Foi realizada uma revisão integrativa sobre o tema do estigma social imposto aos indivíduos que tentaram suicídio, trazendo à tona reflexões a partir da perspectiva bioética. A pesquisa foi conduzida em bases de dados eletrônicas. Foram incluídos apenas artigos de revistas científicas revisadas por pares com resumos disponíveis. Não houve limites quanto ao ano de publicação e idioma. Na primeira fase de busca, 272 manuscritos foram encontrados. Após a leitura dos textos completos, apenas 22 foram incluídos no estudo. Diante das limitações da pesquisa, acredita-se que o estudo aprofundado do estigma no comportamento suicida pode contribuir significativamente para o tratamento de pacientes que se submeteram à tentativa. Conclui-se que o estudo desse assunto apresenta ampla gama de discussões bioéticas, por ser um fenômeno que afeta aspectos relacionados à autonomia e à proteção da pessoa.

Introduction: Suicide, a complex and universal human phenomenon, is a major public health problem. This study reviewed the literature about the major risk factors associated with suicide attempts by poisoning. Methods: An integrative review of the literature was performed in databases (LILACS, PubMed and MEDLINE) to search for studies published between 2003 and 2013, using the following keywords: suicide, attempted; poisoning; risk factors. Inclusion criteria were: original study with abstract, sample of adults, and attempted suicide by poisoning in at least 50% of the study population. Results: Two hundred and nineteen studies were retrieved and read by two independent examiners, and 22 were included in the study. The main risk factors for suicide attempts by poisoning were female sex, age 15-40 years, single status, little education, unemployment, drug or alcohol abuse or addiction, psychiatric disorder and psychiatric treatment using antidepressants. Conclusion: Further prospective studies should be conducted to confirm these risk factors or identify others, and their findings should contribute to planning measures to prevent suicide attempts.

Palavras-chave ABSTRACTObjective: To identify psychiatric conditions and socio-bio-demographic aspects associated with attempted suicide. Methods: The sample consisted of 240 patients of both sexes, aged 18 to 68 years, 120 patients comprised the control group and the experimental group 120. The instruments used were a socio-bio-demographic questionnaire and the Mini International Neuropsychiatric Interview (MINI). Results: A higher presence of stressors in the experimental group, the main ones being the experience of an emotional separation and the existence of family conflicts, the most common psychiatric condition in the population studied was generalized anxiety disorder and more associated with suicidal behavior it was major depression. Conclusions: These results add the importance of investigating the presence of generalized anxiety disorder as another suicide vulnerability factor.

IntroductionThe abuse of alcohol and other drugs is a worldwide problem, the treatment of which poses a challenge to healthcare workers.ObjectiveThis study presents a proposal for a systematic review to analyse the psychometric properties of assessment tools developed to measure the self-efficacy of drug users with regard to resisting the urge to take drugs in high-risk situations.Methods and AnalysisThe guiding question was based on PICOS (Population Intervention Comparator Outcome Setting), and the report of the methods of review protocol was written in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). Searches will be performed in the PsycINFO, Cochrane, Pubmed, Web of Science, SCOPUS and CINAHL databases, followed by the use of the ‘snowball’ strategy. The inclusion criteria for the articles will be (1) assessment tool validation studies; (2) assessment tools developed to measure self-efficacy; (3) quantitative measures; (4) measures designed for use on adults; (5) data from self-reports of the participants; (6) studies involving a description of psychometric properties of the measures; and (7) studies that explain how the level of self-efficacy is scored. The search, selection and analysis will be performed by two independent reviewers. In cases of a divergence of opinion, a third reviewer will be consulted. The COSMIN checklist will be used for the appraisal of the methodological quality of the assessment tools and the certainty of the evidence in the articles (risk of bias) will be analysed using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach.Ethics and disseminationThis protocol does not require ethical approval. However, this protocol is part of the thesis entitled Drug-Taking Confidence Questionnaire for use in Brazil, presented for obtaining a doctorate in neuropsychiatry and behavioural sciences from the Federal University of Pernambuco, and has received approval from the human research ethics committee of the Federal University of Pernambuco (reference number: 1.179.162).The results will be disseminated to clinicians and researchers through peer-reviewed publications and conferences.PROSPERO registration numberCRD42017068555.

Objective: to characterize educational actions related to human communication health produced at the Tele-Health Center for health professionals in primary care. Methods: a cross-sectional study was conducted at the Tele-Health Center at the Federal University of Pernambuco Clinical Hospital. Educational actions produced by tele-consultants between 2008 and 2014 linked to the health of human communication were considered. Data collection was conducted in two phases. In the first phase, the data were explored and educational actions were selected based on the title and the relationship with human communication. In the second phase, each action was observed and evaluated for content. The data were analyzed using descriptive statistics. Results: a few educational actions related to human communication health were concentrated in 2014. Throughout the period analyzed, the actions were restricted to the field of language and concentrated on the education issue as well as the strategic area of child and adolescent health. The most frequent occupational category among the tele-consultants was nursing. Conclusion: a small number of educational actions addressing the health of human communication was produced and the participation of speech therapists remains incipient.

