Atitudes dos profissionais de saúde frente ao com comportamento suicida : estudo de intervenção

Abstract

To analyze the attitudes of the professionals of the Family Health teams - eSF, exposed to training, in the face of suicidal behavior. Methodology: Experimental study, developed in the ESF in the city of Cuiabá-MT, from April to August 2017, included: being working in the EFS in the functions of nursing technician, nurses or doctors and excluded: workers working in the units of ESF in rural areas. The sample consists of 87 individuals randomly allocated to the intervention group (IG), and 174 to the control group (CG). The GI professionals received training to assist individuals with suicidal behavior lasting 20 hours and the attitudes of both groups were assessed before and after the intervention using the Questionnaire on Attitudes towards Suicidal Behavior, consisting of three domains: feelings Negative towards suicidal behavior, perception of professional capacity and right to suicide. The analyzes were performed in the SPSS 20.0 program, using Student's t-tests for independent and dependent samples with symmetric distributions and for asymmetric distributions the Wilcoxon test. Pearson's chi-square test was used for bivariate analysis, and Poisson regression for multiple analysis. Research approved by the HUJM Research Ethics Committee, no 1,978,854. Results: Presented in the form of two manuscripts. The first analyzed the association of the attitudes of eSF professionals towards suicidal behavior with the sociodemographic, professional variables related to the care and suicidal behavior of the professional. It was evidenced that the variables that showed a statistically significant association with the perception of professional capacity were previous training in mental health, training to attend to suicidal behavior, having assisted people with suicidal ideation or who died by suicide. The variables that showed an association with the right to suicide were age, education, having someone in the family or friend who attempted suicide. In the multiple analysis, training for suicide care, age, having attempted suicide, sex, training in mental health and suicide care, having attended a person with suicidal ideation, having attempted suicide and having a friend with Previous suicide attempt. The second manuscript verified whether the training intervention promoted an improvement in the attitudes of health professionals and compared the results between the two groups. The results showed that both groups were homogeneous in the pre-test results. After the intervention, the IG showed statistically significant gains in six of the seven items that make up the negative feeling factor. As for the perception of professional capacity, there were gains in all four items that make up this factor and in the right to suicide, positive changes were seen in three of the five items. At IG, attitudes were more positive when compared to CG after training. Conclusion: It is observed that the applied intervention was effective in changing the attitude of professionals towards suicidal behavior. This finding contributes to the quality of care in primary care and reinforces the feasibility of training in order to prevent this problem in the population.