A combined analysis of all strategies mentioned in the analyzed studies shows efficacy of using strategies to elaborate institutional apparatus in mental health.

Despite advances in cancer treatments and improved prognosis, the number of deaths from the disease is high in the world. In Brazil, cancer is the second leading cause of death among children and adolescents, forcing family members, patients and professionals to deal with the issues of human finitude. The multidisciplinary team considers the discussions at the end of life as a difficult task to be performed on pediatric patients. The family is essential to overcome the communication barriers, acting as liaison between the multidisciplinary team and the patient. Children should be invited to participate in the decisionmaking process and their wishes should be honored at the end of life. Professionals should to be able to meet the physical, psychosocial, spiritual, social and cultural rights of patients and families. Discussions at the end of life with pediatric patients are key to promoting a "good death", however there are few studies that address this issue.

Suicide is a serious public health problem worldwide in which they act influences multifactorial. We seek to clarify how social networks act on suicidal behavior. In this context, we conclude that the way in social networks interact with the risk factors determining how it can intervene in individual.

Bipolar disorder (BD) is a chronic condition characterized by mood swings that is not rarely presented in adolescents. The presence of comorbid disorders is believed to affect negatively the patient's state. It has been investigated predictors and risk factors for this disease and it might be a path to get more understanding about the psychopathology underneath the BD. The concomitant substance use disorders in a bipolar individual are a challenge to achieve a successful treatment. The diagnosis of BD is still not clearly stablished, as well as the most effective treatment is still controversial and undefined. Suicide in a depressive frame of bipolar disorder is one of the biggest concerns for the medicine field.

There are important limitations regarding the Brazilian Custodial Psychiatric Hospitals or Judicial Psychiatric Hospitals situation. They way how they are administrated, as prisons and non as hospitals, could make the health of their patients worst than when they were admitted. These limitations are not just in the hospitals, but on current Laws of the Brazilian Unified Health System. In addition, patients with mental disorders suffer a complex process of stigmatization, prejudice and social reclusion. Despite the existing Laws to the adequate caring and treatment of mentally ill patients and the advances in the psychiatric and mental health field, radical changes should be made on the Judicial Psychiatric Hospitals and on the Judicial and Health Systems in Brazil in order to achieve better results in the life quality of people with mental disorders.