<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0124-0064</journal-id>
<journal-title><![CDATA[Revista de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud pública]]></abbrev-journal-title>
<issn>0124-0064</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Salud Publica, Facultad de Medicina - Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0124-00642023000200002</article-id>
<article-id pub-id-type="doi">10.15446/rsap.v25n2.105378</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Suicide risk and crises suffered in the context of COVID-19 mediated by interpersonal family communication]]></article-title>
<article-title xml:lang="es"><![CDATA[Riesgo suicida y crisis sufridas en el contexto del COVID-19 mediadas por la comunicación familiar]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garcés-Prettel]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Geney-Castro]]></surname>
<given-names><![CDATA[Elias]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez-Ruiz]]></surname>
<given-names><![CDATA[Karol]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santoya-Montes]]></surname>
<given-names><![CDATA[Yanin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Tecnológica de Bolívar  ]]></institution>
<addr-line><![CDATA[Cartagena de Indias ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Tecnde Bolívar  ]]></institution>
<addr-line><![CDATA[Cartagena de Indias ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Tecnológica de Bolívar Neuropsychology ]]></institution>
<addr-line><![CDATA[Cartagena de Indias ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Tecnológica de Bolívar Neuropsychology ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2023</year>
</pub-date>
<volume>25</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0124-00642023000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0124-00642023000200002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0124-00642023000200002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective To analyze the relationship between suicidal ideation and the concerns or affectations perceived at the family, economic and health levels during the first year of the COVID-19 pandemic in Colombia, and the mediating role of family communication.  Method Participants were obtained through cluster sampling and quotas, resulting in 660 Colombians (Z=1.96; variance=0.25; error=3.9%), who answered a questionnaire consisting of three reliable scales between November 1 and 30, 2020, after providing informed consent. Binary logistic regression was used to evaluate the concerns or affectations that most influenced suicidal ideation during this period.  Results Thirty-five percent of the Colombian participants presented a high level of suicidal ideation. The concerns or affectations that most strongly explain this level come from the realm of health and intrafamily relationships. The effect of health concerns or affectations on suicidal ideation decreases by up to 32.4% when family communication is open. Likewise, when this type of positive communication is present, the effect of the concerns or affectations perceived in the family, such as breakdowns, distancing, and crisis of coexistence, on suicidal ideation decrease between 29.1% and 70.1%.  Conclusion Open family communication is a protective factor for mental health in crisis contexts because it can contribute to preventing suicide and alleviate to the concerns or affectations generated by COVID-19. Therefore, it is necessary to strengthen mental health programs through a communicative approach aimed at promoting assertive family dialog to achieve greater attention and openness to talk about concerns and affectations suffered.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo Analizar la relación entre la ideación suicida y las preocupaciones o afectaciones percibidas a nivel familiar, económico y de salud durante el primer año de la pandemia por COVID-19 en Colombia y el rol mediador de la comunicación familiar.  Método Los participantes se obtuvieron mediante muestreo por conglomerados y cuotas, de lo cual resultaron 660 colombianos (Z=1.96; varianza=0.25; error=3.9%) que respondieron a tres escalas confiables aplicadas en noviembre de 2020, previo consentimiento informado. Se utilizó regresión logística binaria para evaluar las preocupaciones o afectaciones que más influyeron en la ideación suicida en este período.  Resultados El 35% de los participantes presentó un nivel alto de ideación suicida. Las preocupaciones o afectaciones que más explican este nivel provienen del ámbito de la salud y las relaciones intrafamiliares. El efecto de las preocupaciones o afectaciones de salud sobre la ideación suicida disminuye hasta en un 32.4% cuando la comunicación familiar es abierta. Cuando está presente este tipo de comunicación positiva, el efecto de las preocupaciones o afectaciones percibidas en la familia, como rupturas, distanciamiento y crisis de convivencia, sobre la ideación suicida disminuye entre un 29.1% y un 70.1%.  Conclusión La comunicación familiar abierta es un factor protector para la salud mental en contextos de crisis sanitaria porque puede contribuir a prevenir el suicidio. Por ello, es necesario fortalecer los programas de salud mental a través de un enfoque comunicativo encaminado a promover el diálogo familiar asertivo para lograr una mayor atención y apertura para hablar de las preocupaciones y afectaciones sufridas.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Suicidal ideation]]></kwd>
<kwd lng="en"><![CDATA[suicide]]></kwd>
<kwd lng="en"><![CDATA[mental health]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[family relationships]]></kwd>
<kwd lng="en"><![CDATA[communication (source: MeSH, NLM)]]></kwd>
<kwd lng="es"><![CDATA[Ideación suicida]]></kwd>
<kwd lng="es"><![CDATA[suicidio]]></kwd>
<kwd lng="es"><![CDATA[expresión de preocupación]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[relaciones familiares]]></kwd>
<kwd lng="es"><![CDATA[comunicación (fuente: DeCS, BIEREME)]]></kwd>
</kwd-group>
</article-meta>
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