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OBJECTIVE: In recent years, the use of information and communication technologies (ICTs) has increased in various sectors, among which the healthcare service is no exception. However, studies have mostly focused on the use of ICTs among patients with chronic diseases, with few reports on the advantages and barriers of these technologies among physicians, particularly in Latin America. We designed this study to fill in the gap, as an objective assessment of the frequency of use, perceptions, and barriers of ICTs among physicians remains crucial for a successful implementation of these technologies into the mainstream medical practice. METHODS: We conducted an anonymous cross-sectional survey-based study in 640 Ecuadorian physicians. The survey used consisted of 13 items and evaluated the frequency of use, perceptions, and barriers of ICTs among physicians. Chi-square tests for goodness of fit and independence were performed, whilst Phi coefficient was interpreted to assess the strength of associations. Fisher exact test was performed when required. RESULTS: Over 90% of physicians reported the use of ICTs to message other colleagues and patients (p=0.000). While 89.5% of physicians used social media to interact with other colleagues, only 58.1% used them to interact with patients (p=0.000). Most participants reported the use of ICTs to search for academic information (p=0.000). Moreover, more than 80.0% agree that ICTs may be used to promote health and medical services, search new job opportunities, get involved in research projects and promote teamwork with colleagues. However, 83.6% of physicians expressed concerns about privacy and patient confidentiality, while 53.8% stated that they lacked the time to use ICTs. CONCLUSION: High usage of ICTs was found among Ecuadorian physicians. Younger physicians, with less postgraduate years, and non-specialists were more likely to have a positive perception toward ICTs. Privacy and patient confidentiality, followed by time management, were the most reported barriers in our study.

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INTRODUCCION: En la provincia de Jujuy, entre 1998 y 2007 se realizaron dos investigaciones relacionadas con la temática del suicidio. Se relevancia reflejó la importancia de seguir indagando en torno a conductas autodestructivas, ideación y gestos suicidas, y dio sustento a la presente investigación.OBJETIVO: Analizar si los adolescentes del nivel medio o polimodal de escuelas públicas presentan conductas autodestructivas, ideación o gestos suicidas.METODOS: En la primera etapa de la investigación se trabajó con un diseño de tipo cuantitativo. Se utilizó una técnica de exploración personal, la Escala ISO-30, para conocer el riesgo suicida en relación con conductas autodestructivas, ideación y gestos suicidas. Tras obtener los porcentajes de riesgo suicida de la muestra de adolescentes, se trabajó con un diseño cualitativo. Se realizaron entrevistas semi-dirigidas, que permitieron categorizar los datos obtenidos mediante su triangulación.RESULTADOS: De los 164 adolescentes que integraron el total de la muestra, 29 (17%) presentaron "alto riesgo" suicida. Se corroboró en ellos la incidencia directa del medio socio-familiar. Se verificó que las particularidades que predisponen a los jóvenes a conductas autodestructivas, ideación y gestos suicidas tienen relación con: a) dificultad para establecer lazos con sus semejantes; b) trastornos de ansiedad-angustia; c) falta de referentes significativos.CONCLUSIONES: Es fundamental implementar políticas públicas de salud que contemplen servicios especializados para la atención de casos de urgencia, afianzando redes institucionales, promoviendo la participación de organizaciones no gubernamentales y realizando protocolos de intervención y acciones de promoción desde los distintos estamentos.

INTRODUCTION: In the province of Jujuy, two investigations related to suicide were carried out from 1998 to 2007. They showed the importance of continuing the research on self-destructive behavior and suicidal ideation and gestures, and gave support to this study.OBJECTIVE: To analyze whether the adolescents from intermediate or polymodal level at public schools have self-destructive behavior and suicidal ideation and gestures.METHODS: The first stage of the research used a quantitative design with a personal exploration technique, ISO-30 scale, to know suicide risk in relation to self-destructive behavior and suicidal ideation and gestures. After obtaining the rates of suicide risk from the sample of adolescents, a qualitative design was used. Semi-direct interviews were performed, allowing data classification by triangulation.RESULTS: From the total sample of 164 adolescents, 29 (17%) had suicidal "high risk". They showed a direct influence of socio-family factors. According to the study, the conditions that lead young people to have self-destructive behavior and suicidal ideation and gestures are related to: a) difficulty in establishing relationships with peers; b) anxiety-anguish disorders; c) lack of significant referents.CONCLUSIONS: It is fundamental to implement public health policies which consider special services for emergency care, strengthening institutional networks, encouraging the participation of non-government organizations and performing intervention protocols and promotion activities from different levels.

