Life Connections: explanatory model of factors associated with suicidal ideation in university students
DOI:
https://doi.org/10.17533/udea.rfnsp.e361293Keywords:
suicidal ideation, social determination of health, university students, risk factors, health promotionAbstract
Objective: Understanding suicidal ideation in university students, using the multilevel model “Conexiones Vitales”, which integrates factors at the individual, interpersonal and social levels, using structural equation modeling to estimate its direct and indirect effects.
Methods: Between 2023 and 2024, a transversal study was carried out with 1761 undergraduate students, selected through sampling by quotas and convenience. Validated instruments will be applied to evaluate suicidal ideation, depression, self-esteem, substance consumption, social support, interpersonal violence and access to mental health services. The analysis was carried out using structural equation modeling. The final model included 87 parameters and presented an acceptable fit (Root Mean Square Error of Approximation = 0.052; Comparative Fit Index = 0.843; Tucker-Lewis Index = 0.837).
Results: Suicidal ideation was directly positively associated with depression (β = 0.48; 95% CI: 0.42-0.58; p < 0.01), substance consumption (β = 0.08; 95% CI: 0.08-0.34; p = 0.002) and interpersonal violence (β = 0.08; 95% CI: 0.02-0.17; p = 0.009). On the contrary, it showed a negative association with self-esteem (β = −0.22; 95% CI: −0.33 to −0.19; p < 0.01) and social support (β = −0.05; 95% CI: −0.08 to −0.00; p = 0.03). Access to mental health services did not show a significant direct effect on suicidal ideation (p > 0.05), but provided an indirect protective effect in reducing violence (β = −0.25; 95% CI: −0.31 to −0.18; p < 0.01) and increasing social support (β = 0.10; 95% CI: 0.01-0.19; p = 0.02).
Conclusion: The “Conexiones Vitales” model allows us to understand suicidal ideation from an integrated multilevel perspective. Its resources offer a solid basis for designing prevention strategies relevant to the university context. It is suggested to advance with longitudinal and qualitative studies.
Downloads
References
World Health Organization. World health statistics 2023: Monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization [internet]; 2023 [citado 2025 mar. 15]. Disponible en: https://www.who.int/publications/i/item/9789240074323
Jobes DA, Joiner TE. Reflections on suicidal ideation. Crisis. 2019;40(4):227-30. DOI: https://doi.org/10.1027/0227-5910/a000615
Beck AT, Steer RA, et al. Hopelessness and eventual suicide: A 10-year prospective study of patients hospitalized with suicidal ideation. Am J Psychiatry. 1985;142(5):559-63. DOI: https://doi.org/10.1176/ajp.142.5.559
Linehan MM, Goodstein JL, et al. Reasons for staying alive when you are thinking of killing yourself: The Reasons for Living Inventory. J Consult Clin Psychol. 1983;51(2):276-86. DOI: https://doi.org/10.1037/0022-006X.51.2.276
Landa-Blanco M, Romero K, Caballero I, et al. Exploring suicide ideation in university students: Sleep quality, social media, self-esteem, and barriers to seeking psychological help. Front Psychiatry. 2024;15:1352889. DOI: https://doi.org/10.3389/fpsyt.2024.1352889
Gupta, Fischer, Roy, y Bhattacharyya. Emotional regulation and suicidal ideation—Mediating roles of perceived social support and avoidant coping. Front Psychol. 2024;15:1377355. DOI: https://doi.org/10.3389/fpsyg.2024.1377355
