<?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>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2022000400675</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Modelo explicativo de depresión y ansiedad como predictores de ideación suicida en adultos peruanos]]></article-title>
<article-title xml:lang="en"><![CDATA[Explanatory model of depression and anxiety as predictors of suicidal ideation in Peruvian adults]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baños Chaparro]]></surname>
<given-names><![CDATA[Jonatan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de San Martín de Porres  ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>20</volume>
<numero>4</numero>
<fpage>675</fpage>
<lpage>682</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2022000400675&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2022000400675&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2022000400675&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento  los síntomas depresivos y de ansiedad son desórdenes emocionales frecuentes en adultos de población general. La comorbilidad de ambos grupos de síntomas afecta la salud considerablemente, y la literatura refiere que son factores de riesgo para el desarrollo de ideas suicidas.  Objetivo  evaluar un modelo explicativo de la depresión y la ansiedad como predictores de ideación suicida en adultos peruanos.  Métodos  estudio descriptivo, transversal, de diseño predictivo, con una muestra de 566 adultos peruanos que accedieron a responder medidas de autoinforme sobre depresión, ansiedad e ideación suicida. Se realizó un modelo de ecuaciones estructurales para evaluar el modelo explicativo. Se aplicaron el Patient Health Questionnarie-2, el Generalized Anxiety Disorder-2, y el Inventario de Frecuencia de Ideación Suicida. Para evaluar el ajuste del modelo se utilizó el modelamiento de ecuaciones estructurales y estimador robusto de mínimos cuadrados ponderados ajustados a la media y la varianza.  Resultados  la depresión (&#946; = 0,52, p = 0,01) y la ansiedad (&#946; = 0,23, p = 0,03), predicen de manera estadísticamente significativa la ideación suicida. El modelo propuesto presentó adecuados valores en cuanto a índice de ajuste comparativo (0,97), error medio cuadrático de aproximación (0,03) [IC del 90%: 0,01-0,05] y error medio cuadrático estandarizado (0,02).  Conclusión  los síntomas de depresión y ansiedad predicen el desarrollo de la ideación suicida. La evaluación y seguimiento de ambos podría ayudar a disminuir el riesgo de ideación suicida, especialmente cuando existe una comorbilidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background  Depressive and anxiety symptoms are frequent emotional disorders in general population adults. The comorbidity of both groups of symptoms considerably affects health, and the literature refers that they are risk factors for the development of suicidal ideation.  Objective  Evaluate an explanatory model of depression and anxiety as suicidal ideation predictors in Peruvian adults.  Methods  a descriptive, cross-sectional study with a predictive design, with a sample of 566 Peruvian adults who agreed to answer self-report measures on depression, anxiety and suicidal ideation. A structural equation model was performed to evaluate the explanatory model. The Patient Health Questionnaire-2, the Generalized Anxiety Disorder-2, and the Suicidal Ideation Frequency Inventory were applied. To assess the fit of the model, structural equation modeling and a robust weighted least squares estimator adjusted for mean and variance were used.  Results  depression (&#946; = 0.52, p = 0.01) and anxiety (&#946; = 0.23, p = 0.03) predict suicidal ideation in a statistically significant way. The proposed model presented adequate values in terms of comparative fit index (0.97), mean square error of approximation (0.03) [90% CI: 0.01-0.05] and standardized mean square error (0 .02).  Conclusion  Symptoms of depression and anxiety predict the development of suicidal ideation. The evaluation and monitoring of both could help reduce the risk of suicidal ideation, especially when there is comorbidity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Depresión]]></kwd>
<kwd lng="es"><![CDATA[ansiedad]]></kwd>
<kwd lng="es"><![CDATA[ideación suicida]]></kwd>
<kwd lng="es"><![CDATA[predicción]]></kwd>
<kwd lng="en"><![CDATA[Depression]]></kwd>
<kwd lng="en"><![CDATA[anxiety]]></kwd>
<kwd lng="en"><![CDATA[suicidal ideation]]></kwd>
<kwd lng="en"><![CDATA[forecasting]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baños]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[¿Preguntar sobre conductas suicidas tiene efectos negativos?: una revisión narrativa basada en evidencia.]]></article-title>
<source><![CDATA[Rev Ciencias Médicas]]></source>
<year>2021</year>
<volume>25</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<collab>World Health Organization</collab>
<source><![CDATA[Suicidio]]></source>
<year>2021</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[WHO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roman]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Moncada]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Huarcaya]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evolución y diferencias en las tasas de suicidio en Perú por sexo y por departamentos, 2017-2019]]></article-title>
<source><![CDATA[Rev Colomb Psiquiatr]]></source>
<year>2021</year>
<volume>50</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="book">
<collab>Instituto Nacional de Salud Mental</collab>
<source><![CDATA[Estudio Epidemiológico de Salud Mental en Lima Metropolitana y Callao-Replicación 2012]]></source>
<year>2013</year>
<publisher-loc><![CDATA[Perú ]]></publisher-loc>
<publisher-name><![CDATA[INSM]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gili]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Castellví]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Vives]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Torre-Luque]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Almenara]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Blasco]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mental disorders as risk factors for suicidal behavior in young people A meta-analysis and systematic review of longitudinal studies]]></article-title>
<source><![CDATA[J Affect Disord]]></source>
<year>2019</year>
<volume>245</volume>
<page-range>152-62</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schriver]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Lieblich]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[AlRabiah]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mowery]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Identifying risk factors for suicidal ideation across a large community healthcare system]]></article-title>
<source><![CDATA[J Affect Disord]]></source>
<year>2020</year>
<volume>276</volume>
<page-range>1038-45</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baños]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síntomas depresivos en adultos peruanos: un análisis de redes]]></article-title>
<source><![CDATA[Rev virtual Soc Parag Med Int]]></source>
