Physician-patient Communication In The Prevention Of Female Reproductive Tract Infections: Some Limitations.

The objective of this study was to describe the information that women with tubal infertility recalled having received from physicians when they consulted for a reproductive tract infection (RTI) and the information physicians reported having provided to women consulting for RTIs. Interviews were conducted with 16 women presenting primary tubal infertility selected on the basis of purposeful sampling criteria. Also, 15 physicians working in the public health network in the city of Campinas, Brazil, were selected at random and interviewed. Analysis of the women's statements concerning previous RTI-related medical consultations showed that they did not recall having received any information on either prevention or the impact of RTI on their reproductive future. Analysis of interviews with physicians showed that the information they provided to women consulting for RTIs was incomplete and unclear. The information women recalled having received and that which physicians remembered having provided at the time of treating a patient with RTI was similar. In conclusion, these women lacked adequate or complete information and that it was probably not possible for them to adopt measures to avoid repetition of RTI and minimize risk of tubal infertility.16124925

Social Inequality And Common Mental Disorders.

OBJECTIVE: To analyze the association between the socioeconomic characteristics of individuals and common mental disorders. METHOD: A cross-sectional survey of a representative sample of the urban population, 14 years and older, in Campinas (Brazil) (n=515) was conducted using a multipurpose instrument that included the Self-Reporting Questionnaire (SRQ-20) to assess common mental disorders in the previous 3 months. Weighted prevalence of common mental disorders was calculated for each independent variable. Crude and adjusted prevalence ratios were estimated using Poisson regression. RESULTS: The overall prevalence was 17% (95% CI 12.8-22.3), 8.9% in males and 24.4% in females. An inverse association was found between common mental disorders and the socioeconomic characteristics (schooling and employment) even after controlling for all the other variables. Higher common mental disorders prevalence was observed in those with less than 5 years of schooling (PR=5.5) and unemployed or underemployed (PR=2.0). CONCLUSIONS: As in other studies, common mental disorders were unevenly distributed; it was significantly more frequent in socially disadvantaged individuals. Specific actions to reduce inequalities in the general and mental health system should be studied.29325025

Effectiveness of brief intervention and contact for suicide attempters: A randomized controlled trial in five countries

Objective: To determine whether brief intervention and contact is effective in reducing subsequent suicide mortality among suicide attempters in low and middle-income countries. Methods: Suicide attempters (n = 1867) identified by medical staff in the emergency units of eight collaborating hospitals in five culturally different sites (Campinas, Brazil; Chennai, India; Colombo, Sri Lanka; Karaj, Islamic Republic of Iran; and Yuncheng, China) participated, from January 2002 to October 2005, in a randomized controlled trial to receive either treatment as usual, or treatment as usual plus brief intervention and contact (BIC), which included patient education and follow-up. Overall, 91 completed the study. The primary study outcome measurement was death from suicide at 18-month follow-up. Findings: Significantly fewer deaths from suicide occurred in the BIC than in the treatment-as-usual group (0.2 versus 2.2, respectively; �2 = 13.83, P < 0.001). Conclusion: This low-cost brief intervention may be an important part of suicide prevention programmes for underresourced low-and middle-income countries

