The association between traumatic experiences and suicide attempt in patients treated at the Hospital de Pronto Socorro in Porto Alegre, Brazil

Objective: To analyze associations between attempted suicide and childhood trauma. Methods: A seven month comparative case-control study (28 subjects – patients with suicide attempt; 56 controls – patients without suicide attempt). The following instruments were used: Childhood Trauma Questionnaire (CTQ), Mini International Neuropsychiatric Interview (MINI), and Medical Outcomes Study (MOS). Results: The group with suicide attempt had significantly higher scores for some variables: emotional abuse (p < 0.001), physical abuse (p < 0.001), emotional neglect (p < 0.001), and physical neglect (p < 0.001). Conclusions: The results suggest that variables related to previous trauma may influence future suicide attempts. The adoption of preventive and therapeutic actions related to mistreatments during child development is a crucial factor in reduction of suicide risk

The prevalence of mental disorders in suicide attempts, HPS - Porto Alegre, RS

O suicídio é um risco presente nos pacientes com transtornos psiquiátricos e, através da prática desempenhada no Serviço de Saúde Mental do Hospital de Pronto Socorro de Porto Alegre/RS, notase que a ocorrência de tentativas de suicídio tem-se evidenciado com índices elevados. O presente trabalho aborda aspectos sobre as tentativas de suicídio enquanto fenômeno social, tema pouco discutido e divulgado. Objetivos: estimar a prevalência de transtornos mentais e descrever o perfil sociodemográfico nas tentativas de suicídio. Método: estudo de caso não controlado, sendo incluídos pacientes que realizaram uma tentativa de suicídio e foram avaliados pelo Serviço de Psicologia deste Hospital. Resultados: evidenciou-se que os pacientes que tentaram suicídio por intoxicação exógena eram na maioria do sexo feminino, sem companheiro fixo, encontrando-se na fase jovem adulto. Os achados tiveram alto grau de risco de suicídio (83%), portanto, considera-se que a maior parte dos sujeitos tem maior predisposição para realizar nova tentativa de suicídio. Conclusões: a relevância desta discussão encontra-se associada à importância de uma melhor compreensão a respeito dos pacientes que realizaram uma tentativa de suicídio associada à prevalência de transtornos mentais, podendo-se desta forma compreender os motivos/efeitos da ocorrência e tomar as decisões mais adequadas sobre intervenções e encaminhamentos.Suicide is a risk present in patients with psychiatric disorders and, through the practice performed in the Mental Health Department of the Hospital de Pronto Socorro de Porto Alegre/RS, it is noted that the occurrence of suicide attempts has been quite high. This paper will address aspects of suicide attempts as a social phenomenon, little discussed and disclosed theme. Objectives: To estimate the prevalence of mental disorders and describe the sociodemographic in attempted suicides. Methods: Case study uncontrolled and included patients who had attempted suicide and were evaluated by the psychology of the Hospital Service. Results: It was observed that patients who attempted suicide by exogenous intoxication, most female without fixed companions, finding themselves in adult young stage. The findings had a high degree of suicide risk (83%), so it is considered that most subjects have a greater predisposition to perform a new suicide attempt. Conclusions: The relevance of this discussion is linked to the importance of a better understanding of the patients who underwent an attempt of suicide associated with the prevalence of mental disorders, therefore you can understand the reason/purpose of the event and make the most appropriate decisions about referrals interventions

El magisterio español : Revista General de la Enseñanza: Año XI Número 20 - 1925 Mayo 30

Copia digital. Madrid : Ministerio de Cultura. Subdirección General de Coordinación Bibliotecaria, 200

