Resumo As ações voltadas à saúde integral dos adolescentes por vezes assumem um caráter moral e regulador sem levar em conta as visões dos próprios adolescentes sobre seu desenvolvimento. O objetivo foi compreender as significações sobre adolescência e saúde, na perspectiva de 10 adolescentes de ambos os sexos, entre 13 e 19 anos de um programa de atenção integral à saúde do DF. Foram realizados seis grupos temáticos, com periodicidade quinzenal e duração de duas horas por encontro. A metodologia grupal foi baseada no método sociodramático que facilitou a participação, reflexão e compreensão dos temas abordados pelos participantes. A Epistemologia Qualitativa foi adotada para a análise das informações e possibilitou a construção de indicadores de saúde na adolescência, a partir de cinco zonas de sentido: Adolescência é mais do que sexo, drogas erock and roll; Porque a família tem que adolescer com a gente; O projeto de vida começa agora, agora?; Em busca de um ideal de saúde; e Porque sexualidade, antes de tudo, se expressa. Conclui-se que é necessário superar a visão estereotipada da adolescência pelo paradigma do risco e ampliar a reflexão sobre os modos de vida do adolescente considerando os contextos para o desenvolvimento de sua subjetividade.

The study analyzed Brazilian articles on research in basic health units, which used educative activities as methodology, in order to ascertain the main characteristics of those activities being conducted in primary health care services. The following units were accessed: Lilacs, Scielo and Adolec. The articles were categorized according to these criteria: (1) articles published in Brazilian journals about (2) group interventions with adolescents for health promotion (3) in basic health units, (4) between 2000-2010. The texts were analyzed according to the following items: professionals involved, methodological features, topics covered in the groups, frequency, number of participants, age, sex, the conception of adolescence present in the studies as well as results presented by the authors. The results showed a larger number of actions based on epidemiological and biomedical research. The services described in these publications for focused on group interventions the prevention of risk behavior in sexual and reproductive health rather than considering the diversity of factors related to the adolescents' overall health concerns.

A scoping review of systematic reviews was carried out to identify evidence of efficacy, effectiveness, and cost-effectiveness of universal and selective suicide prevention programs among university students worldwide. Five databases were reviewed using terms in English, Spanish, and Portuguese. The following were the inclusion criteria: systematic review or meta-analysis or meta-synthesis, suicide prevention in college students, evaluation of the efficacy, effectiveness and/or cost-effectiveness of interventions, and peer-reviewed studies. The quality of reviews was assessed. The field of study features three decades of publication in high-income countries. The strategy used, the components of the program, and the target audience to which they are delivered interfere with efficacy. In the psychoeducation strategy, the experiential and didactic components are more efficacious in the knowledge about suicide. And the motivational enhancement component promotes greater self-efficacy in suicide prevention. Programs that take a multimodal approach are effective in increasing short-term attitudes related to suicide and reducing rates of completed suicide. The gatekeeper strategy delivered to peer counselors is the most effective one in the outcomes, including short-term and long-term knowledge about suicide and its prevention and self-efficacy in suicide prevention. A greater number of evaluated studies of gatekeeper interventions were identified, indicating a trend in this research field. No review addressed the effects on subgroups that were classified based on sex, racial or sexual minorities, and special (indigenous) populations. Only one study addressed cost-effectiveness, pointing out that the psychoeducation and gatekeeper strategies have relevant net benefit rates, but the gatekeeper strategy has a higher cost–benefit ratio compared to the psychoeducation strategy. The findings indicate that psychoeducation and gatekeeper interventions tend to be more efficacious when they combine education and skills training to intervene in suicidal behavior. The components of the intervention and the target audience to which it is delivered influence efficacy. Multimodal interventions evaluate completed suicide outcomes, but require greater implementation efforts, in terms of human and financial resources and more time for the evaluation.

Esse artigo apresenta o estudo de caso de um atendimento psicoterapêutico realizado com uma adolescente e sua família, com base na terapia sistêmica individual. O objetivo é mostrar como a terapia sistêmica pode ser realizada com crianças e adolescentes de modo individual, incluindo também a família no formato de orientação de pais. Metáforas, perguntas circulares e jogos terapêuticos foram utilizados ao longo do atendimento, realizado em sessões individuais com a adolescente e sessões de orientação de pais. As sessões individuais e sessões de orientação de pais mantiveram o foco na dinâmica relacional do grupo familiar e suas ressonâncias no desenvolvimento da adolescente, destacando aspectos da complexidade, instabilidade e intersubjetividade presente na relação pais e filhos.http://dx.doi.org/10.21452/2594-43632019v28n64a05