Doenças crônicas não transmissíveis e sua relação com o comportamento suicida no âmbito hospitalar
Resumo
Objetivo: O estudo visa a conhecer o que vem sendo produzido pelas publicações científicas a respeito da relação entre a doença crônica não transmissível e o comportamento suicida no âmbito hospitalar. Método:Realizou-se uma revisão integrativa de literatura de artigos publicados entre os anos de 2006 e 2016 na Biblioteca Virtual SciELO e também nas seguintes bases de dados:Portal BVS, Scopus, Web of Science ePubmed. Resultado:Os estudos enfatizaram que a saúde mental de pacientes portadores de doenças crônicas não transmissíveis pode ser intensamente afetada, colocando-os na posição de risco para o comportamento suicida.Pesquisas de diferentes países e metodologias evidenciaram desconhecimento e despreparo das equipes de saúde dos hospitais gerais diante do risco de suicídio no público estudado.Conclusão:Profissionais de saúde da alta complexidade necessitam urgentemente de treinamento e capacitação para a identificação emanejo adequado do comportamento suicida no contexto hospitalar. Além disso, todo paciente admitido nos setores de doenças crônicas deve passar por uma anamnese ampliada que inclua questões específicas sobre saúde mental e risco de suicídio.
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Referências
Botega NJ. Comportamento suicida: epidemiologia. Psicol. USP. 2016; 25(3):231-236. doi: http://dx.doi.org/10.1590/0103-6564D20140004.
World Health Organization. Preventing suicide: a global imperative. Geneva: WHO; 2014. Disponível em: https://www.who.int/mental_health/suicide-prevention/exe_summary_english.pdf?ua=1.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise de Situação de Saúde. Sistema de Informações sobre Mortalidade. Brasília, DF: Ministério da Saúde; 2019. Disponível em: http://datasus.saude.gov.br/.
Félix T, Oliveira E, Lopes MV, Parente JR, Dias, MS, Moreira RM. Fatores de risco para tentativa de suicídio: produção de conhecimento do Brasil. Rev. Contexto Saude. 2016; 16(31):173-185. doi: https://doi.org/10.21527/2176-7114.2016.31.173-185.
Associação Brasileira de Psiquiatria. Comissão de Estudos e Prevenção do Suicídio. Suicídio: informando para prevenir. Brasília, DF: Conselho Federal de Medicina: Associação Brasileira de Psiquiatria; 2014. Disponível em: https://www.cvv.org.br/wp-content/uploads/2017/05/suicidio_informado_para_prevenir_abp_2014.pdf.
Botega NJ. Crise suicida. São Paulo: Artmed; 2015.
Regino P, Elias T, Silveira C, Pissetti C, Pereira G, Silva S. Anxiety, depression and quality of life of patients with breast or gynecological cancer undergoing chemotherapy. CiencCuidSaude. 2018; 17(4):e40246. doi: http://dx.doi.org/10.4025/cienccuidsaude.v17i4.40246.
Santos WS, Ulisses SM, Costa TM, Farias MG, Moura DPF. A influência de fatores de risco e proteção frente à ideação suicida. Psic., Saúde & Doenças. 2016; 17(3):515-526. doi: http://dx.doi.org/10.15309/16psd170316.
Malta DC, Bernal RTI, Lima MG, Araújo SSC, Silva MMA, Freitas MIF, et al. Noncommunicable diseases and the use of health services: analysis of the National Health Survey in Brazil. RevSaude Publica. 2017; 51(Supl1):4s. doi: http://dx.doi.org/10.1590/s1518-8787.2017051000090.
Malta DC, Cezário AC, Moura L, Morais Neto OL, Silva Jr JB. A construção da vigilância e prevenção das doenças crônicas não transmissíveis no contexto do Sistema Único de Saúde. Epidemiol. Serv. Saúde. 2006; 15(3):47-64. doi: http://dx.doi.org/10.5123/S1679-49742006000300006.
Mendes KDS, Silveira RCCP, Galvao, CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008; 17(4):758-764. doi: http://dx.doi.org/10.1590/S0104-07072008000400018.
