In the United States suicide is the third cause of death among adolescents. Suicidal behavior has increased a hundred percent over the last three decades; it is one of the most frequent psychiatric emergencies and the first cause of admission among inpatients between 15 and 24 years.
Objective: This paper is divided in two parts. The first one is made up of a review about risk factors for suicidal behavior in adolescents. The objective of the second part study is to estimate the frequency of risk factors for suicidal behavior in a sample of inpatients and to correlate them with high lethality suicidal attempts.
Method: This is a retrospective, observational, descriptive, analytic transversal study based on information from 23 medical records. Variables were processed by bivariated analysis; relative risk was obtained considering high lethality suicidal attempt as dependent variable.
Results: Statistically significant relationships were found between high lethality suicidal attempt and no Axe II diagnosis and with the appearance of hopelessness.
Discussion: Suicidal attempts in adolescents with an Axe II diagnosis could be more related to self-harming than to a wish to die. Hopelessness can be considered an independent variable that determines the lethality of the suicidal attempt.