Risk factors for recurrence of suicide attempt            /             Fatores de risco para reincidência da tentativa de suicídio

Daniel Augusto da Silva; João Fernando Marcolan

doi:10.9789/2175-5361.rpcfo.v14.11929

Autores

Daniel Augusto da Silva Universidade Federal de São Paulo https://orcid.org/0000-0002-2716-6700
João Fernando Marcolan Universidade Federal de São Paulo https://orcid.org/0000-0001-8881-7311

DOI:

https://doi.org/10.9789/2175-5361.rpcfo.v14.11929

Palavras-chave:

Fatores de risco, Reincidência, Tentativa de suicídio, Suicídio

Resumo

Objetivo: analisar fatores de risco para reincidência da tentativa de suicídio em pessoas atendidas na Unidade de Pronto Atendimento em Assis, SP, Brasil. Método: estudo quantitativo, participantes que tentaram o suicídio e atendidos na unidade referência. Entrevistas entre dezembro de 2017 e novembro de 2019. Divididos entre os que tentaram suicídio pela primeira vez e reincidentes. Utilizou-se teste Exato de Fisher, teste t-Student para duas amostras e Análise de Regressão Logística Múltipla. Resultados: 113 participantes, sendo 80 (70,8%) reincidentes, pois afirmaram histórico prévio de tentativa de suicídio e 33 (20,2%) ser a primeira vez. Conclusão: A faixa etária de 20 a 47 anos, a auto percepção de viver relações familiares negativas, a existência de transtorno mental, a existência de doenças crônicas não transmissíveis e pessoas sem histórico de tentativa de suicídio na família foram os fatores de risco com associação estatística para a ocorrência da reincidência da tentativa de suicídio.

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Biografia do Autor

Daniel Augusto da Silva, Universidade Federal de São Paulo

Enfermeiro. Doutor em Ciências. Universidade Federal de São Paulo. São Paulo, SP, Brasil.

João Fernando Marcolan, Universidade Federal de São Paulo

Enfermeiro. Pós Doutor em Saúde Pública. Universidade Federal de São Paulo. São Paulo, SP, Brasil.

Referências

World Health Organization (WHO). Live life: an implementation guide for suicide prevention in countries. [Internet]. 2021 [cited 2021 oct 1]. Available from: https://www.who.int/publications/i/item/9789240026629

World Health Organization (WHO). Suicide worldwide in 2019: global health estimates. [Internet]. 2021 [cited 2021 oct 1]. Available from: https://www.who.int/publications/i/item/9789240026643

Ministério da Saúde (BR). Boletim epidemiológico: 2021 [Internet]. Brasília: Ministério da Saúde [acesso em 1 de outubro 2021]. Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/boletins-epidemiologicos/edicoes/2021/boletim_epidemiologico_svs_33_final.pdf

Silva DA, Marcolan JF. Suicide attempts and suicide in Brazil: An epidemiological analysis. Florence Nightingale J Nurs. 2021 [cited 2021 dez 10];29(3). Available from: https://doi.org/10.5152/FNJN.2021.21035

Marcolan JF, Silva DA. O comportamento suicida na realidade brasileira: aspectos epidemiológicos e da política de prevenção. Rev. M. 2019 [acesso em 14 de junho 2021];4(7). Disponível em: https://doi.org/10.9789/2525-3050.2019.v4i7.31-44

Vásquez-Escobar L, Benítez-Camargo S. Intento suicida: un análisis municipal de factores asociados 2012-2017. Hacia promoc. Salud. 2021 [cited 2021 dez 10];26(2). Available from: https://doi.org/10.17151/hpsal.2021.26.2.6

Silva DA, Marcolan JF. O impacto das relações familiares no comportamento suicida. Res., Soc. Dev. 2021 [acesso em 1 de outubro 2021];10(2). Disponível em: https://doi.org/10.33448/rsd-v10i2.12349

Bachmann S. Epidemiology of Suicide and the Psychiatric Perspective. Int J Environ Res Public Health. 2018 [cited 2021 oct 1];15(7). Available from: https://doi.org/10.3390/ijerph15071425

Wayland S, Coker S, Maple M. The human approach to supportive interventions: The lived experience of people who care for others who suicide attempt. Int J Ment Health Nurs. 2021 [cited 2021 oct 1];30(3). Available from: https://doi.org/10.1111/inm.12829

Irigoyen-Otiñano M, Puigdevall-Ruestes M, Mur-Laín M, González-Pinto A, Portella MJ, Baca-García E, et al. Absence of association between the level of lethality and the recidivism of suicide attempts in a Spanish province. Actas Esp Psiquiatr. 2019 [cited 2021 oct 1];47(5). Available from: https://pubmed.ncbi.nlm.nih.gov/31648340/

Witt K, Milner A, Spittal MJ, Hetrick S, Robinson J, Pirkis J, et al. Population attributable risk of factors associated with the repetition of self-harm behaviour in young people presenting to clinical services: a systematic review and meta-analysis. Eur Child Adolesc Psychiatry. 2019 [cited 2021 oct 1];28. Available from: https://doi.org/10.1007/s00787-018-1111-6

Chai Y, Luo H, Yip PSF. Prevalence and risk factors for repetition of non-fatal self-harm in Hong Kong, 2002–2016: A population-based cohort study. Lancet Reg Health West Pac. 2020 [cited 2021 oct 1];2. Available from: https://doi.org/10.1016/j.lanwpc.2020.100027