Consultation-liaison Psychiatry In Brazil. Psychiatric Residency Training

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)A mailing survey assessed consultation-liaison (C-L) service delivery and training among all 23 approved psychiatric residency training programs throughout the country. Twenty questionnaires were returned. Outpatient, inpatient, emergency, and consultation services were present together in 35% of the academic hospitals where residency training took place. Consultation service was provided by 18 (90%) responding programs. Eleven of those reported C-L training as part of their general psychiatry rotation. Nevertheless, educational objectives, weekly case conferences, and didactic seminars were provided by only five of them. The training time varied from 40 to 560 hours, 190 hours on average. The same five programs offered an elective third-year residency training, including liaison with specific units. The results illustrate the migration of academic psychiatric departments from the psychiatric hospital to the general hospital as well as the beginning of C-L training programs in Brazil. © 1992.143186191Bloomberg,Brazilian Computer Society (SBC),CAPES,CNPq,et al.,FAPESPFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Wise, Freiberg, (1983) Advances in Psychosomatic Medicine: Consultation-Liaison throughout the world, , Karger, BaselLipowski, Consultation-liaison psychiatry the first half century (1986) General Hospital Psychiatry, 8, pp. 303-315Mayou, Huyse, Consultation-liaison psychiatry in western Europe (1991) Gen Hosp Psychiatry, 13, pp. 188-208Huyse, Hengeveld, Development of consultation-liaison psychiatry in the Netherlands: its social psychiatric heritage (1989) Gen Hosp Psychiatry, 11, pp. 9-15McKegney, Consultation-liaison teaching of psychosomatic medicine: opportunities and obstacles (1972) J Nerv Ment Dis, 154, pp. 198-205Hales, Fink, A modest proposal for consultation/liaison psychiatry in the 1980's (1982) Am J Psychiatry, 139, pp. 1015-1021Strain, Gise, Fulop, Consultation-liaison psychiatry—possibilities for the 1990's (1989) Gen Hosp Psychiatry, 11, pp. 235-240Cohen-Cole, Haggerty, Raft, Objectives for residents in consultation psychiatry: recommendations of a task force (1982) Psychosomatics, 23, pp. 699-703Paris, Kravitz, Prince, Report: conference on key issues in postgraduate psychiatric education in Canada (1986) Can J Psychiatry, 31, pp. 705-707. , 8th edReifler, Eaton, The evaluation of teaching and learning by psychiatric consultation and liaison training programs (1978) Psychosom Med, 40, pp. 99-106Mendel, Psychiatric consultation education—1966 (1966) Am J Psychiatry, 123, pp. 150-155Schubert, McKegney, Psychiatric consultation education—1976 (1976) Arch Gen Psychiatry, 33, pp. 1271-1273Agbayewa, Perez, Consultation liaison training in Canadian psychiatric residency programs (1982) Can J Psychiatry, 27, pp. 482-485Herzog, Hartman, Psychiatrishe, psychosomatishe und medizinpsychologishe Konsilar- und Liaisontatigkeit in der Bundesrepublik Deutschland (1990) Nervenarzt, 61, pp. 281-293Thomas, Teaching and experience in liaison psychiatry in psychiatric postgraduates (1985) Psychiatric Bulletin, 9, pp. 81-88IBGE (Fundacao Instituto Brasileiro de Geografia e Estatistica), (1988) Pesquisa nacional por amostra de domicilios, 1986, , IBGE, Rio de JaneiroAbranches, (1985) Os despossuidos—crescimento e pobreza no pais do milagre, , Zahar, Rio de JaneiroRoemer, The changeability of health care systems—Latin American experience (1986) Med Care, 24, pp. 24-29Argandona, Kiev, (1972) Mental health in the developing world: a case study in Latin American, , Free Press, New YorkNgokwey, Pluralistic etiological systems in their social context: a Brazilian case study (1988) Soc Sci Med, 26, pp. 793-802IBGE (Fundacao Instituto Brasileiro de Geografia e Estatistica), (1989) Anuario Estatistico do Brasil—1987/88, , IBGE, Rio de JaneiroIacoponi, Laranjeira, Mari, Brazil: a giant wakes up to progress and inequality (1991) Mental Health Services for the Global Village, , L Appleby, R Araya, Gaskell, LondonDalgalarrondo P, Gattaz WF: Psychiatric unit in general hospital in Brazil: predictors of length of stay. Soc Psychiatry Psychiatr Epidemiol (in press)Meyer, Mendelson, Psychiatric consultations with patients on medical and surgical wards: patterns and processes (1961) Psychiatry, 24, pp. 197-220Comissao Nacional de Residencia Medica: Resolucao no. 04/83. Diario Oficial da Uniao 30/12/1983Langenbach, Negreiros, A formacao complementar: um labirinto profissional (1988) Conselho Federal de Psicologia: Quem e o psicologo Brasileiro, , Edicon, Sao PauloBrasil-Ministerio da Educacao e Culture, (1977) Diario Oficial da Uniao, , Decreto no. 80,281Hackett, Cassem, (1978) Handbook of General Hospital Psychiatry, , 8th ed., Mosby, St. LouisFerrari, Luchina, Luchina, (1977) La interconsulta medico-psicologica en el marco hospitalario, , Nueva Vision, Buenos AiresKerr-Correa, Silva, Avaliacao do ensino de psiquiatria pela analise dos pedidos de interconsultas (1985) Jornal Brasileiro de Psiquiatria, 34, pp. 247-252Millan, Miguel Filho, Lima, Psiquiatria no hospital geral: experiencia de um ano (1986) Revista de Psiquiatria Clinica, 13, pp. 33-38Magdaleno, Jr, Botega, Interconsulta psiquiatrica no hospital geral universitario: um ano no HC-Unicamp (1991) Jornal Brasileiro de Psiquiatria, 40 (2), pp. 95-98Kerr-Correa, Rossini, Malheiros, Importancia do estudo de prevalencia de ingestao alcoolica excessiva para diagnostico de alcoolismo em enfermarias gerais e especializadas (1985) Revista Associacao Brasileira de Psiquiatria, 7 (27), pp. 159-162Miguel Filho, Fraguas, Jr, Marcondes, Aspectos psiquiatricos do idoso: um estudo no hospital geral (1989) Jornal Brasileiro de Psiquiatria, 38 (3), pp. 113-117Mello Filho, (1983) Concepcao psicossomatica: uma visao atual, , Tempo Brasileiro, Rio de JaneiroMartins, Tarefa medica e interconsulta medicopsicologica em um hospital universitario (1984) Boletim de Psiquiatria, 17 (3), pp. 108-111Botega, Fontanella, Goncalves, Rodrigues, Ambulatorio de psiquiatria em hospita geral-alguns dados do HC-Unicamp (1988) Revista Associacao Brasileira de Psiquiatria, 10 (2), pp. 57-62Valladares, Unidade de dialise: a idealizacao de uma tarefa conjunta (1984) Boletim de Psiquiatria, 17 (3), pp. 97-144Eaton, Goldberg, Rosinski, Allerton, The educational challenge of consultation-liaison psychiatry (1977) Am J Psychiatry, 134, pp. 20-23. , (suppl)World Health Organization, Organization of mental health services in developing countries (1975) Technical Report Series no. 564Mari, Psychiatric care in Brazil (1983) Psychiatry in Developing Countries, , S Brown, Gaskell, LondonMiguel Filho, Ramadam, Malbegier, Souza, (1990) Interconsulta psiquiatrica no Brasil, , Asturias, Sao Paul

