For a public policy of surveillance of suicidal behavior

Abstract

The object is to reflect on the need for effective implementation of a surveillance program of suicidal behavior and of the causal and intervening factors of suicide, as well as to training and qualification of health professionals about this topic, and the profile of the individual with suicidal behavior. Suicidal behavior is public health serious, global problem and it should be faced in a consensual way by public administrators, professionals and population. Suicide is a real, current catastrophe and a kind of death that can be avoided.

Prevalência e características das violências e intoxicações exógenas autoprovocadas: um estudo a partir de base de dados sobre notificações

“…O Boletim Epidemiológico emitido pelo Ministério da Saúde em 2017 revelou um crescimento nos casos de vio lência autoinfligida próximo a 200% em todos os estados brasileiros, entre os anos de 2011 e 2016, convergindo com o acréscimo encontrado na amostra estudada 6 . No entan to, a subnotificação e os erros de classificação se mantêm frequentes e o sistema de notificação ainda é debilitado, de modo que as taxas podem ser maiores do que as relatadas 13 . Além disso, também a ausência dos óbitos consumados na análise ora apresentada pode contribuir para o mascaramen to desses dados.…”

“…No que se refere às intoxicações exógenas, são descritas como o método mais comumente utilizado em casos de violência autoinfligida e, consequentemente, em tentativas de suicídio 12,13 . Todavia, são consideradas um agravo evitável, corroborando que estratégias preventivas voltadas à saúde mental podem contribuir para a diminuição dos casos na população 6 .…”

Analysis of Factors Associated with the Risk of Suicide in a Brazilian Capital: Cross-Sectional Study

“…People with a disease such as cancer and/or an unfavorable financial situation are more likely to have recurrent attempts compared to the general population [ 43 , 51 ]. Countries that do not have a suicide intervention or prevention policy may have higher numbers of suicide attempts [ 15 ]. Brazil has a volunteer organization known as the Life Valorization Center (CVV) which provides the phone number “188” to individuals in need of support [ 52 , 53 ].…”

“…Suicide must be taken seriously to reduce underreporting [ 2 ]. Urgent and emergency services register suicides and attempted suicides as incidents such as accidental poisoning, firearm injuries, and car accidents [ 11 , 15 ]. Survivors or family members request that the real cause not be revealed, as they believe it is a disgrace and they will be morally judged [ 15 ].…”

Risk and protective factors for depressive symptoms and suicidal behavior in the general population

“…The failure to detect patients with mild and moderate levels favors the worsening of depression, with important effects on the ability to study, work and have a good quality of life (3) . Detecting cases of depression has been effective in reducing the number of subsequent visits, shortening the duration of the episode and mitigating its long-term effects (4)(5) .…”