Objective: To characterize the profile of suicide attempts treated at an emergency department in the municipality of Arapiraca, state of Alagoas, Brazil, from 2009 to 2012. Methods: We analyzed all emergency department records containing a diagnosis of suicide attempt. Data were evaluated using Student's t test and Pearson's chi-square test. Significance was accepted at po0.05. Results: We identified 2,142 cases. Suicide attempts were more frequent among women and young adults, but deaths were more frequent among men. Suicide attempts were most frequent among patients aged 10 to 39 years (81.1%). Drug intoxication (65.0%) and non-drug poisoning (16.2%) were significantly more prevalent than other methods of suicide. The month of April (10.6%) accounted for the greatest number of cases, and July had the smallest number (5.5%). Suicide attempts were most prevalent in spring (28.3%), on Sundays (18.4%) and Saturdays (16.8%), and from 12:00 p.m. to 5:59 p.m. Conclusion: Suicide prevention measures should focus on young women. Further research into the care provided to suicide attempters and better monitoring of the sale and use of medicines and poisons could be useful.

OBJECTIVE:To identify the socio-demographic profiles, suicidal ideation, the presence of mental disorders and the quality of life of patients using mental health services in Arapiraca, Alagoas, Brazil.METHOD:Interviews were conducted in family health units and the Psychosocial Attention Center. The sample included 202 mental disorder patients with a risk of suicide attempts, 207 mental disorder patients without a risk of suicide attempts and 196 controls. This study used an identification questionnaire, the abbreviated World Health Organization Quality of Life questionnaire, Beck‘s Suicidal Ideation Scale and the Mini International Neuropsychiatric Interview.RESULTS:Patients who had a mental disorder and a risk of suicide attempts tended to be single, had less education and lower family income, were not working and showed lower scores in quality of life domains; 73 of these patients had suicidal ideation in the previous week. Depressive disorders, manic episodes, hypomanic episodes, social phobias, obsessive compulsive disorder, post-traumatic stress disorder, psychotic syndromes and generalized anxiety disorder were more frequent and statistically significant for patients at risk for suicide attempts.CONCLUSION:The management of patients with a risk of suicide attempts must focus on individual patients because this risk is directly linked to changes in quality of life and the improvement of these patients' prognosis.

Objetivo: Este estudo analisou a presença de desesperança e sua relação com os transtornos mentais, em profissionais de enfermagem que atuam em serviços oncológicos. Método: Estudo descritivo e transversal realizado com 89 profissionais de enfermagem atuantes em serviços especializados em oncologia utilizando os instrumentos: Formulário de identificação geral, Escala de Desesperança de Beck e Mini International Neuropsychiatric Interview (Brazilian version 5.0.0). Resultados: Os resultados revelaram que os profissionais de enfermagem apresentam desesperança em nível mínimo. Existe associação entre desesperança e doença preexistente (ρ= 0,00), tratamento medicamentoso (ρ= 0,01), acompanhamento psiquiátrico (ρ= 0,00) e alguns transtornos mentais [episódio depressivo maior (ρ = 0,02), episódio depressivo maior com características melancólicas (ρ = 0,02), transtorno distímico (ρ = 0,01), agorafobia (ρ = 002), fobia social (ρ = 0,00), risco de suicídio (ρ = 0,00), dependência de álcool (ρ =0,02), dependência de substâncias (ρ = 0,00), transtorno de personalidade antissocial (ρ = 0,02) e comorbidades psiquiátricas (ρ = 0,02)]. A desesperança leve (21,3%) foi evidenciada na depressão, agorafobia, transtorno de pânico, risco de suicídio, uso de álcool e transtorno de personalidade antissocial, enquanto que a desesperança moderada (1,1%) foi presente na fobia social e uso de substâncias psicoativas. Conclusão: Observou-se associação entre desesperança e alguns transtornos mentais em profissionais de enfermagem. É necessária a realização de atividades que promovam o bem-estar dos profissionais de enfermagem que atuam nos setores de oncologia. O aconselhamento psicológico é essencial para manter a saúde mental.

Objective: To evaluate the use of biofeedback intervention in the levels of depression. The main hypothesis tested if the use of biofeedback improves depression levels compared to the control group. Methods: A randomised clinical trial. The final sample was composed of 36 participants (18 in the experimental group, receiving 6 training, once a week, with biofeedback; and 18 in the control group, who received conventional treatment in the service).Outcome measures were assessed in two stages: pre-test and post-test. The research used the following instruments: demographic survey data, Mini International Neuropsychiatric Interview 5.0.0 and Beck Depression Inventory (BDI). The factors and variables were presented in terms of descriptive and inferential statistics. Fisher’s exact test (p < 0.05) was used to verify the existence of an association between the counting variables. The multinomial logistic regression model was adopted, and the Logit link function was used, as the software RStudio version 3.6.2. Results: The factors that remained in the final model were group, sex, partner, atypical antidepressant, benzodiazepines, mood stabiliser, antiepileptic and antihistamine, according to the levels of depression based on the BDI. The group that did not receive biofeedback intervention had 16 times more chances of increasing the depression levels compared to participants in the experimental group. Conclusion: The use of biofeedback reduces depression, thus, representing a complementary alternative for the treatment of moderate and severe depression, and dysthymia.

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