Pérez Rodríguez S, Layrón Folgado JE, et al. Meaning in life mediates the association between depressive symptoms and future frequency of suicidal ideation in Spanish university students: A longitudinal study. Suicide Life Threat Behav. 2024;54(2):286-95. DOI: https://doi.org/10.1111/sltb.13040
Mingming C, Lian X, Huiping Z. Stress and suicidal ideation among Chinese college students: The role of meaning in life. Death Stud. 2024;48(10):1121-8. DOI: https://doi.org/10.1080/07481187.2024.2305336
Jacobs MM, Kirby AV, et al. A machine learning analysis of suicidal ideation and suicide attempt among U.S. youth and young adults from multilevel, longitudinal survey data. Front Psychiatry. 2025;16:1511966. DOI: https://doi.org/10.3389/fpsyt.2025.1511966
Guo Z, Han X, Kong T, et al. Assessment and analysis of factors influencing suicidal ideation in young adults: A large cohort study using an elastic network logistic regression model. BMC Psychiatry. 2025;25(1):15. DOI: https://doi.org/10.1186/s12888-024-06415-6
Chang EC, Meyers C, et al. A preliminary examination of interpersonal factors and psychological pain as predictors of suicidal behaviors in multiethnoracial college students: When does being ethnoracially diverse contribute to greater suicide risk? J Couns Psychol. 2025;72(2):184-91. DOI: https://doi.org/10.1037/cou0000774
Monroy-Sánchez DC. Naturaleza del acceso a los servicios de salud mental de la población adulta víctima del conflicto armado en Colombia. Rev Salud Bosque. 2020;10(1):91-105. DOI: https://doi.org/10.18270/rsb.v10i1.3053
Wagner B, Snoubar Y and Mahdi YS. Access and efficacy of university mental health services during the COVID-19 pandemic. Front Public Health. 2023;11:1269010. DOI: https://doi.org/10.3389/fpubh.2023.1269010
Hyseni Duraku Z, Davis H, Hamiti E. Mental health, study skills, social support, and barriers to seeking psychological help among university students: A call for mental health support in higher education. Front Public Health. 2023;11:1220614. DOI: https://doi.org/10.3389/fpubh.2023.1220614
Atkinson J-A, Page A, Heffernan M, et al. The impact of strengthening mental health services to prevent suicidal behaviour. Aust N Z J Psychiatry. 2019;53(7):642-50. DOI: https://doi.org/10.1177/0004867418817381
Tadmon D, Bearman P. Differential spatial-social accessibility to mental health care and suicide. Proc Natl Acad Sci. 2023;120(19):e2301304120. DOI: https://doi.org/10.1073/pnas.2301304120
Paz-Pérez MA, Gutiérrez-García RA, Benjet C, et al. Estudio exploratorio de preferencias y barreras de atención para la salud mental en universitarios. Health Addict/Salud Drog [internet]. 2022 [citado 2025 mar 15]; 22(1):226-35. Disponible en: https://ojs.haaj.org/?journal=haaj&page=article&op=view&path%5B%5D=654
Osborn TG, Li S, et al. University students’ use of mental health services: A systematic review and meta-analysis. Int J Ment Health Syst. 2022;16(1):57. DOI: https://doi.org/10.1186/s13033-022-00569-0
Priestley M, Broglia E, et al. Student Perspectives on improving mental health support Services at university. Couns Psychother Res. 2022;22(1). DOI: https://doi.org/10.1002/capr.12391
Donetto S, Ortiz Baddan Sochandamandou S, Garcia Duran MC, et al. ‘It’s a delicate topic’: Stigma, capabilities and young people’s mental health in post-conflict Colombia. Glob Public Health. 2024;19(1):2346947. DOI: https://doi.org/10.1080/17441692.2024.2346947
Scardera S, Perret LC, Ouellet-Morin I, et al. Association of social support during adolescence with depression, anxiety, and suicidal ideation in young adults. JAMA Netw Open. 2020;3(12):e2027491. DOI: https://doi.org/10.1001/jamanetworkopen.2020.27491
