<?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>2664-2891</journal-id>
<journal-title><![CDATA[Revista científica ciencias de la salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. cient. cienc. salud]]></abbrev-journal-title>
<issn>2664-2891</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Pacífico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-28912026000100222</article-id>
<article-id pub-id-type="doi">10.53732/rccsalud/e8953</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Conocimientos y prácticas de pediatras paraguayos sobre depresión e ideación suicida en niños y adolescentes]]></article-title>
<article-title xml:lang="en"><![CDATA[Knowledge and practices of Paraguayan pediatricians on depression and suicidal ideation in children and adolescents]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torales]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gauto]]></surname>
<given-names><![CDATA[Sofía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[O'Higgins]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almirón-Santacruz]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caycho-Rodríguez]]></surname>
<given-names><![CDATA[Tomás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castaldelli-Maia]]></surname>
<given-names><![CDATA[João Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ventriglio]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios]]></surname>
<given-names><![CDATA[Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Grupo de Investigación sobre Epidemiología de los Trastornos Mentales, Psicopatología y Neurociencias]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Los Lagos Vicerrectoría de Investigación y Postgrado ]]></institution>
<addr-line><![CDATA[Osorno ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Sudamericana Facultad de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Salto del Guairá ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Científica del Sur  ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,University of São Paulo Department of Psychiatry ]]></institution>
<addr-line><![CDATA[São Paulo ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,University of Foggia Department of Clinical and Experimental Medicine ]]></institution>
<addr-line><![CDATA[Foggia ]]></addr-line>
<country>Italy</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas, Filial Santa Rosa del Aguaray Cátedra de Bioestadística]]></institution>
<addr-line><![CDATA[Santa Rosa del Aguaray ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<volume>8</volume>
<fpage>222</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2664-28912026000100222&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2664-28912026000100222&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2664-28912026000100222&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción. La depresión y la conducta suicida en niños y adolescentes constituyen problemas crecientes de salud pública. Los pediatras suelen ser el primer punto de contacto asistencial, pero las limitaciones formativas pueden dificultar la detección precoz y el abordaje adecuado. Objetivo. Explorar los conocimientos, prácticas clínicas y barreras percibidas por pediatras en Paraguay respecto a la evaluación y el manejo de la depresión e ideación suicida en población infanto-juvenil. Materiales y Métodos. Estudio observacional, exploratorio y transversal realizado entre abril y agosto de 2025 mediante cuestionario estructurado autoadministrado aplicado a pediatras y residentes en ejercicio. Se evaluaron variables sociodemográficas, nivel de conocimiento, prácticas de cribado y manejo, y barreras percibidas. Se estableció validez de contenido por jueces expertos y adecuada consistencia interna (&#945; &#8805; 0,75). Se efectuaron análisis descriptivos y pruebas no paramétricas. Resultados. Participaron 82 pediatras (edad media 46 ± 11 años; 86,6% mujeres). El puntaje medio de conocimiento fue 3,43/6 y solo el 28% alcanzó niveles altos. El 34,1% carecía de formación formal en salud mental. Aunque el 75,6% atendió casos de ideación o intento suicida, solo el 11% evaluaba síntomas depresivos frecuentemente y el 29,3% empleaba herramientas estandarizadas. La derivación urgente fue la conducta predominante (85,4%). La formación durante la residencia se asoció con mayor conocimiento (p = 0,028). Conclusión. Existe una brecha entre experiencia clínica y capacitación formal que limita la detección sistemática del riesgo suicida, lo que evidencia la necesidad de fortalecer la formación y estandarizar protocolos en pediatría.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction. Depression and suicidal behavior in children and adolescents represent growing public health concerns. Pediatricians are often the first point of clinical contact; however, limitations in training may hinder early detection and appropriate management. Objective. To explore the knowledge, clinical practices, and perceived barriers among pediatricians in Paraguay regarding the assessment and management of depression and suicidal ideation in children and adolescents. Materials and Methods. An observational, exploratory, cross-sectional study was conducted between April and August 2025 using a structured self-administered questionnaire applied to practicing pediatricians and pediatric residents. Sociodemographic variables, level of knowledge, screening and management practices, and perceived barriers were assessed. Content validity was established through expert review, and internal consistency was adequate (&#945; &#8805; 0.75). Descriptive analyses and non-parametric tests were performed. Results. Eighty-two pediatricians participated (mean age 46 ± 11 years; 86.6% female). The mean knowledge score was 3.43/6, and only 28% achieved high levels. Formal training in mental health was absent in 34.1% of participants. Although 75.6% had managed cases involving suicidal ideation or attempts, only 11% frequently assessed depressive symptoms and 29.3% used standardized screening tools. Urgent referral was the predominant response (85.4%). Residency training was significantly associated with higher knowledge scores (p = 0.028). Conclusion. A gap exists between clinical exposure and formal training, limiting systematic detection of suicide risk and highlighting the need to strengthen education and standardize pediatric protocols.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[salud mental]]></kwd>
<kwd lng="es"><![CDATA[suicidio]]></kwd>
<kwd lng="es"><![CDATA[ideación suicida]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="es"><![CDATA[adolescentes]]></kwd>
<kwd lng="es"><![CDATA[pediatras]]></kwd>
<kwd lng="en"><![CDATA[mental health]]></kwd>
<kwd lng="en"><![CDATA[suicide]]></kwd>
<kwd lng="en"><![CDATA[suicidal ideation]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
<kwd lng="en"><![CDATA[adolescents]]></kwd>
<kwd lng="en"><![CDATA[pediatricians]]></kwd>
</kwd-group>
</article-meta>
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