Motivos da tentativa de suicídio expressos por homens usuários de álcool e outras drogas

Ribeiro, Danilo Bertasso; Terra, Marlene Gomes; Soccol, Keity Laís Siepmann; Schneider, Jacó Fernando; Camillo, Lucia Amabile; Plein, Fátima Aparecida dos Santos

doi:10.1590/1983-1447.2016.01.54896

Cited by 37 publications

(46 citation statements)

References 7 publications

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“…The service represents a novel landmark intervention in mental health care, providing a low-threshold environment in which the interactions between providers and users are ideally non-judgmental and the care is more accessible. The service aims to minimize harms related to problematic substance use, reducing admissions to psychiatric institutions, and promoting reintegration of these individuals into society by articulation with community service networks [25–28]. …”

Section: Methodsmentioning

confidence: 99%

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Harm Reduction and Tensions in Trust and Distrust in a Mental Health Service: A Qualitative Approach

Lago

Peter

Bógus

2017

Subst Abuse Treat Prev Policy

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BackgroundPeople seeking care for substance use (PSCSU) experience deep social and health inequities. Harm reduction can be a moral imperative to approach these persons. The purpose of this study was to explore relationships among users, health care providers, relatives, and society regarding harm reduction in mental health care, using a trust approach rooted in feminist ethics.MethodsA qualitative study was conducted in a mental health service for PSCSU, and included fifteen participants who were health care providers, users, and their relatives. Individual in-depth and group interviews, participant observation, and a review of patients’ records and service reports were conducted.ResultsThree nested levels of (dis)trust were identified: (dis)trust in the treatment, (dis)trust in the user, and self-(dis)trust of the user, revealing the interconnections among different layers of trust. (Dis)trust at each level can amplify or decrease the potential for a positive therapeutic response in users, their relatives’ support, and how professionals act and build innovations in care. Distrust was more abundant than trust in participants’ reports, revealing the fragility of trust and the focus on abstinence within this setting.ConclusionThe mismatch between wants and needs of users and the expectations and requirements of a society and mental health care system based on a logic of “fixing” has contributed to distrust and stigma. Therefore, we recommend policies that increase the investment in harm reduction education and practice that target service providers, PSCSU, and society to change the context of distrust identified.

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Section: Methodsmentioning

confidence: 99%

“…This therapy includes individual and group sessions, involving expressivity workshops, crisis intervention, daily or 24/7 shelter, home visits, meetings with users’ family, integration with community services, and follow-up for users in collaboration with other mental health, legal, and social services [26–28]. …”

Section: Methodsmentioning

confidence: 99%

Harm Reduction and Tensions in Trust and Distrust in a Mental Health Service: A Qualitative Approach

Lago

Peter

Bógus

2017

Subst Abuse Treat Prev Policy

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“…They also mentioned hopelessness and family relationships made vulnerable by the dependence and the intention to end their own lives to stop family discomfort. By hurting themselves and losing their lives, they would no longer mistreat their own families (8) .…”

Section: Introductionmentioning

confidence: 99%

Comportamento suicida entre dependentes químicos

Cantão

Botti

2016

Rev. Bras. Enferm.

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Objective: to describe the profi le of drug addicts attended in a mental health service, the frequency of suicidal behavior among the participants and the associations between these two problems. Method: an exploratory, retrospective and descriptive study based on a quantitative approach, and data collected from medical records of patients with F10-F19 diagnoses according to the ICD-10 treated in this service in 2013. We expected to identify a possible association between independent variables (family, psychiatric and personal history) and the dependent variable (suicidal behavior). Results: Most of the individuals were men, single, with a low educational attainment, unemployed and aged between 15 and 45 years; 43.90% had a record of suicidal behavior. Conclusion: drug addicts with suicidal behavior are young people under the age of 30 presenting psychiatric comorbidity, mood disorders and/or depression, presence of family confl ict, important dates coinciding with the suicidal behavior and mothers with psychiatric history. Key words: Suicide; Suicide Attempt; Disorders Related to Substance Use; Risk Factors; Psychiatric Nursing. RESUMO Objetivo: descrever o perfi l de dependentes químicos atendidos em um serviço de saúde mental, a frequência de comportamento suicida entre os participantes e as associações entre essas duas problemáticas. Método: estudo exploratório, retrospectivo e descritivo baseado em abordagem quantitativa, e dados coletados dos prontuários de pacientes com diagnósticos F10 a F19, segundo a CID10, atendidos no serviço no ano de 2013. Buscou-se identifi car possível associação entre as variáveis independentes (história familiar, psiquiátrica e pessoal) e a variável dependente (comportamento suicida). Resultados: Maioria homens, solteiros, com baixa escolaridade, desempregados e idade entre 15 e 45 anos, 43,90% apresentaram registro de comportamento suicida. Conclusão: os dependentes químicos com comportamento suicida são jovens com idade inferior a 30 anos, que possuem alguma comorbidade psiquiátrica, transtornos de humor e/ou depressão, presença de confl ito familiar, datas importantes coincidindo com o comportamento suicida e cujas mães têm história psiquiátrica. Descritores: Suicídio; Tentativa de suicídio; Transtornos Relacionados ao Uso de Substâncias; Fatores de Risco; Enfermagem Psiquiátrica. RESUMENObjetivo: describir el perfi l de dependientes químicos atendidos en servicio de salud mental, frecuencia de comportamiento suicida entre los participantes y asociaciones entre ambas problemáticas. Método: estudio exploratorio, retrospectivo, descriptivo; basado en abordaje cuantitativo. Datos extraídos de historias clínicas de pacientes con diagnósticos F10 a F19, según la CID10, atendidos en el servicio durante 2013. Se buscó identifi car posible asociación entre las variables independientes (historia familiar, psiquiátrica y personal) y la variable dependiente (comportamiento suicida