Reyes MES, Davis, R, Chua CAP, et al. Relative importance of social support and social connectedness as protective factors of suicidal ideation among selected Filipino late adolescents [internet]. 2020 [citado 2025 mar. 15]. Disponible en: https://www.researchgate.net/publication/341264656_Relative_Importance_of_Social_Support_and_Social_Connectedness_as_Protective_Factors_of_Suicidal_Ideation_Among_Selected_Filipino_Late_Adolescents
Caro-Delgado ÁG. Modelo explicativo de los factores sociales, interpersonales e individuales relacionados con la ideación suicida en estudiantes de la Universidad Nacional de Colombia sede Bogotá [tesis doctoral]. Bogotá: Universidad Nacional de Colombia [internet]; 2024 [citado 2025 mar. 15]. Disponible en: https://repositorio.unal.edu.co/handle/unal/87068
Arango-Tobón O, Gómez Tabares A, Orejarena Serrano S. Structural model of suicidal ideation and behavior: Mediating effect of impulsivity. An. Acad Bras Cienc. 2021;93(Supl. 4):e20210680. DOI: https://doi.org/10.1590/0001-3765202120210680
McKee GB, Perrin PB, Rodriguez-Agudelo Y, et al. Suicidal ideation after acute traumatic brain injury: A longitudinal actor-partner interdependence model of patients and caregivers in Latin America. Rehabil Psychol. 2021;66(4):433-41. DOI: https://doi.org/10.1037/rep0000395
Castro-Osorio R, Maldonado-Avendaño N, Cardona-Gómez P. Propuesta de un modelo de la ideación suicida en estudiantes de Medicina en Colombia: un estudio de simulación. Rev Colomb Psiquiatr. 2022;51(1):17-24. DOI: https://doi.org/10.1016/j.rcp.2020.09.001
Cramer RJ, Kapusta ND. A social-ecological framework of theory, assessment, and prevention of suicide. Front Psychol. 2017;8:1756. Disponible en: https://www.frontiersin.org/articles/10.3389/fpsyg.2017.01756
Bronfenbrenner U, Morris PA. The ecology of developmental processes. In: Damon W and Lerner RM, editors. Handbook of child psychology. Vol. 1, Theoretical models of human development (5th ed., pp. 993-1027). New York: John Wiley & Sons; 1998.
Breilh J. La determinación social de la salud como herramienta de transformación hacia una nueva salud pública (salud colectiva). Rev. Fac. Nac. Salud Pública. 2013;31(Supl. 1):13-27. DOI: https://doi.org/10.17533/udea.rfnsp.16637
Caro-Delgado AG, Ballesteros-Cabrera M del P. Modelos multinivel en la comprensión de la ideación suicida. Rev Cub Salud Publica [internet]. 2025 [citado 2025 mar. 15]; 51:e_18062-e_18062. Disponible en: https://revsaludpublica.sld.cu/index.php/spu/article/view/18062
García Jiménez MV. Métodos y diseños de investigación científica: ciencias humanas, sociales y de la salud. Barcelona: EUB; 2002.
Colombia, Congreso de la República. Ley 1581, por la cual se dictan disposiciones generales para la protección de datos personales [internet]. 2012 oct. 17 [citado 2025 mar. 15]. Disponible en: https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=49981
Colombia, Ministerio de Salud y Protección Social. Resolución 201, por la cual se autoriza de manera transitoria, adicional a la vía aérea, el ingreso al país por vía marítima, de materias primas o sustancias sometidas a fiscalización, medicamentos o cualquier otro producto que las contengan declarados vitales no disponibles o desabastecidos y sobre aquellas que son monopolio del Estado, requeridos durante la emergencia sanitaria declarada por la COVID-19 [internet]. 2021 feb. 23 [citado 2025 mar. 15]. Disponible en: https://www.minsalud.gov.co/Normatividad_Nuevo/Resoluci%C3%B3n%20No.%20201%20de%202021.pdf
Lyon JA, Garcia-Milian R, et al. The use of Research Electronic Data Capture (REDCap) software to create a database of librarian-mediated literature searches. Med Ref Serv Q. 2014;33(3):241-52. DOI: https://doi.org/10.1080/02763869.2014.925379