Derivaciones Al Psiquiatra En El Hospital General: Una Visión Psicodinámica

Introduction. It is not clear as to the process by which the psychiatrist attracts referrals and the reasons and motivations that doctors have for referring or not. This study describes the modus operandi of referrals to the psychiatrist in the context of a university general hospital. Method. A semi-structured interview was carried out on 50 doctors (35 male, 15 female) from the teaching hospital of the Universidade Estadual de Campinas, Brazil. Data was analized qualitatively, by means of content analysis, according to the psychodynamic approach. Results. Some referrals need to be worked through in order for the doctor to overcome his resistance. Others are automatic: because something moved him deeply, the doctor directs his anguish and responsability outside himself, without realizing the motives that lead him to do so. Conclusion. Referral is used in a variety of ways and different things are expected of the psychiatrist, all influenced by unconcious aspects of the patient-doctor-specialist triad.252100104Lipowski, Z.J., Consultation-liaison psychiatry: The first half century (1986) General Hospital Psychiatry, 8, pp. 305-315Botega, N.J., Consultation-liaison psychiatry in Brazil: Psychiatric residency training (1992) General Hospital Psychiatry, 14, pp. 186-191Botega, N.J., (1995) Serviços de Saúde Mental No Hospital Geral, , Papirus. CampinasAyuso-Gutiérrez, J.L., Calvé Pérez, A., (1976) La Psiquiatría en el Hospital General, , Paz Montalvo. MadridFerrari, H., Luchina, N., Luchina, I.L., (1977) La Interconsulta Médico-psicológica en el Marco Hospitalario, , Buenos Aires: Nueva VisiónPritchard, M., Who sees a psychiatrist? A study of factors related to psychiatric referral in the general hospital (1972) Postgraduate Medical Journal, 48, pp. 645-651Cummins, R.O., Jarman, B., White, P.M., Do general practitioners have different referral thesholds? (1981) British Medical Journal, 282, pp. 1037-1039Fauman, M.A., Psychiatric components of medical and surgical practice II: Referral and treatment of psychiatric disorders (1983) American Journal of Psychiatry, 140, pp. 760-763Bridges, K.W., Goldberg, D.P., Psychiatric illness in inpatients with neurological disorders: Patients' views on discussion of emotional problems with neurologists (1985) British Medical Journal, 289, pp. 656-658Mendelson, M., Meyer, E., Countertransference problems of the liaison psychiatrist (1961) Psychosomatic Medicine, 23, pp. 115-122Balint, M., (1973) The Doctor, His Patient, and the Illness, , International Universities. New YorkBourne, S., Second opinion: A study of medical referrals in a seminar for general practitioners at the Tavistock Clinic, London (1976) Journal of the Royal College of General Practitioners, 26, pp. 487-495Bardin, L., (1977) Análise de Conteúdo, , Persona. Río de JaneiroKohut, H., (1980) La Restauración del Sí-mismo, , Paidós. BarcelonaBotega, N.J., Encaminhamentos ao psiquiatra e funcionamento institucional (1991) Revista da ABP-APAL, 13, pp. 27-31Knobel, M., La relación entre el médico y el psicoterapeuta en el tratamiento de la enfermedad somática (1986) Acta Psiquiátrica y Psicológica de América Latina, 32, pp. 31-40Caplan, G., (1980) Principios de Psiquiatría Preventiva, , Zahar. Río de JaneiroSarano, J., (1978) O Relacionamento como Doente: Dificuldades e Perspectivas no Relacionamento Entre Terapeutas e Clientes, , Pedagógica Universitária. Sāo Paul