RESUMO Objetivo: descrever a implantação e o nível de satisfação dos usuários sobre ações de tele-educação, relacionadas à saúde da comunicação humana. Métodos: relato de experiência que envolveu a realização de dez sessões de seminários transmitidos por webconferência, em um Núcleo de Telessaúde de Pernambuco. O público-alvo foi composto por profissionais que atuam na Atenção Primária à Saúde. A coleta de dados foi conduzida mediante entrevista estruturada, via contato telefônico com os participantes dos seminários. Foram consideradas as seguintes variáveis: temáticas das sessões, média de pontos conectados, município participante, categoria profissional e nível de satisfação do participante. Os dados foram analisados por frequência simples e média aritmética. Resultados: a média de pontos conectados nas dez sessões foi de 3,77. Participaram profissionais da área da enfermagem, medicina, fonoaudiologia e profissionais de nível técnico - Agentes Comunitários de Saúde. 100% do público considerou os temas muito interessantes, além de relevante à profissão. Todos referiram satisfação com as ações de tele-educação. Conclusões: a implantação da Telefonoaudiologia em Pernambuco iniciou-se pela capacitação da equipe, planejamento, oferta e avaliação das ações de tele-educação, voltadas para a temática da saúde da comunicação humana.

Background The Pain Medication Questionnaire (PMQ) assesses the risk of opioid abuse in people with non-oncological chronic pain. Methods This is a methodological study conducted at a hemotherapy centre in Recife, Pernambuco state, Brazil. A Cross-cultural adaptation was carried out by a committee of nine specialists, and we applied the PMQ to a pre-final sample of 40 individuals with sickle cell anemia, in addition to a sociodemographic and clinical questionnaire. Results The mean agreement indexes for PMQ equivalences were the following: semantic (0.996), idiomatic (0.970), experiential (0.991), conceptual (0.953), language clarity (0.991), practical relevance (0.906), and theoretical relevance (0.945). Assessment of the PMQ showed that 50% of participants obtained a score equivalent to medium risk of opioid abuse. Cronbach’s alpha coefficient for the adapted PMQ instrument was 0.705, ranging from 0.641 to 0.736 among its items. Conclusion The cross-cultural adaptation of the Pain Medication Questionnaire was satisfactory and easy to apply in the Brazilian population. It is clinically relevant, contributing professional practice and enlightening patients with sickle cell anemia on their behavioral dynamics with respect to opioid consumption. It will also contribute to teaching and research, because it is a useful tool for investigating the risk of abusive behavior in people with chronic pain.

IntroductionDepression is a common debilitating disease that affects individuals in all age groups. The impact of the diagnosis extends beyond the individual, with negative effects on mental health, physical health and social well-being. Self-efficacy has been referenced as an important aspect to the prognosis of mood disorders by conferring co-responsibility to the affected individual to face his/her health problems. Several assessment tools are found in the literature for measuring self-efficacy, but it is not yet clear which of these measures are more applicable to individuals with mood disorders, particularly depression. Thus, the aim of present study is to propose a systematic review to examine the psychometric properties and applicability of assessment tools designed to measure self-efficacy in individuals with symptoms and/or a diagnosis of depression.Methods and analysisThis protocol is reported in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols statement and the review will be reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The evaluation of the psychometric properties of the health outcome measures will be conducted according to COSMIN guidelines. Two independent reviewers will perform the electronic searches in the PubMed, Web of Science, PsycInfo, SCOPUS and CINAHL databases, followed by the use of the ‘snowball’ strategy. The inclusion criteria will be (1) instrument validation studies, (2) developed with individuals of any age (3) with symptoms or a diagnosis of depression. Two independent reviewers will analyse the titles and abstracts of the articles retrieved during the search for pre-selection, followed by full-text analyses to determine inclusion in the review based on the eligibility criteria. Cases of a divergence of opinion will be resolved by a third reviewer. Descriptive analysis of the articles will be performed (data on participants, characteristics, psychometric properties and clinical usefulness of the assessment tools).Ethics and disseminationThe proposed systematic review will provide information on assessment tools employed to measure self-efficacy with regard to coping with depression, offering data on the psychometric properties, strong and weak points, and clinical applicability. As a secondary analysis of the literature, the approval of an ethics committee is not required.PROSPERO registration numberCRD42017078707