Tatiana de Paula Santana da Silva

Risk factors of suicide attempts by poisoning: review

INTRODUCTION Suicide, a complex and universal human phenomenon, is a major public health problem. This study reviewed the literature about the major risk factors associated with suicide attempts by poisoning. METHODS An integrative review of the literature was performed in databases (LILACS, PubMed and MEDLINE) to search for studies published between 2003 and 2013, using the following keywords: suicide, attempted; poisoning; risk factors. Inclusion criteria were: original study with abstract, sample of adults, and attempted suicide by poisoning in at least 50% of the study population. RESULTS Two hundred and nineteen studies were retrieved and read by two independent examiners, and 22 were included in the study. The main risk factors for suicide attempts by poisoning were female sex, age 15-40 years, single status, little education, unemployment, drug or alcohol abuse or addiction, psychiatric disorder and psychiatric treatment using antidepressants. CONCLUSION Further prospective studies should be conducted to confirm these risk factors or identify others, and their findings should contribute to planning measures to prevent suicide attempts.

Telefonoaudiologia como estratégia de educação permanente na atenção primária à saúde no Estado de Pernambuco

Purpose: to describe the implementation and level of satisfaction of users on tele-education actions related to the health of human communication. Methods: an experience report that involved ten sessions of web conferencing seminars in the Telehealth Center in Pernambuco. The target audience was composed of professionals who work in Primary Health Care. Data collection was conducted through a structured interview by telephone with the seminar participants. The following variables were considered: thematic of the sessions, the average of connected points, the participating municipality, professional category and level of satisfaction of the participants. Data were analyzed by simple frequency and arithmetic average. Results: the average of points connected in the ten sessions was 3.77. Practitioners from the nursing, medical, speech-language areas and technical level professionals (Community Health Agents) participated. 100% of the subjects regarded the themes as very interesting, and relevant to their profession. All of them reported satisfaction with the tele-education actions. Conclusions: the implementation of telespeech therapy in Pernambuco began by training the team, planning, offering and evaluating the actions of tele-education, focused on the health issue of human communication.

Assessment tools for the measurement of the self-efficacy of drug users: protocol for a systematic review

Introduction The abuse of alcohol and other drugs is a worldwide problem, the treatment of which poses a challenge to healthcare workers. Objective This study presents a proposal for a systematic review to analyse the psychometric properties of assessment tools developed to measure the self-efficacy of drug users with regard to resisting the urge to take drugs in high-risk situations. Methods and Analysis The guiding question was based on PICOS (Population Intervention Comparator Outcome Setting), and the report of the methods of review protocol was written in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). Searches will be performed in the PsycINFO, Cochrane, Pubmed, Web of Science, SCOPUS and CINAHL databases, followed by the use of the ‘snowball’ strategy. The inclusion criteria for the articles will be (1) assessment tool validation studies; (2) assessment tools developed to measure self-efficacy; (3) quantitative measures; (4) measures designed for use on adults; (5) data from self-reports of the participants; (6) studies involving a description of psychometric properties of the measures; and (7) studies that explain how the level of self-efficacy is scored. The search, selection and analysis will be performed by two independent reviewers. In cases of a divergence of opinion, a third reviewer will be consulted. The COSMIN checklist will be used for the appraisal of the methodological quality of the assessment tools and the certainty of the evidence in the articles (risk of bias) will be analysed using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach. Ethics and dissemination This protocol does not require ethical approval. However, this protocol is part of the thesis entitled Drug-Taking Confidence Questionnaire for use in Brazil, presented for obtaining a doctorate in neuropsychiatry and behavioural sciences from the Federal University of Pernambuco, and has received approval from the human research ethics committee of the Federal University of Pernambuco (reference number: 1.179.162). The results will be disseminated to clinicians and researchers through peer-reviewed publications and conferences. PROSPERO registration number CRD42017068555.

