<?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>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022024000100003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevención de suicidio: entendiendo la enfermedad como proceso]]></article-title>
<article-title xml:lang="en"><![CDATA[Suicide prevention: understanding illness as a process]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Millán-González]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica Escuela de Medicina Departamento de Psiquiatría]]></institution>
<addr-line><![CDATA[ San José]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<volume>66</volume>
<numero>1</numero>
<fpage>3</fpage>
<lpage>7</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022024000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022024000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022024000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El suicidio es un problema de salud pública. La prevención requiere de acciones formativas a nivel emocional, del tratamiento científico de las situaciones de riesgo suicida y de un manejo sensible por parte de los medios de comunicación. A raíz de las efemérides del día mundial de la prevención del suicidio y del día mundial de la salud mental, conviene hacer una reflexión sobre cómo la conceptualización de la enfermedad como proceso facilita el abordaje de los trastornos mentales. La comprensión de la historia de vida de cada paciente permite realizar una adecuada contextualización biográfica que explica la compleja interacción entre estrés temprano en la vida, vulnerabilidad, epigenética y circunstancias vitales, sociales y ambientales. Congruente con este trabajo clínico, la labor médica debe centrarse también en la participación en programas de educación médica continua y desde la escuela de medicina y en el diseño de acciones de promoción/prevención que consideren esta visión del continuum salud-enfermedad y que entiendan la salud física y mental como unidad. Lo anterior se fortalece con el desarrollo de las propias capacidades introspectivas para la detección del desgaste profesional como mecanismo de pérdida de la empatía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Suicide is a public health problem. Prevention requires training actions at an emotional level, the scientific treatment of suicidal risk situations and a sensitive management by the media. Following the commemorations of the World Suicide Prevention Day and the World Mental Health Day, this is an opportunity to reconceptualize how the of illness as a process facilitates the approach to mental disorders. Understanding the life history of each patient allows for an adequate biographical contextualization that explains the complex interaction between early life stress, vulnerability, epigenetics and vital, social and environmental circumstances. Consistent with this clinical view, medical actions must also focus on the participation in continual medical education programs and at the school of medicine, and on the design of promotion/prevention actions that consider the vision of the health-disease continuum and that conceives physical and mental health as a unit. The above is strengthened with the development of health professionals own introspective abilities to detect burnout syndrome as a mechanism of loss of empathy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[suicidio]]></kwd>
<kwd lng="es"><![CDATA[prevención de suicidio]]></kwd>
<kwd lng="es"><![CDATA[estrés temprano en la vida]]></kwd>
<kwd lng="es"><![CDATA[empatía]]></kwd>
<kwd lng="es"><![CDATA[síndrome de burnout.]]></kwd>
<kwd lng="en"><![CDATA[suicide]]></kwd>
<kwd lng="en"><![CDATA[suicide prevention]]></kwd>
<kwd lng="en"><![CDATA[early life stress]]></kwd>
<kwd lng="en"><![CDATA[empathy]]></kwd>
<kwd lng="en"><![CDATA[burnout syndrome.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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