Introduction: Suicide is an issue of great severity in public health worldwide. This study aimed to investigate which instruments are most frequently used by healthcare professionals to assess suicide risk and how accessible such instruments are, as well as to determine the scope of suicide phenomena. Method: A systematic review was performed using the following Boolean searches: "scale AND suicide," "evaluation AND suicide," "questionnaire AND suicide." The articles retrieved were read and selected by two independent researchers-any discrepancies were addressed by a third researcher. Results: From a total number of 206 articles, 20 instruments were identified as being currently used to assess suicide risk. The two most common were the Beck Scale for Suicide Ideation (BSI) and The Columbia-Suicide Severity Rating Scale (C-SSRS). Conclusion: Even though the two scales (BSI and C-SSRS) are the most frequently mentioned and used by healthcare professionals to assess suicide risk, both instruments present breaches in their structure and there is not yet a single instrument considered to be the gold standard. As a future perspective, there is the urgency of developing a new tool that can widely and completely assess all psychopathological aspects of suicidality.
Objetivo: compreender o significado da internação psiquiátrica para os pacientes com esquizofrenia. Metodologia: pesquisa qualitativa de natureza fenomenológica pautada no referencial teórico de Maurice Merleau-Ponty, realizada com 10 pacientes com diagnóstico de esquizofrenia, na Unidade de Internação psiquiátrica do Hospital de Clínicas de Porto Alegre (HCPA), no período de junho a agosto de 2016, na cidade de Porto Alegre/RS. Foram realizadas entrevistas semiestruturadas cujas informações foram submetidas à análise fenomenológica. Resultados: emergiram seis unidades temáticas. Conclusão: a partir das colocações de Merleau-Ponty, foi possível compreender de que forma o paciente com esquizofrenia observa seus avanços ou retrocessos durante o tratamento. O presente estudo torna-se uma ferramenta que possibilita o aprimoramento do processo de atenção ao paciente com esquizofrenia, fazendo com que os cuidados destinados a ele se tornem diferenciados e focados em suas necessidades.Descritores: Saúde Mental; Esquizofrenia; Enfermagem.THE MEANING OF PSYCHIATRIC HOSPITALIZATION FOR PATIENTS WITH SCHIZOPHRENIAObjective: This paper aims to understand the meaning of psychiatric hospitalization for patients with schizophrenia. Methodology: It is a qualitative research with a phenomenological approach based on the theoretical reference of Maurice Merleau-Ponty, and carried out at the Psychiatric Hospitalization Unit of the Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre/RS. Results: Ten patients with the diagnosis of schizophrenia were interviewed, and the data submitted to phenomenological analysis from which six thematic units emerged. Conclusion: Based on Merleau-Ponty's findings, it was possible to understand how patients with the diagnose of schizophrenia see their improvements or deterioration during treatment. This study should be used as a tool to allow improvement of the care delivered to patients with schizophrenia, making it more patient-focused and unique.Descriptors: Mental health; Schizophrenia; Nursing.EL SIGNIFICADO DE LA INTERNA PSIQUIÁTRICA PARA LOS PACIENTES CON ESQUIZOFRENIAObjetivo: comprender el significado de la internación psiquiátrica para los pacientes con esquizofrenia. Metodología: investigación cualitativa de naturaleza fenomenológica pautada en el referencial teórico de Maurice Merleau-Ponty. Realizado en la Unidad de Internación psiquiátrica del Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre / RS. Resultados: fueron entrevistados 10 pacientes con diagnóstico de esquizofrenia, cuya información fue sometida al análisis fenomenológico y emergieron seis unidades temáticas. Conclusión: a partir de las colocaciones de Merleau-Ponty, fue posible comprender de qué forma el paciente con esquizofrenia observa sus avances o retrocesos durante el tratamiento. El presente estudio se convierte en una herramienta que posibilita el perfeccionamiento del proceso de atención al paciente con esquizofrenia, haciendo que los cuidados destinados a él se vuelvan diferenciados y enfocados en sus necesidades.Descriptores: Salud mental; Esquizofrenia; Enfermería.
Introduction Suicide is a serious public health problem that affects the whole world. This study describes development of the prototype for an mHealth application (app) intended to assist healthcare professionals to identify suicide risk in hospitalized patients and reports on testing of the app by some of these professionals, conducted to confirm its functionality. Method This is applied exploratory research into use of Information Technology within the healthcare field, based on application prototyping for mobile devices. The research was conducted at the Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) from 2017 to 2019. Six healthcare professionals, one data scientist, and three undergraduate students in Biomedical Informatics took part in the study. All research participants signed the free and informed consent form. Results The main findings show that the development team created a prototype named Detect-S, which became a cross-platform application (iOS and Android) offering 16 functions. Conclusion It can be concluded that Detect-S has the potential to be a positive technological instrument that can be tested in a hospital setting to assist healthcare professionals to identify and manage patients with at risk of suicide.
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