Pregnant crack addicts in a psychiatric unit

OBJECTIVE: In this study we aim to characterize a sample of 85 pregnant crack addicts admitted for detoxification in a psychiatric inpatient unit. METHOD: Cross-sectional study. Sociodemographic, clinical, obstetric and lifestyle information were evaluated. RESULTS: Age of onset for crack use varied from 11 to 35 years (median = 21). Approximately 25% of the patients smoked more than 20 crack rocks in a typical day of use (median = 10; min-max = 1-100). Tobacco (89.4%), alcohol (63.5%) and marijuana (51.8%) were the drugs other than crack most currently used. Robbery was reported by 32 patients (41.2%), imprisonment experience by 21 (24.7%), trade of sex for money/drugs by 38 (44.7%), home desertion by 33 (38.8%); 15.3% were positive for HIV, 5.9% for HCV, 1.2% for HBV and 8.2% for syphilis. After discharge from the psychiatric unit, only 25% of the sample followed the proposed treatment in the chemical dependency outpatient service. CONCLUSION: Greater risky behaviors for STD, as well as high rates of maternal HIV and Syphilis were found. Moreover, the high rates of concurrent use of other drugs and involvement in illegal activities contribute to show their chaotic lifestyles. Prevention and intervention programs need to be developed to address the multifactorial nature of this problem

The prevalence of mental disorders in suicide attempts, HPS - Porto Alegre, RS

O suicídio é um risco presente nos pacientes com transtornos psiquiátricos e, através da prática desempenhada no Serviço de Saúde Mental do Hospital de Pronto Socorro de Porto Alegre/RS, notase que a ocorrência de tentativas de suicídio tem-se evidenciado com índices elevados. O presente trabalho aborda aspectos sobre as tentativas de suicídio enquanto fenômeno social, tema pouco discutido e divulgado. Objetivos: estimar a prevalência de transtornos mentais e descrever o perfil sociodemográfico nas tentativas de suicídio. Método: estudo de caso não controlado, sendo incluídos pacientes que realizaram uma tentativa de suicídio e foram avaliados pelo Serviço de Psicologia deste Hospital. Resultados: evidenciou-se que os pacientes que tentaram suicídio por intoxicação exógena eram na maioria do sexo feminino, sem companheiro fixo, encontrando-se na fase jovem adulto. Os achados tiveram alto grau de risco de suicídio (83%), portanto, considera-se que a maior parte dos sujeitos tem maior predisposição para realizar nova tentativa de suicídio. Conclusões: a relevância desta discussão encontra-se associada à importância de uma melhor compreensão a respeito dos pacientes que realizaram uma tentativa de suicídio associada à prevalência de transtornos mentais, podendo-se desta forma compreender os motivos/efeitos da ocorrência e tomar as decisões mais adequadas sobre intervenções e encaminhamentos.Suicide is a risk present in patients with psychiatric disorders and, through the practice performed in the Mental Health Department of the Hospital de Pronto Socorro de Porto Alegre/RS, it is noted that the occurrence of suicide attempts has been quite high. This paper will address aspects of suicide attempts as a social phenomenon, little discussed and disclosed theme. Objectives: To estimate the prevalence of mental disorders and describe the sociodemographic in attempted suicides. Methods: Case study uncontrolled and included patients who had attempted suicide and were evaluated by the psychology of the Hospital Service. Results: It was observed that patients who attempted suicide by exogenous intoxication, most female without fixed companions, finding themselves in adult young stage. The findings had a high degree of suicide risk (83%), so it is considered that most subjects have a greater predisposition to perform a new suicide attempt. Conclusions: The relevance of this discussion is linked to the importance of a better understanding of the patients who underwent an attempt of suicide associated with the prevalence of mental disorders, therefore you can understand the reason/purpose of the event and make the most appropriate decisions about referrals interventions

Limites e alternativas para a implementação de um programa para dependentes químicos em risco para infecção pelo HIV utilizando o conceito de Rede Social Limits and alternatives to the implementation of a program for intravenous drug users at risk of HIV infection using the Social Network Approach