Suicidal Behavior: Epidemiology [comportamento Suicida: Epidemiologia]

Brazil is among the ten countries that record the highest absolute numbers of suicides, with 9,852 deaths in 2011. The average coefficient for the period of 2004-2010 was 5.7%. This figure increased 29.5% in the last two decades and is higher for men, elders, indigenous and small and mid-sized population towns. Mental disorders are present in most cases of suicide, especially depression, bipolar disorder, and dependence of alcohol and other psychoactive drugs. A population study revealed that, throughout life, 17.1% of people had suicidal ideation, 4.8% developed a suicide plan, and 2.8% actually attempted it. Giving particular attention to a person who has attempted suicide is a major prevention strategy.253231236Bertolote, J.M., (2012) O suicídio e sua prevenção, , São Paulo, SP: Ed. UnespBertolote, J.M., Fleischmann, A., Suicide and psychiatric diagnosis: A worldwide perspective (2002) World Psychiatry, 1, pp. 181-185Bertolote, J.M., Fleischmann, A., Butchart, A., Besbelli, N., Suicide, suicide attempts and pesticides: A major hidden public health problem (2006) Bulletin of the World Health Organization, 84 (4), p. 260Botega, N.J., Cais, C.F.S., Rapeli, C.B., Comportamento suicida (2012) Prática psiquiátrica no hospital geral: interconsulta e emergência, pp. 335-355. , N. J. Botega (Org.), Porto Alegre, RS: ArtmedBotega, N.J., Marín-León, L., Oliveira, H.B., Barros, M.B., Silva, V.F., Dalgalarrondo, P., Prevalências de ideação, planos e tentativas de suicídio: um inquérito populacional em Campinas SP (2009) Cadernos de Saúde Pública, 25 (12), pp. 2632-2638Botega, N.J., Silveira, I.U., Mauro, M.L.F., (2010) Telefonemas na crise: percursos e desafios na prevenção do suicídio, , Rio de Janeiro, RJ: ABPEstatísticas vitais, mortalidade (2013), //www2.datasus.gov.br/DATASUS, Brasil. Ministério de Saúde, Recuperado em 29 de setembro de 2013 emDrumond, M., Jr., Lira, M.M.T.A., Freitas, M., Nitrini, T.M.V., Shibao, K., Avaliação da qualidade das informações de mortalidade por acidentes não especificados e eventos com intenção indeterminada (1999) Revista de Saúde Pública, 33 (3), pp. 273-280Faria, N.M.X., Victora, C.G., Meneghel, S.N., Carvalho, L.A., Falk, J.W., Suicide rates in the State of Rio Grande do Sul, Brazil: Association with socioeconomic, cultural, and agricultural factors (2006) Cadernos de Saúde Pública, 22 (12), pp. 2611-2621Fleischmann, A., Bertolote, J.M., Wasserman, D., De Leo, D., Bolhari, J., Botega, N.J., Thanh, H.T., Effectiveness of brief intervention and contact for suicide attempters: A randomized controlled trial in five countries (2008) Bulletin WHO, 86 (9), pp. 703-709Gotsens, M., Marí-Dell'Olmo, M., Rodríguez-Sanz, M., Martos, D., Espelt, A., Pérez, G., Borrell, C., Validation of the underlying cause of death in medicolegal deaths (2011) Revista Espanhola de Salud Publica, 85 (2), pp. 163-174Tábuas completas de mortalidade -2006 (2013), //www.ibge.gov.br, Instituto Brasileiro de Geografia e Estatística, Recuperado em 20 de setembro emLovisi, G.M., Santos, A.S., Legay, L., Abelha, L., Valencia, E., Análise epidemiológica do suicídio no Brasil entre 1980 e 2006 (2009) Revista Brasileira de Psiquiatria, 31 (SUPPL), pp. 86-93Marín-León, L., Oliveira, H.B., Botega, N.J., Suicide in Brazil, 2004-2010: The importance of small counties (2012) Revista Panamericana de Salud Publica, 32 (5), pp. 351-359Martelli, C., Awad, H., Hardy, P., In-patients suicide: Epidemiology and prevention (2010) Encephale, 36, pp. D83-91Mello Jorge, M.H.P, Gotlieb, S.L.D., Laurenti, R., O sistema de informações sobre mortalidade: problemas e propostas para o seu enfrentamento. II -Mortes por causas externas (2002) Revista Brasileira de Epidemiologia, 5 (2), pp. 