Tsujimoto T, Takano M, Nishiofuku M, Yoshiji H, Matsumura Y, Kuriyama S, et al. Rapid onset of glycogen storage hepatomegaly in a type-2 diabetic patient after a massive dose of long-acting insulin and large doses of glucose. Intern. Med. 2006; 45(7):469-473. doi: https://doi.org/10.2169/internalmedicine.45.1548.
De Pont ACJM, Kerver ED, Jansen MEP, Bijleveld YA, Franssen EJF, Hoekstra JBL. Een fatale auto-intoxicatie met metformine. Ned TijdschrGeneeskd. 2007; 51(17):981-984. Available from: https://www.ntvg.nl/system/files/publications/2007109810001a.pdf.
Lee F, Lin JL. Intermediate syndrome after organophosphate intoxication in patient with end-stage renal disease.Ren Fail. 2006; 28(2):197-200. doi: https://doi.org/10.1080/08860220500531294.
Copsey Spring TR, Yanni LM, Levenson JL. A shot in the dark: Failing to recognize the link between physical and mental illness. J Gen Intern Med. 2007; 22(5):677-680. doi: https://doi.org/10.1007/s11606-006-0089-9.
Labisi O. Assessing for suicide risk in depressed geriatric cancer patients. J. psychosoc. oncol. 2006; 24(1):43-50. doi: https://doi.org/10.1300/J077v24n01_04.
Ahn MH, Park S, Lee HB, Ramsey CM, Na R, Kim SO, et al. Suicide in cancer patients within the first year of diagnosis. Psychooncology. 2015; 24(5):601-607. doi: https://doi.org/10.1002/pon.3705.
Andrade S, Sesso R, Diniz D. Hopelessness, suicide ideation, and depression in chronic kidney disease patients on hemodialysis or transplant recipients. J. Bras. Nefrol. 2015; 37(1):55-63. doi: http://dx.doi.org/10.5935/0101-2800.20150009.
Banda R. Factores epidemiológicos de depresión en pacientes hemodializados em el Hospital Nacional PNP, Lima – Perú em Setiembre 2012 a Diciembre del 2012. 2013. [tasis] Lima (Pe). Facultad de Medicina. Universidad Nacional Mayor de San Marcos. 2013.
Bahmanyar S, Sparén P, Rutz EM, Hultman CM. Risk of suicide among operated and non-operated patients hospitalised for peptic ulcers. J. Epidemiol. Community Health. 2009; 63(12):1016-121. doi: https://doi.org/10.1136/jech.2008.086348.
Bergquist H, Ruth M, Hammerlid E. Psychiatric morbidity among patients with cancer of the esophagus or the gastro-esophageal junction: a prospective, longitudinal evaluation. Dis. Esophagus. 2007; 20(6):523-529. doi: https://doi.org/10.1111/j.1442-2050.2007.00741.x.
Bot M, Pouwer F, Jonge P, Tack CJ, Geelhoed-Duijvestijn PH, Snoek FJ. Differential associations between depressive symptoms and glycaemic control in outpatients with diabetes. Diabet. Med. 2013; 30(3):e115-122. doi: https://doi.org/10.1111/dme.12082.
Camidge R, Stockton DL, Frame S, Wood R, Bain M, Bateman DN. Hospital admissions and deaths relating to deliberate self-harm and accidents within 5 years of a cancer diagnosis: a national study in Scotland, UK. Br. J. Cancer, 2007; 96(5):752-757. doi: https://doi.org/10.1038/sj.bjc.6603617.
Chen CK, Tsai YC, Hsu HJ, Wu IW, Sun CY, Chou CC, e t al. Depression and suicide risk in hemodialysis patients with chronic renal failure. Psychosomatics. 2010; 51(6):528-528.e6. doi: https://doi.org/10.1176/appi.psy.51.6.528.
Chung KH, Lin HC. Methods of suicide among câncer patients: a nationwide population-based study. Suicide Life Threat. Behav, 2010; 40(2):107-114. doi: https://doi.org/10.1521/suli.2010.40.2.107.
