Abstract
People undergoing treatment for substance use have high rates of suicidality. The objective was to determine the trajectory of suicidal ideation in adults undergoing treatment for substance use during the first half of 2025. The sample consisted of 32 adults of both sexes selected through non-probabilistic sampling. The Okasha and DAST-10 questionnaires were used. Histograms, frequency tables, and an unconditional and conditional latent growth curve model were employed. A cross-sectional measurement of consumption levels and a longitudinal followup of suicidal ideation were used. The main substance consumed was crack, and its predominant level of consumptionwas severe. There is a weak positive relationship between consumption levels and suicidal ideation. Suicidal ideation decreased significantly during the longitudinal follow-up and showed that the older the age, the lesser the suicidal ideation at the first measurement point.
References
American Psychological Association. (2017). Ethical Principles of Psychologists and Code of Conduct. APA. https://www.apa.org/ethics/code
Andersson, H. W., Mosti, M. P. y Nordfjærn, T. (2022). Suicidal ideation among inpatients with substance use disorders: Prevalence, correlates and gender differences. Psychiatry Research, 317, 114848. https://doi.org/10.1016/j.psychres.2022.114848
Beck, A. T., Wright, F. D., Newman, C. F. y Liese, B. S. (1993). Cognitive Therapy of Substance Abuse. Guilford Press.
Carmel, A., Templeton, E., Sorenson, S. M. y Logvinenko, E. (2018). Using the Linehan Risk Assessment and Management Protocol With a Chronically Suicidal Patient: A case Report. Cognitive and Behavioral Practice, 25(4), 449-459. https://doi.org/10.1016/j.cbpra.2018.02.001
Díaz-Oliván, I., Porras-Segovia, A., Barrigón, M. L., Jiménez-Muñoz, L. y Baca-García, E. (2021). Theoretical models of suicidal behaviour: A systematic review and narrative synthesis.The European Journal of Psychiatry, 35(3), 181-192. https://doi.org/10.1016/j.ejpsy.2021.02.002
Duncan, T. E. y Duncan, S. C. (2004). An introduction to latent growth curve modeling. Behavior Therapy, 35(2), 333-363. https://doi.org/10.1016/S0005-7894(04)80042-X
Griffin, E., Kavalidou, K., Bonner, B., O'Hagan, D. y Corcoran, P. (2020). Risk of repetition and subsequent self-harm following presentation to hospital with suicidal ideation: A longitudinal registry study. eClinicalMedicine, 23, 100378. https://doi.org/10.1016/j.eclinm.2020.100378
Harmer, B., Lee, S., Rizvi, A. y Saadabadi, A. (2024). Suicidal ideation. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK565877/
Hernández Sampieri, R., Fernández Collado, C. y Baptista Lucio, P. (2014). Metodología de la Investigacion (6.a ed.). McGraw-Hill. https://drive.google.com/file/d/1-Sv_-vGIojkJWSYHcUZpV4IKn1UcBegw/view?usp=sharing
Instituto Contra el Alcoholismo y la Drogadicción (s. f.). Marco presupuestario de mediano plazo 2019-2022. Ministerio de Hacienda y Crédito Púbico de Nicaragua. http://www.hacienda.gob.ni/hacienda/presupuesto2019/mpmp/238.InstitutoContraAlcoholismoDrogadiccion.pdf
Jones, A. A., Hard, G., Gray, J., Apsley, H. B. y Santos-Lozada, A. R. (2023). The Role of Substance Use Disorders on Suicidal Ideation, Planning, and Attempts: A Nationally Representative Study of Adolescents and Adults in the United States, 2020. Substance Use: Research and Treatment, 17. https://doi.org/10.1177/11782218231216233
Kelly, L. M., Rash, C. J., Alessi, S. M. y Zajac, K. (2020). Correlates and predictors of suicidal ideation and substance use among adults seeking substance use treatment with varying levels of suicidality. Journal of Substance Abuse Treatment, 119, 108145. https://www.sciencedirect.com/science/article/pii/S0740547220304025
Kivelä, L., Krause-Utz, A., Mouthaan, J., Schoorl, M., de Kleine, R., Elzinga, B., Eikelenboom, M., Penninx, B., van der Does, W. y Antypa, N. (2019). Longitudinal course of suicidal ideation and predictors of its persistence–a NESDA study. Journal of Affective Disorders, 257, 365-375. https://doi.org/10.1016/j.jad.2019.07.042
Organización Mundial de la Salud. (2025). Suicidio: Datos y cifras. OMS. https://www.who.int/es/news-room/fact-sheets/detail/suicide
Organización Panamericana de la Salud. (2016). Prevención de la conducta suicida. OPS; OMS. https://iris.paho.org/handle/10665.2/31167
Organización Panamericana de la Salud. (2024). Perfil de País - Nicaragua. OPS. https://hia.paho.org/es/perfiles-de-pais/nicaragua
Programa Nacional para la Prevención del Suicidio. (2023). Cuadernillo básico para la prevención del suicidio. Secretaría de Salud del Gobierno Federal. https://www.gob.mx/cms/uploads/attachment/file/858277/Cuadernillo_basico_para_la_prevenci_n_del_suicidio.pdf
Rontziokos, H. y Deane, F. (2019). Systematic Review of Suicidal Behaviour in Individuals Who Have Attended Substance Abuse Treatment. International Journal of Mental Health and Addiction, 17, 1580-1598. https://doi.org/10.1007/s11469-018-9994-5
Salcido-Cibrián, L. J., Chapa-Romero, A. C., Sánchez-Cabada, M. y Elizalde-Monjardin, M. (2023). The temporality of psychological constructs, suicidal ideation and emotional dysregulation: a longitudinal study in adolescents. Escritos de Psicología, 16(2), 104-111. https://psykebase.es/servlet/articulo?codigo=9271170
Salvo, L., Melipillán, R. y Castro, A. (2009). Confiabilidad, validez y punto de corte para escala de screening de suicidalidad en adolescentes. Revista Chilena de Neuro-psiquiatría, 47(1), 16-23. https://doi.org/10.4067/S0717-92272009000100003
Serra Vázquez, L. (2023). La problemática del suicidio en las comunidades rurales de la Isla de Ometepe, Nicaragua. Revista de Ciencias Sociales, (180), 47-64. https://doi.org/10.15517/rcs.v0i180.55836
Stanley, B., Brodsky, B. y Monahan, M. (2023). Brief and Ultra-Brief Suicide-Specific Interventions. Focus, 21(2), 129-136. https://doi.org/10.1176/appi.focus.20220083
Yudko, E., Lozhkina, O. y Fouts, A. (2007). A comprehensive review of the psychometric properties of the Drug Abuse Screening Test. Journal of Substance Abuse Treatment, 32(2), 189-198. https://www.sciencedirect.com/science/article/pii/S0740547206002595

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Copyright (c) 2026 Ronald Eduardo Cárdenas Chow, Mariana Danelia Recinos García, Dustin Ezequiel Amador Jiménez