Golay P, Ostertag L, Costanza A, Van der Vaeren B, Dorogi Y, Saillant S, et al. Patients with first versus multiple episodes of self-harm: how do their profiles differ? Ann Gen Psychiatry. 2021 [cited 2021 dez 10];20. Available from: https://doi.org/10.1186/s12991-021-00351-5

Liu B-P, Lunde KB, Jia C-X, Qin P. The short-term rate of non-fatal and fatal repetition of deliberate self-harm: A systematic review and meta-analysis of longitudinal studies. J Affect Disord. 2020 [cited 2021 dez 10];273. Available from: https://doi.org/10.1016/j.jad.2020.05.072

von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg. 2014 [cited 2021 dez 10];12(12). Available from: https://doi.org/10.1016/j.ijsu.2014.07.013

Pinheiro TP, Warmling D, Coelho EBS. Caracterização das tentativas de suicídio e automutilações por adolescentes e adultos notificadas em Santa Catarina, 2014-2018. Epidemiol. Serv. Saúde. 2021 [acesso em 10 de dezembro 2021];30(4). Disponível em: https://doi.org/10.1590/S1679-49742021000400026

Otzen T, Fuentes N, Wetzel G, Henríquez C, Antúnez Z. Suicidabilidad y apoyo social percibido en estudiantes universitarios con enfermedades crónicas no transmisibles. Ter. psicol. (En línea). 2020 [cited 2021 dez 10];38(1). Available from: https://dx.doi.org/10.4067/S0718-48082020000100119

Tang S, Ports KA, Stone DM, Lin HC. The mediating role of internalizing and externalizing symptoms in the association between child neglect and suicide attempt in adulthood. Int J Contr Saf Promot. 2021 [cited 2021 dez 10];29. Available from: https://doi.org/10.1080/17457300.2021.2007406

McClellan C, Ali MM, Mutter R. Impact of Mental Health Treatment on Suicide Attempts. J Behav Health Serv Res. 2021 [cited 2021 dez 10];48(1). Available from: https://doi.org/10.1007/s11414-020-09714-4

Uğur K, Polat H. The relationship of suicidal ideation with psychological pain and anger rumination in patients with major depressive disorder. Arch Psychiatr Nurs. 2021 [cited 2021 dez 10];35(5). Available from: https://doi.org/10.1016/j.apnu.2021.06.012

Rogers ML, Joiner TE, Shahar G. Suicidality in Chronic Illness: An Overview of Cognitive–Affective and Interpersonal Factors. J Clin Psychol Med Settings. 2021 [cited 2021 dez 10];28(1). Available from: https://doi.org/10.1007/s10880-020-09749-x

Huh Y, Kim SM, Lee JH, Nam GE. Associations between the type and number of chronic diseases and suicidal thoughts among Korean adults. Psychiatry Res. 2021 [cited 2021 dez 10];296. Available from: https://doi.org/10.1016/j.psychres.2020.11

Onyeka IN, Maguire A, Ross E, O'Reilly D. Does physical ill-health increase the risk of suicide? A census-based follow-up study of over 1 million people. Epidemiol Psychiatr Sci. 2020 [cited 2021 dez 10];29. Available from: https://doi.org/10.1017/S2045796020000529

Ahmedani BK, Peterson EL, Hu Y, Rossom RC, Lynch F, Lu CY, et al. Major Physical Health Conditions and Risk of Suicide. Am J Prev Med. 2017 [cited 2021 dez 10];53(3). Available from: https://doi.org/10.1016/j.amepre.2017.04.001

Conti C, Mennitto C, Di Francesco G, Fraticelli F, Vitacolonna E, Fulcheri M. Clinical Characteristics of Diabetes Mellitus and Suicide Risk. Front Psychiatry. 2017 [cited 2021 dez 10];8. Available from: https://doi.org/10.3389/fpsyt.2017.00040

Rihmer Z, Gonda X, Torzsa P, Kalabay L, Akiskal HS, Eory A. Affective temperament, history of suicide attempt and family history of suicide in general practice patients. J Affect Disord. 2013 [cited 2021 dez 10];149(1-3). Available from: https://doi.org/10.1016/j.jad.2013.02.010

Fornaro M, Grunebaum MF, Burke AK, Mann JJ, Oquendo MA. Comparison of familial and non-familial suicidal behaviors among people with major depressive disorder: Testing the discriminative predicting role of high-yield clinical variables. J Psychiatr Res. 2018 [cited 2021 dez 10];102. Available from: https://doi.org/10.1016/j.jpsychires.2018.02.021

Muniz JPC, Finger BK, Davi WS, Araújo KSS, Côrtes MA. Mental vulnerability and suicide by contagion during the academic experience. Rev Med (São Paulo). 2021 [acesso em 12 de dezembro 2021];100(4). Disponível em: http://dx.doi.org/10.11606/issn.1679-9836.v100i4p351-357

Spillane A, Matvienko-Sikar K, Larkin C, Arensman E. How do people experience a family member’s high-risk self-harm? An interpretative phenomenological analysis. Arch Suicide Res. 2020 [cited 2021 dez 10];24(sup1). Available from: https://doi.org/10.1080/13811118.2019.1574248

Rezaie L, Schwebel DC. Psychological needs of the families of patients who attempted suicide by self-immolation: An overlooked issue. Burns. 2019 [cited 2021 dez 10];45(8). Available from: https://doi.org/10.1016/j.burns.2019.08.013