<year>2021</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lamers]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[van Oppen]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Comijs]]></surname>
<given-names><![CDATA[HC]]></given-names>
</name>
<name>
<surname><![CDATA[Smit]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Spinhoven]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[van Balkom]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comorbidity patterns of anxiety and depressive disorders in a large cohort study the Netherlands Study of Depression and Anxiety (NESDA)]]></article-title>
<source><![CDATA[J Clin Psychiatry]]></source>
<year>2011</year>
<volume>72</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>341-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Baños]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ogundokun]]></surname>
<given-names><![CDATA[RO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The network structure of depressive symptomatology in Peruvian adults with arterial hypertension]]></article-title>
<source><![CDATA[F1000Research]]></source>
<year>2021</year>
<volume>10</volume>
<page-range>19</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khansa]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Haddad]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Hallit]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Akel]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Obeid]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Haddad]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Interaction between anxiety and depression on suicidal ideation, quality of life, and work productivity impairment Results from a representative sample of the Lebanese population]]></article-title>
<source><![CDATA[Perspect Psychiatr Care]]></source>
<year>2019</year>
<volume>56</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>270-9</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Doering]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Lichtenstein]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Gillberg]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Middeldorp]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Bartels]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kuja-Halkola]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anxiety at age 15 predicts psychiatric diagnoses and suicidal ideation in late adolescence and young adulthood results from two longitudinal studies]]></article-title>
<source><![CDATA[BMC Psychiatry]]></source>
<year>2019</year>
<volume>19</volume>
<page-range>363</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baños]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ynquillay]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lamas]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Fuster]]></surname>
<given-names><![CDATA[FG.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis de redes de las conductas suicidas en adultos peruanos]]></article-title>
<source><![CDATA[Rev Cub Med Mil]]></source>
<year>2021</year>
<volume>50</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baños]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ynquillay]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lamas]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Fuster]]></surname>
<given-names><![CDATA[FG.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evidencias psicométricas del Patient Health Questionnaire-2 para la evaluación de síntomas depresivos en adultos peruanos.]]></article-title>
<source><![CDATA[Rev Ciencias Médicas]]></source>
<year>2021</year>
<volume>25</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhong]]></surname>
<given-names><![CDATA[QY]]></given-names>
</name>
<name>
<surname><![CDATA[Gelaye]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Zazlavsky]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Fann]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Rondon]]></surname>
<given-names><![CDATA[MB]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnostic Validity of the Generalized Anxiety Disorder - 7 (GAD-7) among Pregnant Women]]></article-title>
<source><![CDATA[PLoS ONE]]></source>
<year>2015</year>
<volume>10</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baños]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ynquillay]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lamas]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Fuster]]></surname>
<given-names><![CDATA[FG.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Inventario de Frecuencia de Ideación Suicida: Evidencias psicométricas en adultos peruanos.]]></article-title>
<source><![CDATA[Rev Inf Cient]]></source>
<year>2021</year>
<volume>100</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[LT]]></given-names>
</name>
<name>
<surname><![CDATA[Bentler]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cutoff criteria for fit indexes in covariance structure analysis Conventional criteria versus new alternatives]]></article-title>
<source><![CDATA[Struct Equ Model]]></source>
<year>1999</year>
<volume>6</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-55</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Un método de cálculo de tamaño muestral de análisis de potencia a priori en modelos de ecuaciones estructurales]]></article-title>
<source><![CDATA[Rev Cuerpo Med HNAAA]]></source>
<year>2021</year>
<volume>14</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>104-5</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Gallagher]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Petersen]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Benhamou]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Foa]]></surname>
<given-names><![CDATA[EB]]></given-names>
</name>
<name>
<surname><![CDATA[Asnaani]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Does CBT for anxiety-related disorders alter suicidal ideation Findings from a naturalistic sample]]></article-title>
<source><![CDATA[J Anxiety Disord]]></source>
<year>2018</year>
<volume>59</volume>
<page-range>10-6</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kumpula]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Wagner]]></surname>
<given-names><![CDATA[HR]]></given-names>
</name>
<name>
<surname><![CDATA[Dedert]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Crowe]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Day]]></surname>
<given-names><![CDATA[KT]]></given-names>
</name>
<name>
<surname><![CDATA[Powell]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An Evaluation of the Effectiveness of Evidence-Based Psychotherapies for Depression to Reduce Suicidal Ideation among Male and Female Veterans]]></article-title>
<source><![CDATA[Womens Health Issues]]></source>
<year>2019</year>
<volume>29Suppl1</volume>
<page-range>S103-11</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Büscher]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Torok]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Terhorst]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Sander]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Internet-Based Cognitive Behavioral Therapy to Reduce Suicidal Ideation A Systematic Review and Meta-analysis]]></article-title>
<source><![CDATA[JAMA Netw Open]]></source>
<year>2020</year>
<volume>3</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
