Fatalism, Emotional Regulation, and Suicide Risk in Colombian Adults During the SAR-Cov-2 Disease Epidemic.

The current pandemic of Severe Acute Syndrome (SAR-CoV-2) is a public health problem with implications for mental health. The study aimed to determine the prevalence of suicide risk and its association with fatalism and emotional regulation during SARS-CoV-2 in Colombia's adult population. A cross-sectional study was designed, an online format was used, which evaluated sociodemographic variables, CES-D-SI, the Fatalism Questionnaire against COVID-19, and the Emotional Regulation Scale. 435 Colombian adults participated, aged between 18 and 79 years. A prevalence of suicide risk was found in 5.3%, and it was associated with the interaction between living in rural area and less education (OR = 5.60, 95%CI 1.28-24.53), emotional dysregulation (OR = 3.54, 95%CI 1.77-7.09), and fatalistic beliefs (OR = 3.09, 95%CI 1.53-6.27). 5.3% of the population presented an elevated suicide risk. It was associated with less education, rural areas, fatalistic beliefs, and emotional dysregulation in the Colombian population during mandatory confinement due to SAR-CoV-2.

Review of cases, case series and prevalence studies of zoophilia in the general population. / Revisión de casos, series de casos y estudios de prevalencia de zoofilia en la población general.

BACKGROUND: Information about the frequency of zoophilic behaviour in the general population is scarce. OBJECTIVE: To review cases, case series and prevalence studies of zoophilia in adults in the general population. METHODS: A review of publications was carried out in MEDLINE via PubMed, Scopus and the Biblioteca Virtual en Salud [Virtual Health Library] ranging from January 2000 to December 2017. RESULTS: Thirteen papers were reviewed (ten case reports, two case series and one cross-sectional study). Twelve patients were described, the case series totalled 1,556 people and the cross-sectional study included 1,015 participants and reported a prevalence of zoophilic behaviour of 2%. CONCLUSIONS: Information on the prevalence of zoophilic behaviour in the general population is limited. The Internet will probably be a valuable tool for further investigating these behaviours in coming years.

Revisión de casos, series de casos y estudios de prevalencia de zoofilia en la población general / Review of cases, case series and prevalence studies of zoophilia in the general population

RESUMEN Introducción: El conocimiento de la frecuencia de comportamientos zoofílicos en la población general es escaso. Objetivo: Revisar casos, series de casos y estudios de prevalencia de zoofilia en adultos de la población general. Métodos: Se realizó una revisión en las bases de datos de MEDLINE, a través de PubMed, Scopus y la Biblioteca Virtual en Salud de publicaciones desde enero de 2000 hasta diciembre de 2017. Resultados: Se revisaron 13 trabajos (10 informes de casos, 2 series de casos y 1 estudio transversal). Entre los casos se describió a 12 pacientes; las series de casos sumaron a 1.556 personas y el estudio transversal incluyó a 1.015 participantes e informó de una prevalencia de comportamientos zoofílicos del 2%. Conclusiones: Es escasa la información sobre la prevalencia de comportamientos zoofílicos en la población general. Es probable que internet permita investigar mejor estos comportamientos en los próximos años.

ABSTRACT Background: Information about the frequency of zoophilic behaviour in the general population is scarce. Objective: To review cases, case series and prevalence studies of zoophilia in adults in the general population. Methods: A review of publications was carried out in MEDLINE via PubMed, Scopus and the Biblioteca Virtual en Salud [Virtual Health Library] ranging from January 2000 to December 2017. Results: Thirteen papers were reviewed (ten case reports, two case series and one cross-sectional study). Twelve patients were described, the case series totalled 1,556 people and the cross-sectional study included 1,015 participants and reported a prevalence of zoophilic behaviour of 2%. Conclusions: Information on the prevalence of zoophilic behaviour in the general population is limited. The Internet will probably be a valuable tool for further investigating these behaviours in coming years.

