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      Formação e atitudes relacionadas às tentativas de suicídio entre profissionais de Estratégias de Saúde da Família Translated title: Training and attitudes related to suicide attempts among Family Health Strategy professionals Translated title: Capacitación y actitudes relacionadas con intentos de suicidio entre los profesionales del programa Estrategia de Salud Familiar

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          Abstract

          OBJETIVO: investigar, entre profissionais da Estratégia Saúde da Família, associação entre a formação e as atitudes relacionadas ao comportamento suicida. MÉTODO: estudo quantitativo desenvolvido com 65 profissionais de equipes de ESF de um município de Minas Gerais. Os dados foram coletados por autoaplicação de questionário sociodemográfico e do Questionário de Atitudes Frente ao Comportamento Suicida (QUACS). Utilizada estatística descritiva, testes de associação e correlação. RESULTADOS: a maioria dos participantes declarou-se sem treinamento sobre suicídio (89%) e negou ter lido material específico (54%). Treinamento sobre suicídio esteve associado à maior capacidade profissional autopercebida (p=0,017). Atitudes mais negativas estiveram associadas à menor percepção de capacidade profissional e a atitudes mais condenatórias. Profissionais que leram material específico sobre suicídio tiveram tanto maior capacidade profissional autopercebida (p=0,023) quanto atitudes menos negativas (p=0,042). Atitudes menos condenatórias foram encontradas em pessoas sem religião (p=0,000), que leram sobre o suicídio (p=0,042), e tiveram contato com colegas de profissão que tentaram suicídio (p=0,013). CONCLUSÃO: para que o potencial da ESF na detecção de riscos, prevenção e tratamento do suicídio se traduza em ações eficazes, é importante investir em recursos de formação aos profissionais de saúde que compõem tais serviços.

          Translated abstract

          OBJECTIVE: to investigate, among Family Health Strategy (FHS) professionals, the association between training and attitudes related to suicidal behavior. METHOD: a quantitative study developed with 65 FHS team professionals from a city of Minas Gerais. Data were collected by self-application of the sociodemographic questionnaire and the Questionnaire of Attitudes to Suicidal Behavior (Questionário de Atitudes Frente ao Comportamento Suicida, QUACS). Descriptive statistics, association and correlation tests were used. RESULTS: most of the participants reported no suicide training (89%) and denied reading specific material (54%). Suicide training was associated with greater self-perceived professional ability (p=0.017). More negative attitudes were associated with a lower perception of professional ability and more condemnatory attitudes. Professionals who read specific material about suicide had both higher self-perceived professional skills and less negative attitudes (p=0.023). Less condemnatory attitudes were found in people without a religion (p=0.000), who read about suicide (p=0.042), and who had contact with profession colleagues who attempted suicide (p=0.013). CONCLUSION: in order for the potential of the FHS in risk detection, suicide prevention, and the treatment to be translated into effective actions, it is important to invest in training resources for the health professionals that make up these services.

          Translated abstract

          OBJETIVO: investigar, entre los profesionales de la Estrategia de Salud Familiar, la asociación entre la capacitación y las actitudes relacionadas con el comportamiento suicida. MÉTODO: estudio cuantitativo desarrollado con 65 profesionales del equipo de ESF de una ciudad de Minas Gerais. Los datos fueron recolectados por autoaplicación del cuestionario sociodemográfico y el Cuestionario de Actitudes ante el Comportamiento Suicida (QUACS). Se utilizaron estadísticas descriptivas, pruebas de asociación y correlación. RESULTADOS: la mayoría de los participantes informaron no haber recibido capacitación sobre suicidio (89%)y negaron haber leído material específico (53%). El entrenamiento suicida se asoció con una mayor capacidad profesional autopercibida (p=0,017). Más actitudes negativas se asociaron con una menor percepción de la capacidad profesional y más actitudes condenatorias. Los profesionales que leyeron material específico sobre el suicidio presentaron más habilidades profesionales autopercibidas y actitudes menos negativas (p=0,023). Se encontraron actitudes menos condenatorias en personas sin religión (p=0,000), que leyeron sobre el suicidio (p=0,042) y tuvieron contacto con colegas profesionales que intentaron suicidarse (p=0,013). CONCLUSIÓN: para que el potencial de la ESF en la detección de riesgos, la prevención y tratamiento del suicidio se traduzca en acciones efectivas, es importante invertir en recursos de capacitación para los profesionales de la salud que integran estos servicios.

