RESUMEN

Introducción: El suicidio es la complicación más grave de la depresión, ocasiona altos costos en salud y millones de muertes anuales alrededor del mundo; dadas sus implicaciones, es importante conocer los factores que aumentan su riesgo de ocurrencia y los instrumentos más útiles para abordarlos. Objetivos: Determinar los signos y síntomas que indican un mayor riesgo de suicidio y los factores que aumentan el riesgo en pacientes con diagnóstico de depresión. Establecer los instrumentos que tienen las mejores propiedades para identificar el riesgo suicida en personas con depresión. Método: Se elaboró una guía de práctica clínica siguiendo los lineamientos de la guía metodológica del Ministerio de la Protección Social para recolectar evidencia y graduar las recomendaciones de las guías NICE 90 y CANMAT para las preguntas que estas guías contestaban y se desarrollaron de novo para las preguntas no encontradas. Resultados: Se presentan las fundamentaciones y recomendaciones del capítulo de la guía de práctica clínica de episodio depresivo y trastorno no depresivo recurrente correspondientes a la evaluación del riesgo de suicidio. Se incluye el grado de recomendación correspondiente.

Introduction: Suicide is the most serious complications of depression. It has high associated health costs and causes millions of deaths worldwide per year. Given its implications, it is important to know the factors that increase the risk of its occurrence and the most useful tools for addressing it. Objectives: To identify the signs and symptoms that indicate an increased risk of suicide, and factors that increase the risk in patients diagnosed with depression. To establish the tools best fitted to identify suicide risk in people with depression. Method: Clinical practice guidelines were developed, following those of the method methodological guidelines of the Ministry of Social Protection, to collect evidence and to adjust recommendations. Recommendations from the NICE90 and CANMAT guidelines were adopted and updated for questions found in these guidelines, while new recommendations were developed for questions not found in them. Results: Basic points and recommendations are presented from a chapter of the clinical practice guidelines on depressive episodes and recurrent depressive disorder related to suicide risk assessment. Their corresponding recommendation levels are included.

Asunto(s)

RESUMEN

INTRODUCTION: Suicide is the most serious complications of depression. It has high associated health costs and causes millions of deaths worldwide per year. Given its implications, it is important to know the factors that increase the risk of its occurrence and the most useful tools for addressing it. OBJECTIVES: To identify the signs and symptoms that indicate an increased risk of suicide, and factors that increase the risk in patients diagnosed with depression. To establish the tools best fitted to identify suicide risk in people with depression. METHOD: Clinical practice guidelines were developed, following those of the methodmethodological guidelines of the Ministry of Social Protection, to collect evidence and to adjust recommendations. Recommendations from the NICE90 and CANMAT guidelines were adopted and updated for questions found in these guidelines, while new recommendations were developed for questions not found in them. RESULTS: Basic points and recommendations are presented from a chapter of the clinical practice guidelines on depressive episodes and recurrent depressive disorder related to suicide risk assessment. Their corresponding recommendation levels are included.