Costantini A, Pompili M, Innamorati M, Zezza MC, Di Carlo A, Sher L, et al. Psychiatric Pathology and Suicide Risk in Patients with Cancer. J. psychosoc. oncol. 2014; 32(4):383-95. doi: https://doi.org/10.1080/07347332.2014.917136.
Diaz-Frutos D, Baca-Garcia E, Mahillo-Fernandez I, Garcia-Foncillas J, Lopez-Castroman J. Suicide ideation among oncologic patients in a Spanish ward. Psychol. Health Med. 2016; 21(3):261-271. doi: https://doi.org/10.1080/13548506.2015.1058960.
Dou J, Tang J, Lu CH, Jiang ES, Wang PX. A study of suicidal ideation in acute ischemic stroke patients. Health Qual. Life Outcomes. 2015; 13:7. doi: https://doi.org/10.1186/s12955-014-0198-9.
Fang F, Valdimarsdóttir U, Fürst CJ, Hultman C, Fall K, Sparén P, et al. Suicide among patients with amyotrophic lateral sclerosis. Brain. 2008; 131(Pt 10):2729-2733. doi: https://doi.org/10.1093/brain/awn161.
Fanger PC, Azevedo RCS, Mauro MLF, Lima DD, Gaspar KC, Silva VF, et al. Depressão e comportamento suicida em pacientes oncológicos hospitalizados: prevalência e fatores associados. Rev. Assoc. Méd. Bras. 2010; 56(2):173-178. doi: http://dx.doi.org/10.1590/S0104-42302010000200015.
Gadalla T. M. Disability associated with comorbid anxiety disorders in women with chronic physical illness in Ontario, Canada. Women Health. 2008; 48(1):1-20. doi: https://doi.org/10.1080/03630240802131965.
Igwe MN, Uwakwe R, Ahanotu CA, Onyeama GM, Bakare MO, Ndukuba AC. Factors associated with depression and suicide among patients with diabetes mellitus and essential hypertension in a Nigerian teaching hospital. Afr Health Sci. 2013; 13(1):68-77. doi: https://doi.org/10.4314/ahs.v13i1.10.
Jokinen J, Mattsson F, Lagergren K, Lagergren J, Ljung R. Suicide attempt and future risk of cancer: a nationwide cohort study in Sweden. Cancer Causes Control. 2015; 26(3):501-509. doi: https://doi.org/10.1007/s10552-015-0528-1.
Lin HC, WU CH, Lee HC. Risk factors for suicide following hospital discharge among cancer patients. 2009; 18(10):1038-1044. doi: https://doi.org/10.1002/pon.1483.
Löfman S, Hakko H, Mainio A, Timonen M, Räsänen P. Characteristics of suicide among diabetes patients: A population based study of suicide victims in Northern Finland. J. psychosom. res. 2012; 73(4):268-271. doi: https://doi.org/10.1016/j.jpsychores.2012.08.002.
Macaron G, Fahed M, Matar D, Bou-Khalil R, Kazour F, Nehme-Chlela D, et al. Anxiety, Depression and Suicidal Ideation in Lebanese Patients Undergoing Hemodialysis. Community ment. health j. 2014; 50(2):235-238. doi: https://doi.org/10.1007/s10597-013-9669-4.
Madeira N, Albuquerque E, Santos T, Mendes A, Roque M.. Death ideation in cancer patients: contributing factors. J. psychosoc. oncol. 2011; 29(6):636-642. doi: https://doi.org/10.1080/07347332.2011.615381.
Ravi P, Karakiewicz PI, Roghmann F, Gandaglia G, Choueiri TK, Menon M, et al. Mental health outcomes in elderly men with prostate cancer. Urol. oncol, 2014; 32(8):1333-1340. doi: https://doi.org/10.1016/j.urolonc.2014.05.005.
Safa M, Boroujerdi FG, Talischi F, Masjedi MR. Relationship of coping styles with suicidal behavior in hospitalized asthma and chronic obstructive pulmonary disease patients: Substance abusers versus non- substance abusers. Tanaffos, 2014; 13(3):23-30. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4338049/.
