Content Validation for the Brazilian Version of the Nurses Global Assessment of Suicide Risk Index

Abstract

Objective: to perform the content validation of the Nurses Global Assessment of Suicide Risk index for the Brazilian population served in primary care. Method: a methodological study of cultural adaptation and content evaluation of the NGASR index, original scale from the United Kingdom, carried out through the stages: evaluation of verbal comprehension by an experts committee (semantic, idiomatic, conceptual and cultural equivalence and content validity), back-translation and verification of clarity by means of a pre-test. The experts committee was composed of nine judges and the pre-test with 30 users of primary care services and 19 nurses. The Content Validation Index was calculated. Results: the final validated version is composed of 15 items that obtained a Content Validation Index greater than 0.78 by the experts committee and in the application of the pre-test with users and nurses. Conclusion: the instrument favors the performance of professional nurses in primary health care in the prevention of suicidal behavior by facilitating risk assessment and the adoption of relevant actions.

Professional Attitudes Towards Suicidal Behavior in Primary Health Care: A Quasi-Experimental Study

“…It corroborates the increase in skills for the recognition of appropriate clinical responses, self-perception of the general ability to interact with these users and mastery of essential competences, knowledge about risk assessment and management, and the ability to evaluate and manage these cases. The perception of sufficient training to work with suicidal behavior increases significantly after training sessions with a preventive approach [26][27][28] .…”

“…In addition to that, the use of clinical tools that assist health professionals in clinical reasoning and in establishing the risk of suicidal behavior represents an alternative for the screening and management of people with suicidal behavior. Psychometric, adaptation and validation studies for Brazil have been a research object for Nursing teams 28 .…”

“…Nearly half of the participants stated having attended training sessions in which the theme of suicidal behavior was addressed. It is noted that the quality of the care provided to these users is evidenced by the attitudes of the team, which, in turn, are associated with preparedness of the professional for the proper handling and management of these cases [26][27][28][29] .…”

Atitudes Profissionais Em Relação Ao Comportamento Suicida Na Atenção Primária À Saúde: Um Estudo Quase-Experimental

“…Corrobora o aumento das habilidades para o reconhecimento de respostas clínicas apropriadas, autopercepção da capacidade geral de interagir com estes usuários e domínio de competências essenciais, conhecimento sobre avaliação e gerenciamento de risco e a capacidade de avaliar e gerenciar estes casos. A percepção de treinamento suficiente para trabalhar com comportamento suicida aumenta significativamente após treinamentos com abordagem preventiva [26][27][28] .…”

“…Além disso, o uso de ferramentas clínicas que auxiliam os profissionais de saúde no raciocínio clínico e no estabelecimento do risco do comportamento suicida representa uma alternativa para o rastreamento e manejo de pessoas com comportamento suicida. Estudos psicométricos, de adaptação e validação para o Brasil têm sido objeto de investigação para a equipe de Enfermagem 28 .…”