Risco de suicídio em jovens com transtornos de ansiedade: estudo de base populacional

Abstract

ResumoEste estudo teve por objetivo verificar a relação entre a presença de transtornos de ansiedade e risco de suicídio em jovens. Em delineamento transversal de base populacional, os jovens respondiam a um questionário sobre questões sociodemográficas, comportamentais e de saúde. Avaliou-se o bem-estar psicológico através da Escala de Faces de Andrews e consumo de substâncias foi efetuado pelo Teste de Triagem do Envolvimento com Álcool, Cigarro e Outras Substâncias, (Alcohol, Smoking and Substance Involviment Screening Test -ASSIST). A Mini Internacional Neuropsychiatric Interview 5.0 avaliou transtornos de ansiedade e o risco de suicídio. Dos 1.621 jovens entrevistados, 20,9% apresentaram algum transtorno de ansiedade e 8,6% risco de suicídio. A presença de algum transtorno de ansiedade esteve significativamente associada ao risco de suicídio (RP 6,10 IC95% 3,95 a 9,43). Dessa forma, salienta-se a importância de maior atenção ao risco de suicídio também em pacientes com transtornos de ansiedade. Palavras-chave: Suicídio; Ansiedade; Distúrbios Mentais. Suicide risk in young adults with anxiety disorders: population-based study AbstractThis study aimed at investigating the relationship between the presence of anxiety disorders and suicide risk in young adults. In a cross-sectional population-based design young adults answered a questionnaire about sociodemographic, behavioral and health characteristics. The measure of psychological well-being was made by Faces Scale of Andrews while the substances use evaluation was performed according to the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). The Mini International Neuropsychiatric Interview 5.0 evaluated anxiety disorders and suicide risk. Among the 1.621 young adults interviewed, 20.9% had some anxiety disorders and 8.6% suicide risk. After multivariate analysis, the presence of any anxiety disorder was significantly associated with suicide risk (PR 6.10 95% CI 3.95 to 9.43). Thus, it is highlighted the importance of greater attention to suicide risk in those patients with anxiety disorders.

Aplicação do instrumento Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): uma revisão integrativa

“…Many professionals proceeded to the implementation of ASSIST and among them, we highlight different health professionals (53.8%) (5,7,10,(17)(18)(19)21,(23)(24)(25)(26)28,(31)(32) , followed by trained individuals named as interviewers (34.6%) (2,6,8,11,20,22,27,33) , and researchers (authors), which corresponded to 11,5% (9,16,25) . Regarding the database which the studies were obtained, 34.6% (5,7,11,(16)(17)(18)21,23,26) were from PubMed, followed by the CAPES Journal Portal with 26.9% (2,20,22,25,(31)(32)(33) , SciELO with 19.2% (19,24,(27)(28)(29) , LILACS with 15.4% (6,8,9,…”

“…This IRL shows that 34.6% (5,7,11,(16)(17)(18)(19)(20)(21) of the studies came from the PubMed database, followed by CAPES Journals with 26.9% (2,(21)(22)(23)(24)(25)(26) , SciELO with 19.2% (19,24,(27)(28)(29) , Lilacs, with 15.4% (6,(8)(9)30) and Medline, with 3.8% (10) , 19 studies were duplicated in these databases. After selection, 26 studies were intended for analysis.…”

“…The analysis of the included studies highlighted the year 2012, with 30.8% (7,10,(16)(17)(18)27,28,30) of the publications. According to inclusion and exclusion criteria adopted for this IRL, the years 1997 to 2000,2001,2003,2005,2006 and 2011 had no included studies.…”

“…The application was conducted in heterogeneous groups with adult prevalence (73.1%) (2,(5)(6)(7)(8)(9)11,17,(20)(21)(22)(23)(24)(25)(26)(27)(30)(31)(32)(33) , followed by young students (15.4%) (16,17,19,28) , adolescents (7.7%) (10,29) and elderly (3.8%) (17) . Regarding the level of evidence, the higher prevalence studies referred to those with level IV, that is, cross-sectional studies, which corresponded to 69.2% of the sample (2,(4)(5)(6)(7)(8)(9)(10)16,(18)(19)(20)(23)(24)(27)(28)(29)33) .…”

“…Regarding the level of evidence, the higher prevalence studies referred to those with level IV, that is, cross-sectional studies, which corresponded to 69.2% of the sample (2,(4)(5)(6)(7)(8)(9)(10)16,(18)(19)(20)(23)(24)(27)(28)(29)33) . Many professionals proceeded to the implementation of ASSIST and among them, we highlight different health professionals (53.8%) (5,7,10,(17)(18)(19)21,(23)(24)(25)(26)28,(31)(32) , followed by trained individuals named as interviewers (34.6%) (2,6,8,11,20,22,27,33) , and researchers (authors), which corresponded to 11,5% (9,16,25) . Regarding the database which the studies were obtained, 34.6% (5,7,11,(16)(17)…”