Análisis dimensional de la personalidad del adolescente con conducta suicida

espanolObjetivos. El presente trabajo tiene por objetivo validar el enfoque bidimensional de personalidad internalizante y externalizante en una muestra de adolescentes con con- ducta suicida y analizar las diferencias psicopatologicas y sindromicas entre los adolescentes que tienden a una u otra dimension. Metodo. Estudio descriptivo transversal con una muestra de 75 adolescentes (79% chicas) que acudieron a urgencias de un hospital pediatrico por conducta suicida. Se recogieron datos sociodemograficos, clinicos, psicopatologicos y de perfiles de personalidad (MACI). Resultados. El analisis factorial extrajo dos factores (total varianza 77.56%): un perfil internalizante (28% de casos) y otro externalizante (72% de los casos). Se observaron diferencias estadisticamente significativas entre perfiles en preocupaciones expresadas y sindromes clinicos del MACI. Conclusiones. Se obtienen dos perfiles diferenciados de personalidad en la muestra de adolescentes con conducta suicida, siendo el perfil externalizante el mas prevalente. Es- tos perfiles deberian ayudar a tomar decisiones clinicas y planificar intervenciones para reducir el riesgo de repeticion de la conducta suicida. EnglishObjectives. This study is aimed at validating the dimensional internalizing and externalizing approach to personality in a sample of adolescents with suicidal behavior and analyzing the psychopathological and syndromic differences between adolescents from each dimension. Method. It is a descriptive and cross-sectional study of 75 adolescents (75% women) who attended the emergency service of a pediatric hospital due to suicidal behavior. Sociodemographic, clinical and psychopathological data and personality profiles (MACI) were gathered. Results. The factorial analysis found two factors (total variance of 77.65%): an internalizing (28% of the cases) and an externalizing profile (72% of the cases). Statistically significant differences were obtained between the two profiles in the expressed concerns and the clinical syndromes of the MACI. Conclusions. Two differentiated personality profiles were found in our sample of adolescents with suicidal behavior. The externalizing profile was more prevalent. These profiles should guide clinical decisions and help plan therapeutic interventions to reduce the risk of suicidal behavior relapse.