Villalobos Álvarez FH. Validez y fiabilidad del inventario de ideación suicida positiva y negativa - PANSI, en estudiantes colombianos. Univ Psychol. 2010;9(2):509-20. DOI: https://doi.org/10.11144/Javeriana.upsy9-2.vfii
Villalobos-Galvis FH, Ortiz-Delgado LA. Características psicométricas de la escala CES-D en adolescentes de San Juan de Pasto (Colombia). Avances en Psicología Latinoamericana [internet]. 2012 [citado 2025 mar. 15]; 30(2):328-40. Disponible en: https://revistas.urosario.edu.co/index.php/apl/article/view/1477
Gómez-Lugo M, Espada JP, Morales A, et al. Adaptation, validation, reliability and factorial equivalence of the Rosenberg Self-Esteem Scale in Colombian and Spanish population. Span J Psychol. 2016;19:E66. DOI: https://doi.org/10.1017/sjp.2016.67
Organización Mundial de la Salud, Organización Panamericana de la Salud. La prueba de detección de consumo de alcohol, tabaco y sustancias (ASSIST): manual para uso en la atención primaria. Ginebra: Organización Panamericana de la Salud [internet]; 2011 [citado 2025 mar. 15]. Disponible en: https://apps.who.int/iris/handle/10665/85403
Londoño Arredondo NH, Rogers H, Castilla Tang JF, et al. Validación en Colombia del cuestionario MOS de apoyo social. Int J Psychol Res. 2012;5(1):142-50. DOI: https://doi.org/10.21500/20112084.770
Organización Internacional para las Migraciones (OIM), CDC, Ministerio de Salud y Protección Social. Encuesta de violencia contra niños, niñas y adolescentes en Colombia 2018 [Internet]. Bogotá: Ministerio de Salud y Protección Social, CDC, Together for Girls, Agencia de los Estados Unidos para el Desarrollo Internacional (USAID), Organización Internacional para las Migraciones (OIM); 2018 [citado 2025 mar. 15]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/GCFI/informe-evcnna-2018-spa.pdf
Organización Panamericana de la Salud (OPS). Cuestionario actitudes y normas culturales sobre la violencia en ciudades seleccionadas de la región de las Américas: Proyecto ACTIVA. Washington (DC): OPS [internet]; 2010 [citado 2025 jun. 24]. Disponible en: https://iris.paho.org/handle/10665.2/46263
Rodríguez Rodríguez LM, Ramírez Castro MF. Barreras y facilitadores en el acceso a servicios de salud mental reportados por población atendida en un centro de atención psicológica universitario, Bogotá D. C., 2022 [tesis de maestría]. [Bogotá]: Pontificia Universidad Javeriana; 2022. [citado 2025 mar. 15]. Disponible en: https://repository.javeriana.edu.co/items/250c2925-2b53-4988-b2e5-4bea7be48a4c
Kaplan D. Structural equation modeling: Foundations and extensions (2nd ed.). Thousand Oaks (CA): Sage Publications; 2008. DOI: https://doi.org/10.4135/9781452226576
Posit Software, PBC. Posit [Internet]. Boston (MA): Posit Software, PBC; 2025. [citado 2025 mar. 15]. Disponible en: https://posit.co/
Rosseel Y. lavaan: An R package for structural equation modeling. J Stat Softw. 2012;48(2):1-36. DOI: https://doi.org/10.18637/jss.v048.i02
Epskamp S, Stuber S, Nak J, et al. semPlot: Path diagrams and visual analysis of various SEM packages’ output [Internet]. 2022 [citado 2025 mar. 15]. Disponible en https://cran.r-project.org/web/packages/semPlot/index.html
dplyr [internet]. s. f. [citado 2025 mar. 15]. Disponible en: https://dplyr.tidyverse.org/
skimr [internet]. s. f. [citado 2025 mar. 15] . Disponible en: https://docs.ropensci.org/skimr/
Kline RB. Principles and practice of structural equation modeling. (4th ed.). New York: Guilford publications; 2015.