Risk of behaviour suggestive of opioid abuse: a protocol for a systematic review of validated assessment tools

Introduction Opioid use patterns of individuals with non-cancer pain are influenced by the behavioural dynamics of the individual in managing and properly following the prescription. The use of assessment tools for measuring the risk of behaviour suggestive of opioid abuse is important for health professionals who provide care to individuals with non-cancer pain. The aim of the proposed review is to analyse the psychometric properties of tools for measuring the risk of behaviour suggestive of opioid abuse in adults with non-cancer pain. Methods and analysis The review process will be based on the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. The Consensus-Based Standards for the Selection of Health Measurement Instruments will be used to analyse the assessment tools. Two independent reviewers will perform the literature search and analysis procedures. Searches will be performed on PubMed, Web of Science, Cochrane, Scopus, and Cumulative Index to Nursing and Allied Health Literature databases, and the ‘snowball’ strategy will be employed. The inclusion criteria will be (1) validation studies, (2) assessment tools designed exclusively for measuring the risk of behaviour suggestive of opioid abuse and (3) assessment tools designed for evaluation of adults with chronic non-cancer pain. The titles and abstracts of the studies retrieved from the databases will be analysed for the preselection of articles, which will be submitted to a full-text analysis to define the final sample. Divergence of opinion between two reviewers will be resolved by consulting a third reviewer. Ethics and dissemination The review will offer an overview of assessment tools available for measuring the risk of behaviour suggestive of opioid abuse, which is relevant to reducing the risk of deaths due to abusive consumption and for clinical management of adults with chronic non-cancer pain. PROSPERO registration number CRD42018081577.

Identificação de aspectos associados à tentativa de suicídio por envenenamento

Objective: To identify psychiatric conditions and socio-bio-demographic aspects associated with attempted suicide. Methods: The sample consisted of 240 patients of both sexes, aged 18 to 68 years, 120 patients comprised the control group and the experimental group 120. The instruments used were a socio-bio-demographic questionnaire and the Mini International Neuropsychiatric Interview (MINI). Results: A higher presence of stressors in the experimental group, the main ones being the experience of an emotional separation and the existence of family conflicts, the most common psychiatric condition in the population studied was generalized anxiety disorder and more associated with suicidal behavior it was major depression. Conclusions: These results add the importance of investigating the presence of generalized anxiety disorder as another suicide vulnerability factor.

Estigma social no comportamento suicida: reflexões bioéticas

Foi realizada uma revisao integrativa sobre o tema do estigma social imposto aos individuos que tentaram suicidio, trazendo a tona reflexoes a partir da perspectiva bioetica. A pesquisa foi conduzida em bases de dados eletronicas. Foram incluidos apenas artigos de revistas cientificas revisadas por pares com resumos disponiveis. Nao houve limites quanto ao ano de publicacao e idioma. Na primeira fase de busca, 272 manuscritos foram encontrados. Apos a leitura dos textos completos, apenas 22 foram incluidos no estudo. Diante das limitacoes da pesquisa, acredita-se que o estudo aprofundado do estigma no comportamento suicida pode contribuir significativamente para o tratamento de pacientes que se submeteram a tentativa. Conclui-se que o estudo desse assunto apresenta ampla gama de discussoes bioeticas, por ser um fenomeno que afeta aspectos relacionados a autonomia e a protecao da pessoa.An integrative review on the theme of the social stigma imposed on individuals who have attempted suicide was conducted bringing to the fore reflections from a perspective of bioethics. The research was conducted in electronic databases. Only scientific articles by peer reviewed scientific journals with available abstracts were included. There were no limits to the year and language of publication. Two hundred and twenty-seven manuscripts were found in the first phase of the search. Only 22 complete texts were included in the study after the complete texts had been read. Despite the limitations of the research, it is believed that deeply studying the stigma of suicide can contribute significantly to patients who have attempted suicide. It is concluded that the study of this topic represents a range of bioethical discussions, forming, as it does, part of a phenomenon that affects aspects related to the autonomy and protection of the person.