Consistencia interna y dimensionalidad del cuestionario breve para detectar intimidación escolar / Internal Consistency and Dimensionality in the Brief Questionnaire for Bullying Detection / Consistência interna e dimensionalidade do questionário breve para a detecção da intimidação escolar

Resumen Objetivo. Corroborar el desempeño psicométrico, la consistencia interna y la dimensionalidad del Cuestionario Breve de Detección de Intimidación Escolar (CBDIE). Método. Se diseñó un estudio de validación en el que participaron 350 estudiantes, entre los 10 y los 17 años (M= 13.3; DE= 1.8), 53.7% de género femenino. Se calcularon indicadores de consistencia interna (Kuder-Richardson, K-R, y omega de McDonald) para las tres subescalas del CBDIE. Resultados. La subescala de intimidación percibida mostró K-R de 0.55 y omega de McDonald de 0.58; la subescala de síntomas emocionales, 0.80 y 0.81; y la subescala de intimidación perpetrada, 0.41 y 0.33. No fue posible demostrar la dimensionalidad del instrumento. Conclusión. Solo la subescala de síntomas emocionales de CBDIE presenta alta consistencia interna. Se necesitan más investigaciones de la dimensionalidad del CBDIE, para dar cuenta de su estructura interna.

Abstract Objective. To corroborate the psychometric performance, internal consistency and dimensionality, of the Brief Questionnaire for Bullying Detection (BQBD). Method. A validation study was designed in which 350 students between 10 and 17 years of age (M = 13.3; SD = 1.8) participated, 53.7% of them female. Internal consistency indicators (Kuder-Richardson, K-R and McDonald's omega) were calculated for the three sub-scales of the BQBD. Results. The sub-scale of perceived intimidation showed K-R of 0.55 and McDonald's omega of 0.58; the sub-scale of emotional symptoms were 0.80 and 0.81, and the sub-scale of perpetrated intimidation were 0.41 and 0.33, respectively. It was impossible to demonstrate the proposed dimensionality. Conclusion. Only the sub-scale of emotional symptoms of the BQBD has high internal consistency. More research on the dimensionality of the BQBD is needed to explain its internal structure.

Resumo Escopo. Corroborar o desempenho psicométrico, a consistência interna e a dimensionalidade do Questionário Breve de Detecção de Intimidação Escolar (CBDIE). Metodologia. Foi desenhado um estudo de validação no que participaram 350 estudantes, entre os 10 e os 17 anos (M=13.3; DE=1.8); 53.7% de gênero feminino. Foram calculados indicadores de consistência interna (Kuder-Richardson, K-R, e ômega de McDonald) para as três sub-escadas do CBDIE. Resultados. A sub-escada de intimidação percebida mostrou K-R de 0.55 e ômega de McDonald de 0.58; a sub-escada de sintomas emocionais, 0.8 e 0.81; e a sub-escada de intimidação perpetrada, 0.41 e 0.33. Não foi possível demostrar a dimensionalidade do instrumento. Conclusão. Só a sub-escada de sintomas emocionais de CIBDE apresenta alta consistência interna. Foram necessitadas mais pesquisas da dimensionalidade do CIBDE, para dar conta da sua estrutura interna.

Barriers to access to mental health services among Colombia outpatients.

BACKGROUND: Access barriers are all situations or conditions that limit seeking, receiving or enjoying benefits offered by the health system. This set of situations translates into underutilization of the services offered. In Colombia, there is little information about barriers to accessing medical care in general, and even less in the specific field of mental health. AIM: To determine the barriers to accessing psychiatric care in outpatients in Santa Marta, Colombia. METHODS: The authors designed a cross-sectional study with a non-probability sample of adult patients who consulted between August and December 2018. The barriers to access were measured with a 20-item version of the Barriers to Access to Care Evaluation (BACE) scale. RESULTS: A total of 247 patients participated; they were between 18 and 82 years (mean (M) = 47.5, standard deviation (SD) = 13.9). A total of 69 (27.9%) patients classified as having major attitudinal barriers; 62 (25.1%) patients, major barriers related to stigma-discrimination; and 41 (16.6%) patients, major instrumental barriers. Concerning the associated variables, age less than 45 years was related to major attitudinal barriers (odds ratio (OR) = 2.9, 95% confidence interval (CI) 1.6-5.5), major barriers related to stigma-discrimination (OR = 3.8, 95% CI 2.0-7.2) and major instrumental barriers (OR = 2.7, 95% CI 1.3-5.3). Men reported major instrumental barriers more frequently than women (OR = 2.8, 95% CI 1.3-5.8). CONCLUSION: The major attitudinal, related to stigma-discrimination and instrumental barriers to access frequently delay a consultation with mental health services. Actions are necessary to reduce barriers to accessing mental health care.