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          Most cited references24

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          Preventing Suicide: A Global Imperative

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            Attitudes and knowledge of clinical staff regarding people who self-harm: a systematic review.

            The attitudes held by clinical staff towards people who harm themselves, together with their knowledge about self-harm, are likely to influence their clinical practice and hence the experiences and outcomes of patients. Our aim was to systematically review the nature of staff attitudes towards people who engage in self-harm, including the factors that influence them, and the impact of training on attitudes, knowledge and behaviour of staff. A comprehensive search for relevant studies was performed on six electronic databases. Two independent reviewers screened titles, abstracts and full reports of studies, extracted data and gave each paper a quality rating. Qualitative and quantitative studies published in English were included. A total of 74 studies were included. Attitudes of general hospital staff, especially doctors, were largely negative, particularly towards individuals who repeatedly self-harm. Self-harm patients were viewed more negatively than other patients, except those abusing alcohol or drugs. Psychiatric staff in community and hospital settings displayed more positive attitudes than general hospital staff. Negative attitudes were more common among doctors than nursing staff although this was only true of general hospital staff. Active training led to consistent improvements in attitude and knowledge in all groups. Attitudes of general hospital staff towards self-harm patients are often negative, mirroring the experience of service users. Interventions can have a positive impact and improve the quality of patient care. Included only English language publications. Copyright © 2011. Published by Elsevier B.V.
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              Suicidal behavior in the community: prevalence and factors associated with suicidal ideation

              OBJECTIVES: To estimate the life prevalence rates of suicidal ideation, suicidal plans and suicide attempts and verify factors associated to suicidal ideation. METHODS: 515 individuals > 14 years old were selected at random (cluster and stratified sample) and assessed by means of the WHO SUPRE-MISS interview, SRQ-20 and AUDIT. Life prevalence rates were estimated. Uni and multivariate analyses were performed. Odds ratios, together with confidence intervals, were adjusted by gender and age. RESULTS: Life prevalence rates were 17.1% (95% CI: 12.9 - 21.2) for suicidal ideation, 4.8% (95% CI: 2.8 - 6.8) for plans and 2.8% (95% CI: 0.09 - 4.6) for suicide attempts. Only one-third of those who attempted suicide were later treated at a health facility. The 12-month prevalence rates were, respectively, 5.3% (95% CI: 3.5 - 7.2), 1.9% (95% CI: 1.0 - 2.8) and 0.4% (95% CI: -0.3 - 1.1). Suicidal ideation was more frequently reported by women (OR = 1.7), young adults (20-29 years old: OR = 2.9; 30-39 years old: OR = 3.6, compared to the 14-19 year old group), those living alone (OR = 4.2) and those presenting mental disorders (OR between 2.8 and 3.8). CONCLUSION: The prevalence of suicidal behavior was similar to that found in most studies carried out in other countries. Suicidal ideation was consistently associated with factors related to mental disorders or psychological distress. This should be taken into account when developing strategies to prevent suicidal behavior.
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                Author and article information

                Journal
                smad
                SMAD. Revista eletrônica saúde mental álcool e drogas
                SMAD, Rev. Eletrônica Saúde Mental Álcool Drog. (Ed. port.)
                Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto (Ribeirão Preto, SP, Brazil )
                1806-6976
                December 2020
                : 16
                : 4
                : 92-99
                Affiliations
                [1] orgnameUniversidade de São Paulo orgdiv1Escola de Enfermagem de Ribeirão Preto
                [2] Ribeirão Preto SP orgnameCentro Colaborador da OPAS/OMS Brasil
                Article
                S1806-69762020000400012 S1806-6976(20)01600400012
                10.11606/issn.1806-6976.smad.2020.165054
                8914ff92-3219-41bc-91d0-b041a31ab4ea

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 13 December 2019
                : 26 August 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 24, Pages: 8
                Product

                SciELO Periódicos Eletrônicos em Psicologia

                Categories
                Artigo original

                Cuidado de La Salud,Actitude,Intento de Suicidio,Primary Health Care,Health Care,Attitude,Suicide Attempt,Atenção Primária à Saúde,Assistência à Saúde,Atitude,Tentativa de Suicídio,Atención Primaria de Salud

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