Social stigma in suicidal behavior: bioethical reflections

Foi realizada uma revisao integrativa sobre o tema do estigma social imposto aos individuos que tentaram suicidio, trazendo a tona reflexoes a partir da perspectiva bioetica. A pesquisa foi conduzida em bases de dados eletronicas. Foram incluidos apenas artigos de revistas cientificas revisadas por pares com resumos disponiveis. Nao houve limites quanto ao ano de publicacao e idioma. Na primeira fase de busca, 272 manuscritos foram encontrados. Apos a leitura dos textos completos, apenas 22 foram incluidos no estudo. Diante das limitacoes da pesquisa, acredita-se que o estudo aprofundado do estigma no comportamento suicida pode contribuir significativamente para o tratamento de pacientes que se submeteram a tentativa. Conclui-se que o estudo desse assunto apresenta ampla gama de discussoes bioeticas, por ser um fenomeno que afeta aspectos relacionados a autonomia e a protecao da pessoa.An integrative review on the theme of the social stigma imposed on individuals who have attempted suicide was conducted bringing to the fore reflections from a perspective of bioethics. The research was conducted in electronic databases. Only scientific articles by peer reviewed scientific journals with available abstracts were included. There were no limits to the year and language of publication. Two hundred and twenty-seven manuscripts were found in the first phase of the search. Only 22 complete texts were included in the study after the complete texts had been read. Despite the limitations of the research, it is believed that deeply studying the stigma of suicide can contribute significantly to patients who have attempted suicide. It is concluded that the study of this topic represents a range of bioethical discussions, forming, as it does, part of a phenomenon that affects aspects related to the autonomy and protection of the person.

Estigma social en el comportamiento suicida: reflexiones bioéticas

Foi realizada uma revisao integrativa sobre o tema do estigma social imposto aos individuos que tentaram suicidio, trazendo a tona reflexoes a partir da perspectiva bioetica. A pesquisa foi conduzida em bases de dados eletronicas. Foram incluidos apenas artigos de revistas cientificas revisadas por pares com resumos disponiveis. Nao houve limites quanto ao ano de publicacao e idioma. Na primeira fase de busca, 272 manuscritos foram encontrados. Apos a leitura dos textos completos, apenas 22 foram incluidos no estudo. Diante das limitacoes da pesquisa, acredita-se que o estudo aprofundado do estigma no comportamento suicida pode contribuir significativamente para o tratamento de pacientes que se submeteram a tentativa. Conclui-se que o estudo desse assunto apresenta ampla gama de discussoes bioeticas, por ser um fenomeno que afeta aspectos relacionados a autonomia e a protecao da pessoa.An integrative review on the theme of the social stigma imposed on individuals who have attempted suicide was conducted bringing to the fore reflections from a perspective of bioethics. The research was conducted in electronic databases. Only scientific articles by peer reviewed scientific journals with available abstracts were included. There were no limits to the year and language of publication. Two hundred and twenty-seven manuscripts were found in the first phase of the search. Only 22 complete texts were included in the study after the complete texts had been read. Despite the limitations of the research, it is believed that deeply studying the stigma of suicide can contribute significantly to patients who have attempted suicide. It is concluded that the study of this topic represents a range of bioethical discussions, forming, as it does, part of a phenomenon that affects aspects related to the autonomy and protection of the person.

Indicadores de risco para tentativa de suicídio por envenenamento: um estudo caso-controle

Objetivo Considerando o envenenamento como o metodo mais utilizado para a tentativa de suicidio e a escassez de evidencias nacionais sobre o tema, investigamos alguns possiveis indicadores de risco nesse tipo de tentativa. Metodos Estudo do tipo caso-controle em uma emergencia geral de um hospital publico, na cidade do Recife com 220 individuos, distribuidos em dois grupos de 110 pacientes cada, que estavam em tratamento, sendo o grupo casos os sobreviventes de tentativa de suicidio por envenenamento e os controles, sem historia de intoxicacao/envenenamento nem tentativa de suicidio, pareados por genero e idade. Resultados O genero feminino predominou na amostra (70,9%), com idade media de 29 anos; 73% declararam etnia branca ou morena; menos da metade vivia em convivio marital; a maioria tinha religiao; ambos tinham poucos anos de estudo. Houve diferenca significativa (p = 0,003) para dependencia financeira entre os grupos, com chance 2,25 vezes maior para tentar suicidio entre os casos. Ter sofrido fatos traumaticos e abuso sexual na infância revelou diferenca significativa. Conclusoes Foram considerados indicadores de risco no grupo caso: estar em dependencia financeira de terceiros, ter sofrido abuso sexual na infância, ideacao suicida, historico de transtorno mental na familia, possuir algum transtorno mental e, principalmente, comorbidade(s) psiquiatrica(s). No modelo de regressao, foi possivel estimar uma chance de tentativa de suicidio por envenenamento de ate 94,0% na presenca conjunta de quatro fatores. A pesquisa representa uma das primeiras iniciativas para ampliacao das discussoes sobre os fatores de risco para tentativa de suicidio em âmbito nacional.