Colombia, Ministerio de Salud. Resolución 8430 de 1993, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud [internet]. 1993 oct. 4 [citado 2025 nov. 25]. Disponible en: https://www.minsalud.gov.co/sites/rid/lists/bibliotecadigital/ride/de/dij/resolucion-8430-de-1993.pdf
Colombia, Congreso de la República. Ley 1616, por medio de la cual se expide la Ley de Salud Mental y se dictan otras disposiciones [internet]. 2013 ene. 21 [citado 2025 nov. 25]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/ley-1616-del-21-de-enero-2013.pdf
Nguyen N, Spooner E, O’Balle P, et al. The relationship between depression, burnout, and suicide among healthcare professionals: A scoping review. Worldviews Evid Based Nurs. 2025;22(3):e70037. DOI: https://doi.org/10.1111/wvn.70037
Hutchinson E, Scott L, et al. Interpersonal risk factors for suicide in daily life among young people: A review of intensive longitudinal studies. Dev Psychopathol. 2025;37(4):2196-216. DOI: https://doi.org/10.1017/S0954579424001810
Beck AT, Clark DA. Anxiety and depression: An information processing perspective. Anxiety Res. 1988;1(1):23-36. DOI: https://doi.org/10.1080/10615808808248218
Van Orden KA, Witte TK, Cukrowicz KC, et al. The interpersonal theory of suicide. Psychol Rev. 2010;117(2):575-600. DOI: https://doi.org/10.1037/a0018697
Reiland S. Interpersonal violence and depression: Posttraumatic cognitions as mediators. J Interpers Violence. 2025. DOI: https://doi.org/10.1177/08862605251331073
Diep C, Bhat V, Wijeysundera DN, et al. The association between recent cannabis use and suicidal ideation in adults: A population-based analysis of the NHANES from 2005 to 2018. Can J Psychiatry. 2022;67(4):260-8. DOI: https://doi.org/10.1177/0706743721996112
Coryell W, Horwitz A, Albucher R, et al. Alcohol intake in relation to suicidal ideation and behavior among university students. J Am Coll Health. 2023;71(6):1680-1684. DOI: https://doi.org/10.1080/07448481.2021.1950160
Pawłowska B, Szymańska J. Suicidal ideation, plans, and attempts and the use of psychoactive substances by adolescents. Curr Probl Psychiatry. 2021;22(3):217-24. DOI: https://doi.org/10.2478/cpp-2021-0016
Valentino RJ, Volkow ND. Drugs, sleep, and the addicted brain. Neuropsychopharmacology. 2020;45(1):3-5. DOI: https://doi.org/10.1038/s41386-019-0465-x
Beyrami M, Bakhshipour A, Zohdi Y. The role of cognitive emotion regulation in drug-seeking behaviors in students. Int J Sch Health. 2021;8(3):192-9. DOI: https://doi.org/10.30476/intjsh.2021.91541.1153
Habib N, El- Farouny RH. Evaluation of relation between interpersonal violence and drug abuse on cases attended to Menoufia University Hospital (A prospective study). Egypt J Forensic Sci Appl Toxicol. 2019;19(1):17-37. DOI: https://doi.org/10.21608/ejfsat.2019.5949.1029
Gezinski LB, Gonzalez-Pons KM, Rogers MM. Substance use as a coping mechanism for survivors of intimate partner violence: Implications for safety and service accessibility. Violence Against Women. 2021;27(2):108-23. DOI: https://doi.org/10.1177/1077801219882496
Rakoff J, Chavarria J, et al. Cross-sectional study of factors associated with suicide ideation in Ontario adolescents. Can J Psychiatry. 2023;68(5):327-37. DOI: https://doi.org/10.1177/07067437221111364
Nguyen DT, Wright EP, Dedding C, et al. Low self-esteem and its association with anxiety, depression, and suicidal ideation in Vietnamese secondary school students: A cross-sectional study. Front Psychiatry. 2019;10:698. DOI: https://doi.org/10.3389/fpsyt.2019.00698
Soto-Sanz V, Piqueras JA, Rodríguez-Marín J, et al. Self-esteem and suicidal behaviour in youth: A meta-analysis of longitudinal studies. Psicothema. 2019;31(3):246-54. DOI: https://doi.org/10.7334/psicothema2018.339
Bolívar-Suárez Y, Gómez JAM, Yanez-Peñúñuri LY. Self-esteem, body image, and dating violence in Colombian adolescents and young adults. J Interpers Violence. 2022;37(13-14):NP11628-NP11651. DOI: https://doi.org/10.1177/0886260521994588