212-213Minayo, M.C.S., Pinto, L.W., Assis, S.G., Cavalcante, F.G., Mangas, R.M.N., Trends in suicide mortality among Brazilian adults and elderly, 1980 -2006 (2012) Revista de Saude Publica, 46 (2), pp. 300-309Oliveira, C.S., Lotufo Neto, F., Suicídio entre povos indígenas: um panorama estatístico brasileiro (2003) Revista de Psiquiatria Clinica, 30 (1), pp. 4-10Owens, D., Horrocks, J., House, A., Fatal and non-fatal repetition of self-harm. Systematic review (2002) British Journal of Psychiatry, 181, pp. 193-199Pritchard, C., Hean, S., Suicide and undetermined deaths among youths and young adults in Latin America. Comparison with the 10 major developed countries-A source of hidden suicides? (2008) Crisis, 29 (3), pp. 145-153Souza, E.R., Minayo, M.C.S., Malaquias, J.V., Suicide among young people in selected Brazilian State capitals (2002) Cadernos de Saúde Pública, 18, pp. 673-683Souza, M.L.P., Deslandes, S.F., Garnelo, L., Modos de vida e modos de beber de jovens indígenas em um contexto de transformações (2010) Ciência Saúde Coletiva, 15 (3), pp. 709-716Souza, M.L.P., Orellana, J.D.Y., Suicide mortality in São Gabriel da Cachoeira, a predominantly indigenous Brazilian municipality (2012) Revista Brasileira de Psiquiatria, 34, pp. 34-37Trapé, A.Z., Botega, N.J., Inquérito de morbidade auto-referida e exposição a agrotóxicos (2006) A produção de tabaco: impacto no ecossistema e na saúde humana na região de Santa Cruz do Sul, pp. 116-141. , V. E. Etges & M. A. F. Ferreira (Orgs.) Santa Cruz do Sul: Ed. da UNISCVärnik, P., Suicide in the world (2012) International Journal of Environmental Research and Public Health, 9, pp. 760-771Varnik, P., Sisask, M., Varnik, A., Arensman, E., Van Audenhove, C., Van Der Feltz-Cornelis, C., Hegerl, U., Validity of suicide statistics in Europe in relation to undetermined deaths: Developing the 2-20 benchmark (2012) Injury Prevention, 18 (5), pp. 321-325Waiselfisz, J.J., Mapa da violência 2011: os jovens do Brasil (2011), São Paulo, SP: Instituto Sangari & Ministério da JustiçaMultisite Intervention Study on Suicidal Behaviours SUPRE-MISS: Protocol of SUPRE-MISS (2002), World Health Organization, Geneva: WHOCountry reports and charts available (2014), www.who.int/mental_health/prevention/suicide/country_reports/en/index.html, Recuperado deBertolote, J.M., (2012) O suicídio e sua prevenção, , São Paulo, SP: Ed. UnespBertolote, J.M., Fleischmann, A., Suicide and psychiatric diagnosis: A worldwide perspective (2002) World Psychiatry, 1, pp. 181-185Bertolote, J.M., Fleischmann, A., Butchart, A., Besbelli, N., Suicide, suicide attempts and pesticides: A major hidden public health problem (2006) Bulletin of the World Health Organization, 84 (4), p. 260Botega, N.J., Cais, C.F.S., Rapeli, C.B., Comportamento suicida (2012) Prática psiquiátrica no hospital geral: interconsulta e emergência, pp. 335-355. , N. J. Botega (Org.), Porto Alegre, RS: ArtmedBotega, N.J., Marín-León, L., Oliveira, H.B., Barros, M.B., Silva, V.F., Dalgalarrondo, P., Prevalências de ideação, planos e tentativas de suicídio: um inquérito populacional em Campinas SP (2009) Cadernos de Saúde Pública, 25 (12), pp. 2632-2638Botega, N.J., Silveira, I.U., Mauro, M.L.F., (2010) Telefonemas na crise: percursos e desafios na prevenção do suicídio, , Rio de Janeiro, RJ: ABPEstatísticas vitais, mortalidade (2013), //www2.datasus.gov.br/DATASUS, Brasil. Ministério de Saúde, Recuperado em 29 de setembro de 2013 emDrumond, M., Jr., Lira, M.M.T.A., Freitas, M., Nitrini, T.M.V., Shibao, K., Avaliação da qualidade das informações de mortalidade por acidentes não especificados e eventos com intenção indeterminada (1999) Revista de Saúde Pública, 33 (3), pp. 273-280Faria, N.M.X., Victora, C.G., Meneghel, S.N., Carvalho, L.A., Falk, J.W., Suicide rates