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“…Therefore, the educational spaces offered within the PHC are opportune to discuss problems of the individual and collective order of the daily life, since, not infrequently, the subjects' plans and thoughts to withdraw their own life, too, depart from the daily problems. 3 In this study, it should be pointed out that nurses, Nursing staff and PHC need greater theoretical support to constitute concrete actions in face of this phenomenon. In this logic, it is understood that, the need for capacity building is urgent, since nurses and staff contribute to PHC's actions.…”

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confidence: 96%

“…However, this behavior is seen by people as a successful way of solving simple or complex everyday problems. 3 People with suicidal behavior almost all have mental disorders. 1 Most people who commit suicide die without ever having seen a mental health professional, even in developed countries¹, but even seek help in PHC in the year who committed suicide.…”

mentioning

confidence: 99%

Conhecimento da equipe de enfermagem e agentes comunitários sobre o comportamento suicida

Silva

Nóbrega

Oliveira

2018

Rev enferm UFPE on line.

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Objective: to identify the knowledge and strategies for the care of the Nursing team of Primary Health Care, the subject with suicidal behavior. Method: quantitative, descriptive and exploratory study, with data collected from a questionnaire in five Basic Health Units, then typed in the Epi Info 6.04 Program, analyzed with simple frequency and presented in tables. Results: 72 professionals, eight nurses, 20 Nursing assistants and 44 community health agents participated in the study, who presented difficulties in classifying the degree of risk of suicidal behavior, compromising the care provided and referrals qualified for specialized mental health services. Conclusion: the education and the qualification of the professionals is necessary, to help in the detection of risk factors for suicide. By effectively preventing them and contributing to public health, in order to have a professional capable of acting and intervening in situations that are so present in mental health. Descriptors: Suicide; Nursing Team; Delivery of Health Care; Primary Health Care. RESUMOObjetivo: identificar o conhecimento e as estratégias para o cuidado da equipe de Enfermagem da Atenção Primária à Saúde ao sujeito com comportamento suicida. Método: estudo quantitativo, descritivo e exploratório, com dados coletados a partir de um questionário em cinco Unidades Básicas de Saúde, em seguida, digitados no Programa Epi Info 6.04, analisados por frequência simples e apresentados em tabelas. Resultados: participaram do estudo 72 profissionais, oito enfermeiras, 20 auxiliares de Enfermagem e 44 agentes comunitários de saúde, que apresentaram dificuldades em classificar o grau de risco do comportamento suicida, comprometendo os cuidados prestados e os encaminhamentos qualificados para os serviços especializados em saúde mental. Conclusão: são necessárias a educação e a capacitação dos profissionais para ajudar na detecção de fatores de risco para o suicídio, prevenindo-o de maneira efetiva e contribuindo para a saúde pública, a fim de ter um profissional capacitado para atuar e intervir frente a situações tão presentes na saúde mental. Descritores: Suicídio; Equipe de Enfermagem; Assistência à Saúde; Atenção Primária a Saúde. RESUMENObjetivo: identificar el conocimiento y las estrategias para el cuidado del equipo de Enfermería de la Atención Primaria a la Salud, al sujeto con comportamiento suicida. Método: estudio cuantitativo, descriptivo y exploratorio, con datos recolectados a partir de un cuestionario en cinco Unidades Básicas de Salud, a continuación, digitados en el Programa Epi Info 6.04, con análisis de frecuencia simple y presentados en tablas. Resultados: participaron del estudio 72 profesionales, ocho enfermeras, 20 auxiliares de Enfermería y 44 agentes comunitarios de salud, que presentaron dificultades en clasificar el grado de riesgo del comportamiento suicida, comprometiendo los cuidados prestados y los encaminamientos calificados para los servicios especializados en salud mental. Conclusión: son necesarias la educación ...

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Motivos da tentativa de suicídio expressos por homens usuários de álcool e outras drogas

Cited by 37 publications

References 7 publications

Harm Reduction and Tensions in Trust and Distrust in a Mental Health Service: A Qualitative Approach

Harm Reduction and Tensions in Trust and Distrust in a Mental Health Service: A Qualitative Approach

Comportamento suicida entre dependentes químicos

Conhecimento da equipe de enfermagem e agentes comunitários sobre o comportamento suicida

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