Cardozo LA, Peña-Ibagón JC, Florez-Escobar W. Autoconcepto físico en estudiantes universitarios: generación de perfiles por clasificación jerárquica sobre componentes principales. Retos. 2023;48:167-77. DOI: https://doi.org/10.47197/retos.v48.9507
Mouatsou C, Koutra K. Emotion regulation in relation with resilience in emerging adults: The mediating role of self-esteem. Curr Psychol. 2023;42(1):734-47. DOI: https://doi.org/10.1007/s12144-021-01427-x
Surzykiewicz J, Skalski SB, Sołbut A, et al. Resilience and regulation of emotions in adolescents: Serial mediation analysis through self-esteem and the perceived social support. Int J Environ Res Public Health. 2022;19(13):8007. DOI: https://doi.org/10.3390/ijerph19138007
Cruz GV, Pereira WR. Diferentes configurações da violência nas relações pedagógicas entre docentes e discentes do ensino superior. Rev Bras Enferm. 2013;66(2):241-50. DOI: https://doi.org/10.1590/S0034-71672013000200014
Symonds E. An ‘unavoidable’ dynamic? Understanding the ‘traditional’ learner-teacher power relationship within a higher education context. Br J Sociol Educ. 2021;42(7):1070-85. DOI: https://doi.org/10.1080/01425692.2021.1962246
Avendaño Castro WR, Linares Giraldo M, Morales Mosquera ME. Violencia simbólica en instituciones de educación superior. Experiencia de docentes de una universidad pública colombiana. Rev Colomb Cienc Soc. 2021;12(1):140-64. DOI: https://doi.org/10.21501/22161201.3392
Ting SK, Sin Siau C, Nur Fariduddin M, et al. Childhood, adulthood, and cumulative interpersonal violence as determinants of suicide risk among university students. J Aggress Maltreatment Trauma. 2022;31(2):167-83. DOI: https://doi.org/10.1080/10926771.2021.1984352
Oh HY, Marinovich C, Jay S, et al. Abuse and suicide risk among college students in the United States: Findings from the 2019 Healthy Minds Study. J Affect Disord. 2021;282:554-60. DOI: https://doi.org/10.1016/j.jad.2020.12.140
Heller AT, Berg SS, Prichard JR. University housing reinforces the negative relationship between interpersonal violence, psychological distress, and suicidality in undergraduates, particularly among gender diverse students. J Am Coll Health. 2023;71(1):102-10. DOI: https://doi.org/10.1080/07448481.2021.1878186
Ngwino Sengesho D, Niyonsenga J, et al. Mental disorders and substance abuse among Rwandan university students: The moderating effects of interpersonal violence. Eur. J. Psychotraumatology. 2021;12(1). DOI: https://doi.org/10.1080/20008198.2021.1872220
Zhang IW, Jiang MM, Yang SY. Impact of Bullying Victimization on Chinese college students’ suicidal tendency: The moderating effect of teachers’ emotional support and family support. Psychol Res Behav Manag. 2024;17:627-40. DOI: https://doi.org/10.2147/PRBM.S442784
Ayub M, Mushtaq I, Mushtaq S, et al. Domestic violence, mental illness and suicidal ideation − A study from Lahore, Pakistan. J Ment Health. 2013;22(6):474-81. DOI: https://doi.org/10.3109/09638237.2013.775409
Abrahamyan A, Soares S, et al. Exposure to violence and suicidal ideation among school-going adolescents. J Child Adolesc Ment Health. 2020;32(2-3):99-109. DOI: https://doi.org/10.2989/17280583.2020.1848849
Haglund A, Lindh Å, Lysell H, et al. Interpersonal violence and the prediction of short-term risk of repeat suicide attempt. Sci Rep. 2016;6:36892. DOI: https://doi.org/10.1038/srep36892
Galindo-Domínguez H, Losada Iglesias D. Bullying victimization and suicidal ideation in adolescents: The moderation effect of family, teachers and peers support. J Soc Pers Relatsh. 2023;40(12):4050-74. DOI: https://doi.org/10.1177/02654075231199166
Youn HM, Kang SH, et al. Association between social participation and mental health consultation in individuals with suicidal ideation: A cross-sectional study. BMC Psychiatry. 2020;20(1):305. DOI: https://doi.org/10.1186/s12888-020-02724-8
Tang S, Reily NM, Arena AF, et al. People who die by suicide without receiving mental health services: A systematic review. Front Public Health Frontiers; 2022;9:736948. DOI: https://doi.org/10.3389/fpubh.2021.736948