in the State of Rio Grande do Sul, Brazil: Association with socioeconomic, cultural, and agricultural factors (2006) Cadernos de Saúde Pública, 22 (12), pp. 2611-2621Fleischmann, A., Bertolote, J.M., Wasserman, D., De Leo, D., Bolhari, J., Botega, N.J., Thanh, H.T., Effectiveness of brief intervention and contact for suicide attempters: A randomized controlled trial in five countries (2008) Bulletin WHO, 86 (9), pp. 703-709Gotsen, M., Marí-Dell'Olmo, M., Rodríguez-Sanz, M., Martos, D., Espelt, A., Pérez, G., Borrell, C., Validation of the underlying cause of death in medicolegal deaths (2011) Revista Espanhola de Salud Publica, 85 (2), pp. 163-174Tábuas completas de mortalidade -2006 (2013), //www.ibge.gov.br, Instituto Brasileiro de Geografia e Estatística, Recuperado em 20 de setembro emLovisi, G.M., Santos, A.S., Legay, L., Abelha, L., Valencia, E., Análise epidemiológica do suicídio no Brasil entre 1980 e 2006 (2009) Revista Brasileira de Psiquiatria, 31 (SUPPL), pp. 86-93Marín-León, L., Oliveira, H.B., Botega, N.J., Suicide in Brazil, 2004-2010: The importance of small counties (2012) Revista Panamericana de Salud Publica, 32 (5), pp. 351-359Martelli, C., Awad, H., Hardy, P., In-patients suicide: Epidemiology and prevention (2010) Encephale, 36, pp. D83-91Mello Jorge, M.H.P., Gotlieb, S.L.D., Laurenti, R., O sistema de informações sobre mortalidade: problemas e propostas para o seu enfrentamento. II -Mortes por causas externas (2002) Revista Brasileira de Epidemiologia, 5 (2), pp. 212-213Minayo, M.C.S., Pinto, L.W., Assis, S.G., Cavalcante, F.G., Mangas, R.M.N., Trends in suicide mortality among Brazilian adults and elderly, 1980 -2006 (2012) Revista de Saude Publica, 46 (2), pp. 300-309Oliveira, C.S., Lotufo Neto, F., Suicídio entre povos indígenas: um panorama estatístico brasileiro (2003) Revista de Psiquiatria Clinica, 30 (1), pp. 4-10Owens, D., Horrocks, J., House, A., Fatal and non-fatal repetition of self-harm. Systematic review (2002) British Journal of Psychiatry, 181, pp. 193-199Pritchard, C., Hean, S., Suicide and undetermined deaths among youths and young adults in Latin America. Comparison with the 10 major developed countries-A source of hidden suicides? (2008) Crisis, 29 (3), pp. 145-153Souza, E.R., Minayo, M.C.S., Malaquias, J.V., Suicide among young people in selected Brazilian State capitals (2002) Cadernos de Saúde Pública, 18, pp. 673-683Souza, M.L.P., Deslandes, S.F., Garnelo, L., Modos de vida e modos de beber de jovens indígenas em um contexto de transformações (2010) Ciência Saúde Coletiva, 15 (3), pp. 709-716Souza, M.L.P., Orellana, J.D.Y., Suicide mortality in São Gabriel da Cachoeira, a predominantly indigenous Brazilian municipality (2012) Revista Brasileira de Psiquiatria, 34, pp. 34-37Trapé, A.Z., Botega, N.J., Inquérito de morbidade auto-referida e exposição a agrotóxicos (2006) A produção de tabaco: impacto no ecossistema e na saúde humana na região de Santa Cruz do Sul, pp. 116-141. , V. E. Etges & M. A. F. Ferreira (Orgs.) Santa Cruz do Sul: Ed. da UNISCVärnik, P., Suicide in the world (2012) International Journal of Environmental Research and Public Health, 9, pp. 760-771Varnik, P., Sisask, M., Varnik, A., Arensman, E., Van Audenhove, C., Van Der Feltz-Cornelis, C., Hegerl, U., Validity of suicide statistics in Europe in relation to undetermined deaths: Developing the 2-20 benchmark (2012) Injury Prevention, 18 (5), pp. 321-325Waiselfisz, J.J., Mapa da violência 2011: os jovens do Brasil (2011), São Paulo, SP: Instituto Sangari & Ministério da JustiçaMultisite Intervention Study on Suicidal Behaviours SUPRE-MISS: Protocol of SUPRE-MISS (2002), Geneva: WHOCountry reports and charts available (2014), www.who.int/mental_health/prevention/suicide/country_reports/en/index.html, Recuperado d