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INTRODUCCION: En la provincia de Jujuy, entre 1998 y 2007 se realizaron dos investigaciones relacionadas con la temática del suicidio. Se relevancia reflejó la importancia de seguir indagando en torno a conductas autodestructivas, ideación y gestos suicidas, y dio sustento a la presente investigación.OBJETIVO: Analizar si los adolescentes del nivel medio o polimodal de escuelas públicas presentan conductas autodestructivas, ideación o gestos suicidas.METODOS: En la primera etapa de la investigación se trabajó con un diseño de tipo cuantitativo. Se utilizó una técnica de exploración personal, la Escala ISO-30, para conocer el riesgo suicida en relación con conductas autodestructivas, ideación y gestos suicidas. Tras obtener los porcentajes de riesgo suicida de la muestra de adolescentes, se trabajó con un diseño cualitativo. Se realizaron entrevistas semi-dirigidas, que permitieron categorizar los datos obtenidos mediante su triangulación.RESULTADOS: De los 164 adolescentes que integraron el total de la muestra, 29 (17%) presentaron "alto riesgo" suicida. Se corroboró en ellos la incidencia directa del medio socio-familiar. Se verificó que las particularidades que predisponen a los jóvenes a conductas autodestructivas, ideación y gestos suicidas tienen relación con: a) dificultad para establecer lazos con sus semejantes; b) trastornos de ansiedad-angustia; c) falta de referentes significativos.CONCLUSIONES: Es fundamental implementar políticas públicas de salud que contemplen servicios especializados para la atención de casos de urgencia, afianzando redes institucionales, promoviendo la participación de organizaciones no gubernamentales y realizando protocolos de intervención y acciones de promoción desde los distintos estamentos.

INTRODUCTION: In the province of Jujuy, two investigations related to suicide were carried out from 1998 to 2007. They showed the importance of continuing the research on self-destructive behavior and suicidal ideation and gestures, and gave support to this study.OBJECTIVE: To analyze whether the adolescents from intermediate or polymodal level at public schools have self-destructive behavior and suicidal ideation and gestures.METHODS: The first stage of the research used a quantitative design with a personal exploration technique, ISO-30 scale, to know suicide risk in relation to self-destructive behavior and suicidal ideation and gestures. After obtaining the rates of suicide risk from the sample of adolescents, a qualitative design was used. Semi-direct interviews were performed, allowing data classification by triangulation.RESULTS: From the total sample of 164 adolescents, 29 (17%) had suicidal "high risk". They showed a direct influence of socio-family factors. According to the study, the conditions that lead young people to have self-destructive behavior and suicidal ideation and gestures are related to: a) difficulty in establishing relationships with peers; b) anxiety-anguish disorders; c) lack of significant referents.CONCLUSIONS: It is fundamental to implement public health policies which consider special services for emergency care, strengthening institutional networks, encouraging the participation of non-government organizations and performing intervention protocols and promotion activities from different levels.

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En la actualidad existen corrientes que promulgan el precipitado fin de la historia humana por la manera como hoy se vive el capitalismo. Con tantas situaciones desfavorables para los países pobres a nivel mundial, podría concluirse la anterior premisa. Sin embargo, siguiendo otras vertientes, este escrito le apuesta a las posibilidades de inversión en lo humano y lo social.

At present there are currents that enact the precipitate end of human history by the way capitalism is lived today. With so many unfavorable situations for poor countries worldwide, the previous premise could be concluded. However, following other aspects, this writing bets on the possibilities of investment in the human and social.

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