\u00e1n","family":"Moreno-G\u00f3mez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6287-6815","authenticated-orcid":false,"given":"Leonardo","family":"Beltr\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6245-5148","authenticated-orcid":false,"given":"Mar\u00eda Catalina","family":"Echeverri-Londo\u00f1o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9483-8212","authenticated-orcid":false,"given":"Luz Damaris","family":"Rojas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3385-7380","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Fandi\u00f1o-Losada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10728","published-online":{"date-parts":[[2025,3,17]]},"reference":[{"key":"98016","unstructured":"World Health Organization. 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