Severe Suicide Attempts In Young Adults: Suicide Intent Is Correlated With Medical Lethality [2]

[No abstract available]123143The World Health Report 2003 - Shaping the Future (2003), http://www.who.int/whr/2003/en/, World Health Organization. Geneva: WHOAvailable from Accessed in 2004 (Out 14). URL:Beck, A.T., Beck, R., Kovacs, M., Classification of suicidal behaviors: I. Quantifying intent and medical lethality (1975) Am. J. Psychiatry, 132 (3), pp. 285-287Suominen, K., Isometsä, E., Suokas, J., Haukka, J., Achre, K., Lönnqvist, J., Completed suicide after a suicide attempt: A 37-year follow-up study (2004) Am. J. Psychiatry, 161 (3), pp. 562-563Beautrais, A.L., Further suicidal behavior among medically serious suicide attempters (2004) Suicide Life Threat. Behav., 34 (1), pp. 1-11Barros, M.B.A., Oliveira, H.B., Marín-Leon, L., Epidemiologia no Brasil (2004) Comportamento Suicida, pp. 45-58. , Werlang BG, Botega NJ, editors. Porto Alegre: Artme

Social Support And Suicide Attempt [rede De Apoio Social E Tentativa De Suicídio]

Aim: To asses the support network of people that attempted suicide and were being seen at the emergency room of a general hospital, and compare it to the people who accompanied other kind of patients in the same place. Methods: Twenty-nine people (14 males and 15 females) were assessed consecutively in each group. The instruments used were: TS-PS (a questionnaire on suicide attempts) which included demographic and clinical data, the Social Support Questionnaire (SSQ), the Social Support Scale (self-rating), the GAS and the Garf, Results: The mean age of the individuals of the suicide attempt (SA) group was 37,4. Most attempts (11) involved drug overdosis, self-poisoning (ten) and cutting (eight). This group had a low suicide intention and lethality. 34,5% were married and in control-group 51.7% were too. The individuals of the AS group were more frequently receiving psychiatric treatment (41.4% vs 17.2%) and psychotropia drug (55.2% vs 13.8%). The number of people perceived as supportive by the AS was on average one and trhee by the control-group. The AS group report more dissatisfaction towards their relationships. These findings are in line with the worse figures of the AS group on the Garf and GAS. Conclusions: Our finding confirms the hypothesys that people who attempt suicide have a far weaker social support as to compared to the control-group. They also do not feel needed in the support of other people and have more difficulties in the performance of social roles.514233240Barakat, L.P., Linney, J.A., Children with physical handicaps and their mothers: The interrelation of social support, maternal adjustment, and child adjustment (1992) Journal of Pediatric Psychology, 17 (6), pp. 725-739Bille-Brahe, U., Wang, A.G., Attempted suicide in Denmark II (1985) Social Integration Social Psychiatry, 20, pp. 163-170Bille-Brahe, U., Social support among European suicide attempters (1999) Archives of Suicide Research, 5, pp. 215-231Bille-Brahe, U., (1993) WHO/Euro Multicentre Study on Parasuicide: Facts and Figures, , Copenhagem: EURI/ICP/PSF 018 WHOBloom, J.R., The relationship of social support and health (1990) Soc. Sci. Med., 30 (5), pp. 635-637Bowling, A., Measuring social networks and social support (1997) Measuring Health: A Review of Quality of Life Measurements Scales. 2. Ed., pp. 91-109. , Bowling, A. (ed.) Buckingham: Open University PressBotega, N.J., Tentativas de suicidio e adesão ao tratamento: Um estudo descritivo em hospital geral (1995) Jornal Brasileiro de Psiquiatria, 44 (1), pp. 19-25Calderon, R., Grennberg, M.T., Stress and copping in hearing mothers of children with hearing loss: Factors affecting mother and adjustment (1999) American Annals of the Deaf, 144 (1), pp. 7-18Cobb, S., Social support as a moderator of life stress (1976) Psychosomatic Medicine, 38, p. 300Cohen, S., Syme, S.L., (1985) Social Support and Health, , Londres: Academic Press, 390pCohen, S., Wills, T.A., Stress, social support and buffering hypothesis (1985) Psychological Bulletin, 98 (2), pp. 310-357D'Attilio, J.P., Social support and suicide potencial: Preliminary findings for adolescent populations (1992) Psychological Reports, 70, pp. 76-78(1995) DSM IV - Manual Diagnóstico e Estatístico de Transtornos Mentais, , APAEndicott, J., Fleiss, J.L., Cohen, J., The global assessment scale (GAS) (1976) Archives of General Psychiatry, 33, p. 766Eskin, M., Suicide behaviour as related to social support and assertiveness among Swedish and Turkish high school students: A cross-cultural investigation (1995) Journal of Clinical Psychology, 51 (2), pp. 158-172Hamlett, K.W., Pellegrini, D.S., Kats, K.S., Childhood chronic illness as a family stressor (1992) Journal of Pediatric Psychology, 17 (1), pp. 33-47House, J.S., Kahn, R.L., Measures and concepts of social support (1985) Social Support and Health, pp. 83-105. , Conhen, S.Symes, S. L. (orgs.). Academic PressKaplan, H.I., Sadok, B.J., (1997) Compêndio de Psiquiatria. 2. Ed., pp. 477-489. , Porto Alegre: Artes MédicasPearlin, L.I., The sociological study of stress (1989) Journal of Health and Social Behavior, 30, pp. 241-256Rapeli, C.B., (1997) Características Clínicas e Demográficas de Pacientes Internados Por Tentativa de Suicídio No Hospital de Clínicas Da Unicamp, de Outubro de 1995 a Setembro de 1996, , Tese (Mestrado) - Faculdade de Ciências Médicas da Unicamp, Campinas-SPSarason, I.G., Assessing social support: The social support questionnaire (1983) Journal of Personality and Social Psychology, 44, pp. 127-139Sherbourne, C.D., Stewart, A.L., The MOS social support survey (1991) Social Science and Medicine, 32, pp. 705-714Veiel, H.O.F., The social support of suicide attempters: The different roles of family and friends (1988) American Journal of Community Psychology, 16 (6), pp. 839-86

