Sobre el saber inmediato de sí mismo en Xavier Zubiri

El «saber sobre sí mismo» es una cuestión controvertida desde los orígenes de la filosofía occidental. Fue consigna de carácter filosófico en Sócrates. Posteriormente, su tratamiento es diverso en S. Agustín, en Descartes, en el idealismo, hasta la actualidad. En este trabajo pensamos en lo que ha dicho Xavier Zubiri del saber inmediato sobre sí mismo. En la intelección sentiente, en su primer modo o primordial (y con un ulterior desarrollo en los modos de logos y razón), uno mismo se presenta a sí mismo como «mí», «realidad mía», o «intimidad». «Realidad psicosomática». Una intimidad «enigmática » en la que resuena la «voz de la conciencia» proveniente del poder de lo real en cuanto tal, fundamento de la realidad personal del «mí». En sentimiento afectante, el enigma de la realidad del «mí» se manifiesta en su «in-quietud» constituyente. Y en voluntad tendente, mi realidad inquieta y guiada por la «voz de la conciencia», ha de adoptar necesariamente alguna «forma de realidad»

Suicide attempts and related factors in patients admitted to a general hospital: a ten-year crosssectional study (1997-2007)

[Abstract] Background: Suicide and suicide attempts represent a severe problem for public health services. The aim of this study is to determine the socio-demographic and psychopathological variables associated with suicide attempts in the population admitted to a General Hospital. Methods: An observational-descriptive study of patients admitted to the A Coruña University Hospital (Spain) during the period 1997-2007, assessed by the Consultation and Liaison Psychiatric Unit. We include n = 5,234 admissions from 4,509 patients. Among these admissions, n = 361 (6.9%) were subsequent to a suicide attempt. Admissions arising from a suicide attempt were compared with admissions occurring due to other reasons.Multivariate generalised estimating equation logistic regression models were used to examine factors associated with suicide attempts. Results: Adjusting by age, gender, educational level, cohabitation status, being employed or unemployed, the psychiatric diagnosis at the time of the interview and the information on previous suicide attempts, we found that the variables associated with the risk of a suicide attempt were: age, psychiatric diagnosis and previous suicide attempts. The risk of suicide attempts decreases with age (OR = 0.969). Psychiatric diagnosis was associated with a higher risk of suicide attempts, with the highest risk being found for Mood or Affective Disorders (OR = 7.49), followed by Personality Disorders (OR = 7.31), and Schizophrenia and Other Psychotic Disorders (OR = 5.03).The strongest single predictive factor for suicide attempts was a prior history of attempts (OR = 23.63). Conclusions: Age, psychopathological diagnosis and previous suicide attempts are determinants of suicide attempts

Suicide attempts and related factors in patients admitted to a general hospital: a ten-year cross-sectional study (1997-2007)

[Abstract] Background: Suicide and suicide attempts represent a severe problem for public health services. The aim of this study is to determine the socio-demographic and psychopathological variables associated with suicide attempts in the population admitted to a General Hospital. Methods: An observational-descriptive study of patients admitted to the A Coruña University Hospital (Spain) during the period 1997-2007, assessed by the Consultation and Liaison Psychiatric Unit. We include n = 5,234 admissions from 4,509 patients. Among these admissions, n = 361 (6.9%) were subsequent to a suicide attempt. Admissions arising from a suicide attempt were compared with admissions occurring due to other reasons.Multivariate generalised estimating equation logistic regression models were used to examine factors associated with suicide attempts. Results: Adjusting by age, gender, educational level, cohabitation status, being employed or unemployed, the psychiatric diagnosis at the time of the interview and the information on previous suicide attempts, we found that the variables associated with the risk of a suicide attempt were: age, psychiatric diagnosis and previous suicide attempts. The risk of suicide attempts decreases with age (OR = 0.969). Psychiatric diagnosis was associated with a higher risk of suicide attempts, with the highest risk being found for Mood or Affective Disorders (OR = 7.49), followed by Personality Disorders (OR = 7.31), and Schizophrenia and Other Psychotic Disorders (OR = 5.03).The strongest single predictive factor for suicide attempts was a prior history of attempts (OR = 23.63). Conclusions: Age, psychopathological diagnosis and previous suicide attempts are determinants of suicide attempts

Depresión en pacientes hospitalizados en el Servicio de Medicina Interna de un Hospital General

Affective symptomatology and Depressive Syndromes, in particular Major Depression, are common among inpatients at a General Hospital Internal Medicine Department. Depressive Syndromes and their treatment represent clinical variables affecting in many different ways and reciprocally the development and prognosis of the medical pathology causing the admission. The results of an update bibliographical review and the data of our own experience at the Liaison and Consultation Unit of the A Coruña University Hospital Psychiatry Department over more than 20 years (1990-2013) are presented.La sintomatología afectiva y los Síndromes Depresivos, en particular la Depresión Mayor, son frecuentes en pacientes ingresados en un Servicio de Medicina Interna de un Hospital General. Los Síndromes depresivos y su tratamiento son variables clínicas que inciden de muchas maneras, y en general, a su vez, de forma recíproca, en el desarrollo y el pronóstico de la patología médica, motivo de ingreso hospitalario. Presentamos los resultados de una revisión bibliográfica actualizada; y los datos de nuestra propia experiencia en la Unidad de Interconsulta y Enlace del Servicio de Psiquiatría del Complejo Hospitalario Universitario de A Coruña a lo largo de una actividad profesional de más de veinte años (1990-2013)

Biblioterapia: lecturas saludables.

O obxectivo deste documento é difundir o proxecto de biblioterapia entre pacientes e público en xeral. Este proxecto xurdiu durante unha colaboración da Consellería de Sanidade con pacientes afectados por depresión e as súas familias. Con este punto de partida, a Axencia Galega para a Xestión do Coñecemento en Saúde comezou a traballar na articulación dunha iniciativa para revisar a evidencia científica dispoñible sobre o uso dos libros con fins terapéuticos e na implementación do proxectoEl objetivo de este documento es difundir el proyecto de biblioterapia entre pacientes y público en general. Este proyecto surgió durante una colaboración de la Consellería de Sanidad con pacientes afectados por depresión y sus familias. Con este punto de partida, la Agencia Gallega para la Gestión del Conocimiento en Salud comenzó a trabajar en la articulación de una iniciativa para revisar la evidencia científica disponible sobre el uso de los libros con fines terapéuticos y en la implementación del proyect