Os autores descrevem as etapas de execução de um programa de ações preventivas para usuários de drogas sob risco de infecção pelo vírus da imunodeficiência humana (HIV), utilizando como paradigma de intervenção um modelo de abordagem de redes sociais. São descritos os passos de instalação do projeto dentro de um grande hospital universitário do sul do Brasil, com ênfase nos métodos e técnicas originais desenvolvidos pela equipe de atendimento. As dificuldades de implementação do projeto são discutidas ao longo das seções, buscando identificar os motivos pelos quais o programa obteve êxito apenas parcial. Os autores destacam alguns pontos críticos, tais como a utilização de uma técnica ainda não difundida em nosso meio, a dificuldade de reter em tratamento usuários de drogas injetáveis, a falta de estrutura para atendimentos imediatos, e as dificuldades em motivar equipes e pacientes para o tratamento. Ao final do texto, são feitas sugestões com o objetivo de facilitar o desenvolvimento de novos projetos que busquem utilizar o mesmo modelo conceitual.The authors describe the development of a preventive program focused on intravenous drug users at risk of HIV infection, using the Social Network Approach as the intervention model. The authors describe the project's steps in a large university hospital in southern Brazil, emphasizing the unique methods and techniques developed by the treatment staff. Problems encountered during the project development are discussed, aimed at identifying the reasons why the program only achieved partial success. The authors identify critical issues, such as the use of a new technique not previously tried in Brazil, difficulties in maintaining IV drug users in treatment, lack of infrastructure for walk-in treatment, and the challenge of motivating staff and patients to continue treatment. The authors conclude by listing suggestions aimed at facilitating the development of new projects based on the same conceptual model

The association between traumatic experiences and suicide attempt in patients treated at the Hospital de Pronto Socorro in Porto Alegre, Brazil

Abstract Objective To analyze associations between attempted suicide and childhood trauma. Methods A seven month comparative case-control study (28 subjects – patients with suicide attempt; 56 controls – patients without suicide attempt). The following instruments were used: Childhood Trauma Questionnaire (CTQ), Mini International Neuropsychiatric Interview (MINI), and Medical Outcomes Study (MOS). Results The group with suicide attempt had significantly higher scores for some variables: emotional abuse (p < 0.001), physical abuse (p < 0.001), emotional neglect (p < 0.001), and physical neglect (p < 0.001). Conclusions The results suggest that variables related to previous trauma may influence future suicide attempts. The adoption of preventive and therapeutic actions related to mistreatments during child development is a crucial factor in reduction of suicide risk

Limites e alternativas para a implementação de um programa para dependentes químicos em risco para infecção pelo HIV utilizando o conceito de rede social

Os autores descrevem as etapas de execução de um programa de ações preventivas para usuários de drogas sob risco de infecção pelo vírus da imunodeficiência humana (HIV), utilizando como paradigma de intervenção um modelo de abordagem de redes sociais. São descritos os passos de instalação do projeto dentro de um grande hospital universitário do sul do Brasil, com ênfase nos métodos e técnicas originais desenvolvidos pela equipe de atendimento. As dificuldades de implementação do projeto são discutidas ao longo das seções, buscando identificar os motivos pelos quais o programa obteve êxito apenas parcial. Os autores destacam alguns pontos críticos, tais como a utilização de uma técnica ainda não difundida em nosso meio, a dificuldade de reter em tratamento usuários de drogas injetáveis, a falta de estrutura para atendimentos imediatos, e as dificuldades em motivar equipes e pacientes para o tratamento. Ao final do texto, são feitas sugestões com o objetivo de facilitar o desenvolvimento de novos projetos que busquem utilizar o mesmo modelo conceitual.The authors describe the development of a preventive program focused on intravenous drug users at risk of HIV infection, using the Social Network Approach as the intervention model. The authors describe the project’s steps in a large university hospital in southern Brazil, emphasizing the unique methods and techniques developed by the treatment staff. Problems encountered during the project development are discussed, aimed at identifying the reasons why the program only achieved partial success. The authors identify critical issues, such as the use of a new technique not previously tried in Brazil, difficulties in maintaining IV drug users in treatment, lack of infrastructure for walk-in treatment, and the challenge of motivating staff and patients to continue treatment. The authors conclude by listing suggestions aimed at facilitating the development of new projects based on the same conceptual model