The Ecuadorian earthquake in April 16th was the second strongest and deadliest in 2016 worldwide, with approximately one million people affected. In this paper, we analyzed the psychological impact and the relationship between mental health events and various earthquake-related stressors related to the earthquake, 9 months after the event. We conducted an analytical cross-sectional study, applying an anonymous survey to 316 adolescents (13–19 years old) from Muisne, Ecuador. Suicidal tendency, depression, anxiety and post-traumatic stress (PTSD) were evaluated via the Child PTSD Symptom Scale (CPSS), Spence Children’s Anxiety Scale, Okasha Suicidality Scale, and the Center for Epidemiologic Studies Depression Scale (CES-D) and the adapted seven-questions earthquake-related stressors survey. We found a high prevalence of suicidal ideations and behavior, posttraumatic stress, depression and anxiety compared to international studies. Even though adolescents currently living in shelters had higher levels of anxiety, their suicidal tendency was significantly lower than those living in their own or their relatives’ home. Finally, the earthquake-related stressors were not associated with suicidality and mental health events, with the exception of economic damage suffered by the family. High levels of depression, post-traumatic stress and anxiety among high-school students were found, especially among those who have suffered serious economic damage. The economic impact in their families and high unemployment rates among their parents seems to be related to lack of hope and favorable perspectives for their future, situation that might lead to lead to emotional disturbances and psychological disorders. Although prolonged homelessness experience in shelters may be a stressful occurrence, might also be related with spiritual growth among adolescents, and may work as a protective factor against suicidal ideations and attempts.

中文翻译：

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2016 年厄瓜多尔地震后 Muisne 青少年的地震相关压力源与自杀、抑郁、焦虑和创伤后压力有关。

4 月 16 日的厄瓜多尔地震是 2016 年全球第二强和最致命的地震，大约有 100 万人受到影响。在本文中，我们分析了事件发生 9 个月后，心理健康事件与与地震相关的各种地震相关压力源之间的心理影响和关系。我们进行了一项分析性横断面研究，对来自厄瓜多尔 Muisne 的 316 名青少年（13-19 岁）进行了匿名调查。自杀倾向、抑郁、焦虑和创伤后应激障碍 (PTSD) 通过儿童 PTSD 症状量表 (CPSS)、Spence 儿童焦虑量表、Okasha 自杀量表和流行病学研究中心抑郁量表 (CES-D) 和改编了七个问题的地震相关压力源调查。我们发现与国际研究相比，自杀意念和行为、创伤后压力、抑郁和焦虑的发生率很高。尽管目前住在收容所的青少年焦虑程度更高，但他们的自杀倾向明显低于住在自己或亲戚家中的青少年。最后，地震相关的压力源与自杀和心理健康事件无关，但家庭遭受的经济损失除外。在高中生中发现了高度的抑郁、创伤后压力和焦虑，尤其是那些遭受严重经济损失的人。对他们家庭的经济影响和他们父母的高失业率似乎与他们对未来缺乏希望和有利前景有关，可能导致情绪障碍和心理障碍的情况。尽管在收容所中长期无家可归的经历可能是一种压力，也可能与青少年的精神成长有关，并且可能是防止自杀意念和企图的保护因素。