Cuidado à saúde de usuários com comportamento suicida a partir da percepção dos profissionais na atenção primária à saúde

Abstract

Introduction: Suicide is a complex phenomenon, with multiple facets and different determinations, which can affect subjects from different origins, social classes, ages, sexual orientations and gender identities. It is considered a public health problem that has been debated worldwide. Objective: To analyze the aspects of health care to suicidal behavior person at primary health care based on the perception of professionals working in the family health strategy. Methods: This is a cross-sectional study conducted through the application of a questionnaire applied to professionals who work in the family health strategy (FHS) of four basic health units (UBS) in the city of Planaltina, Distrito Federal (DF). Results: Fifty-seven responses to the questionnaire were included; the median age was 41.7 +/- 9.8 years, with the majority being female (n = 41, 71.9%). The median length of experience in PHC was 1.5 (IQ25- 75% 1.0-2.0 years. The questions with the best performance were those related to the perception that suicidal ideation leads to consequences for the user and his family (n = 53, 93.0%), that treatment requires more than medications (n = 52, 91.2%), and being able to accommodate people with suicidal ideation (n = 47, 87.7%). The questions that showed worst performance were related to the need for updating on mental health care (n=2, 3.5%), access to data on the number of patients with suicidal ideation (n = 12, 21.1%), and training to work in the care of patients with suicidal ideation (n = 19, 33.3%). Regarding the domains of assessment of care for patients with suicidal behavior, a negative and significant correlation was observed between age and Identification (r = - 0.306, p = 0.022), Professional Capacity (r = -0.439, p = 0.001) and Patient Monitoring (r = -0.305, p = 0.022). Conclusion: Health professionals, through work, have the perception of security to offer health care to patients with suicidal behavior in relation to identification, reception and follow-up, but most did not feel professionally qualified for care. One of the gaps pointed out was the lack of training and professional updating to serve these users.