Shim EJ, Park JH. Suicidality and its associated factors in cancer patients: results of a multi-center study in Korea. Int. j. psychiatry med. 2012; 43(4):381-403. doi: https://doi.org/10.2190/PM.43.4.g.
Spencer RJ, Ray A, Pirl WF, Prigerson HG. Clinical Correlates of Suicidal Thoughts in Patients With Advanced Cancer. Am J Geriatr Psychiatry. 2012; 20(4):327-36. doi: https://doi.org/10.1097/JGP.0b013e318233171a.
Villavicencio-Chávez C, Monforte-Royo C, Tomás-Sábado J, Maier MA, Porta-Sales J, Balaguer A. Physical and psychological factors and the wish to hasten death in advanced cancer patients. Psycho oncology. 2014; 23(10):1125-32. doi: https://doi.org/10.1002/pon.3536.
Walker J, Waters RA, Murray G, Swanson H, Hibberd CJ, Rush RW. Better off dead: suicidal thoughts in cancer patients. J. Clin. Oncol. 2008; 26(29):4725-30. doi: https://doi.org/10.1200/JCO.2007.11.8844.
Yamauchi T, Inagaki M, Yonemoto N, Iwasaki M, Inoue M, Akechi T, et al. Death by suicide and other externally caused injuries following a cancer diagnosis: the Japan Public Health Center‐based Prospective Study. Psychooncology. 2014; 23(9):1034-41. doi: https://doi.org/10.1002/pon.3529.
Yoshikawa E. Psychiatric symptom in cancer patients requiring immediate management. GanToKagakuRyoho. 2008; 35(13):2326-2329. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19098399.
Cottencin O. Dépressions sévères : comorbidités somatiques. Encephale. 2009; 35(Suppl 7):S272-S278. doi: https://doi.org/10.1016/S0013-7006(09)73485-2.
Rivera-Ledesma A, Montero-López M, Sandoval-Ávila R. Desajuste psicológico, calidad de vida y afrontamiento en pacientes diabéticos con insuficiencia renal crónica en diálisis peritoneal. Saludment. 2012; 35(4):329-337. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0185-33252012000400008.
Masango S, Rataemane S, Motojesi A. Suicide and suicide risk factors: A literature review. S AfrFamPract. 2008; 50(6):25-28. doi: https://doi.org/10.1080/20786204.2008.10873774.
Herpertz S. Sollen/müssen wir die behandlung der adipositas den chirurgen überlassen?Psychother Psychosom Med Psychol. 2015; 65(01):42-44. doi: https://doi.org/10.1055/s-0034-1394406.
Aiello-Laws L. B. Assessing the risk for suicide in patients with cancer. Clin J OncolNurs. 2010; 14(6):687-691. doi: https://doi.org/10.1188/10.CJON.687-691.
Cooke L, Gotto J, Mayorga L, Grant M, Lynn R. What do I say? Suicide assessment and management. Clin J Oncol Nurs. 2013; 17(1):E1-7. doi: https://doi.org/10.1188/13.CJON.E1-E7.
Imboden C.; Hatzinger M. Suizidalität im somatischen Spital – Perspektive der Konsiliar- und Liaisonpsychiatrie. TherUmsch. 2015; 72(10):637-642. doi: https://doi.org/10.1024/0040-5930/a000730.
Kawanishi C, Iwashita S, Sugiyama N, Kawai M, Minami Y, Ohmichi H. Proposals for suicide prevention in general hospitals in Japan. Psychiatry Clin. Neurosci. 2007; 61(6):704. doi: https://doi.org/10.1111/j.1440-1819.2007.01742.x.
Taur FM, Chai S, Chen MB, Hou JL, Lin S, Tsai SL. Evaluating the suicide risk‐screening scale used by general nurses on patients with chronic obstructive pulmonary disease and lung cancer: a questionnaire survey. J ClinNurs. 2012; 21(3-4):398-407. doi: https://doi.org/10.1111/j.1365-2702.2011.03808.x.