Attempted Suicide: A Descriptive Study With Patients Admitted To A General Hospital [tentativas De Suicídio Envolvendo Risco De Vida: Internações Em Um Hospital Geral]

This study was carried out at the Hospital das Clínicas of the Universidade Estadual de Campinas, Brazil. It describes the profile of 53 patients consecutively admitted to a general hospital after attempted suicide. A standardized instrument comprising clinical and demographic date was used. Most patients were male (66%) adolescents and young adults. The patients' mean age was 29 years old. Five (9%) patients died; all of them were male with a mean age of 23 years old. Male patients presented higher suicidal intent. They asked less frequently for help after the attempt. Among men the act had been more frequently planned and was believed to be lethal, revealing lesser degrees of impulsivity as compared to the observed in the female group. Poisoning was used in 77% of the cases. Shooting was used by three of the five who died. The other two used poisoning. Seventy-three per cent of the patients had from moderate to severe physical danger. Relating to the clinical profile, motivation, suicide intent and risk of life, the patients assessed in this study comprised an heterogeneous group.474157162Schmidtke, A., Bille-Brahe, U., Deleo, D., Kerkhof, A., Bjerke, T., Attempted suicide in Europe: Rates, trends and sociodemographic characteristics of suicide attempters during the period 1989-1992. Results of the WHO/EURO Multicentre Study on Parasuicide (1996) Acta Psychiatr Scand, 93, pp. 327-338Cassorla, R.M.S., Jovens que tentam o suicídio - Características demográficas e sociais: Um estudo comparativo com jovens normais e com problemas mentais (1984) J Bras Psiq, 33 (1), pp. 3-12Morgan, H.G., Owen, J.H., (1990) Persons at Risk of Suicide: Guidelines on Good Clinical Practice, , The Books Company PLC - London(1992) Health-for-all Targets. The Health Policy for Europe, , Eur ICP/HSC 013 WHO - CopenhagenBotega, N.J., Cano, F., Kohn, S.C., Knoll, A.I., Pereira, W.A.B., Bonardi, M.C., Tentativa de suicídio e adesāo ao tratamento: Um estudo descritivo em hospital geral (1995) J Bras Psiq, 44 (1), pp. 19-25Vieira, R.J., (1994) A Enfermaria de Emergência do HC - UNICAMP e o Atendimento dos Intoxicados, , Tese de Doutoramento - Faculdade de Ciências Médicas da UNICAMP. Campinas - SPDalgalarrondo, P., (1990) Repensando a Internação Psiquiátrica: A Proposta das Unidades de Internaçāo Psiquiátrica de Hospitais Gerais, , Tese de Mestrado. Faculdade de Ciências Médicas - UNICAMP, Campinas - SPSchmidtke, A., (1989) WHO/EURO Multicentre Study of Parasuicide, , WHO - Copenhagen(1992) Clinical Descriptions and Diagnostic Guidelines. The ICD 10 Classification of Mental and Behavioural Disorders, , WHO - GeneveBeck, A.T., Shuyler, D., Herman, I., Development of Suicidal Intent Scales (1974) The Prediction of Suicide, , BECK A T, RESNICK HIP & LETTIARI DJ Charles Press - PhiladelphiaCassorla, R.M.S., (1981) Jovens Que Tentam Suicidio, , Tese de Doutoramento. Faculdade de Ciências Médicas - UNICAMP. Campinas - SP(1990) SPSS/PC + 4.0 Base Manual, , SPSS Inc - ChicagoArensman, E., Kerkhof, J.F.M., Classification of attempted suicide: A review of empirical studies, 1963 - 1993 (1996) Suicide Life Threat Behav, 26 (1), pp. 47-67Pasquali, L., Bucher, R.E., Tentativas de suicídio segundo sexo e idade (1981) Acta Psiq Psic de Am Latina, 27, pp. 39-43Leenaars, A.A., Suicide: A multidimensional malaise (1996) Suicide Life Threat Behav, 26 (3), pp. 221-236Hawton, K., Suicide and Attempted Suicide (1989) The Instruments of Psychiatric Research, , THOMPSON C John Wiley & Sons - Londo