Alarcón Garavito GA, Burgess R, Dedios Sanguinetti MC, et al. Mental health services implementation in Colombia−A systematic review. PLOS Glob Public Health. 2023;3(12):e0001565. DOI: https://doi.org/10.1371/journal.pgph.0001565
Gómez-Carrillo A, Kirmayer LJ. A cultural-ecosocial systems view for psychiatry. Front Psychiatry. 2023;14:1031390. DOI: https://doi.org/10.3389/fpsyt.2023.1031390
Linehan MM, Korslund KE, Harned MS, et al. Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: A randomized clinical trial and component analysis. JAMA Psychiatry. 2015;72(5):475-82. DOI: https://doi.org/10.1001/jamapsychiatry.2014.3039
Gale J, Thalitaya MD. Mental health support service for university students. Psychiatr Danub [internet]. 2015 [citado 2025 mar. 15]; 27(Supl. 1):115-9. Disponible en: https://www.psychiatria-danubina.com/UserDocsImages/pdf/dnb_vol27_sup1/dnb_vol27_sup1_115.pdf
Chrysikou E, Rehn J, et al. Ecopsychosocial environments for health and mental health. Eur J Public Health. 2020;30(Supl. 5):ckaa165.974. DOI: https://doi.org/10.1093/eurpub/ckaa165.974
Colombia, Congreso de la República. Ley 2460, por medio del cual se modifica la ley 1616 de 2013 y se dictan otras disposiciones en materia de prevención y atención de trastornos y/o enfermedades mentales, así como medidas para la promoción y cuidado de la salud mental [internet] 2025 jun. 16 [2025 ago. 15]. Disponible en: https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=260636
Downloads
Published
How to Cite
License
Copyright (c) 2026 Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The contents of the articles are the responsibility of the authors
The editorial committee has editorial independence from the National School of Public Health "Héctor Abad Gómez" of the University of Antioquia.
The editorial committee is not responsible for aspects related to copying, plagiarism or fraud that may appear in the articles published in it.
When you are going to reproduce and disclose photographs or personal data in printed or digital format, informed consent is required. Therefore, this requirement is required of the author at the time of receipt of the manuscript.
Authors are responsible for obtaining the necessary permissions to reproduce any material protected by reproduction rights.
The authors preserve the moral rights and assign the economic rights that will correspond to the University of Antioquia, to publish it, distribute electronic copies, include them in indexing services, directories or national and international databases in Open Access, under the Creative Commons Attribution license -Not Commercial-Share Equal 4.0 International Commercial (CC BY-NC-SA) which allows others to distribute, remix, retouch, and create from the work in a non-commercial way, as long as the respective credit and license are granted. new creations under the same conditions.
The authors will sign the declaration of transfer of economic rights to the University of Antioquia, after the acceptance of the manuscript.
The editorial committee reserves the right to reject the articles whose authors do not offer satisfactory explanations about the contribution of each author, to meet the criteria of authorship in the submission letter. All authors must meet the four criteria of authorship according to ICMJE: "a) .- That there is a substantial contribution to the conception or design of the article or to the acquisition, analysis or interpretation of the data. b) That they have participated in the design of the research work or in the critical review of its intellectual content. c) .- That has been intervened in the approval of the final version that will be published.d). That they have the capacity to respond to all aspects of the article in order to ensure that issues related to the accuracy or integrity of any part of the work are adequately investigated and resolved. "
-- 
--
