Diretrizes da Associação Brasileira de Psiquiatria para o manejo do comportamento suicida: intervenção

tradução revisada e ampliada de: https://doi.org/10.1590/1516-4446-2020-1108

Autores

  • Leonardo Baldaçara Professor, Universidade Federal do Tocantins, UFT, Palmas, TO, Brasil https://orcid.org/0000-0002-5201-8515
  • Cintia de Azevedo-Marques Périco Faculdade de Medicina do ABC, Santo André, SP, Brasil https://orcid.org/0000-0002-2664-5101
  • Flavia Ismael Pinto Faculdade de Medicina do ABC, Santo André, SP, Brasil https://orcid.org/0000-0002-4837-9318
  • Roberta Rossi Grudtner Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil; Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros, UNIMONTES, Montes Claros, MG, Brasil https://orcid.org/0000-0003-4873-6706
  • Elie Leal de Barros Calfat Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil; Irmandade da Santa Casa de São Paulo, São Paulo, SP, Brasil https://orcid.org/0000-0001-6223-1056
  • Gislene Alves da Rocha Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil; Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros, UNIMONTES, Montes Claros, MG, Brasil
  • Deisy Mendes Porto Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil https://orcid.org/0000-0001-9671-358X
  • Verônica da Silveira Leite Universidade Federal do Tocantins, Palmas, TO, Brasil; Associação Brasileira de Psiquiatria. ABP, Rio de Janeiro, RJ, Brasil
  • Kelly Pereira Robis Departamento de Psiquiatria, Pontifícia Universidade Católica de Minas Gerais, PUC Minas, Belo Horizonte, MG, Brasil; Departamento de Psiquiatria, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil
  • Thiago Marques Fidalgo Professor, Departamento de Psiquiatria, Universidade Federal de São Paulo, UNIFESP, São Paulo, SP, Brasil https://orcid.org/0000-0003-3555-5228
  • Alexandre Paim Diaz Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA
  • Alexandrina Maria Augusto da Silva Meleiro Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil
  • Leandro Fernandes Malloy-Diniz Departamento de Saúde Mental, Faculdade de Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil
  • Humberto Corrêa da Silva Filho Professor Titular, Psiquiatria, Faculdade de Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil https://orcid.org/0000-0003-4327-6413
  • João Quevedo Translational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, UTHealth, Houston, TX, USA
  • Teng Chei Tung Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, USP, SP, Brasil
  • Antônio Geraldo da Silva Pós-Doutor em Medicina Molecular, Presidente, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil https://orcid.org/0000-0003-3423-7076

DOI:

https://doi.org/10.25118/2763-9037.2024.v14.1262

Palavras-chave:

Suicídio, transtornos mentais, diretriz, suicídio consumado

Resumo

A complexidade dos comportamentos suicidas requer uma abordagem multifacetada para sua gestão, envolvendo a avaliação de fatores de risco e proteção, bem como intervenções apropriadas. A Associação Brasileira de Psiquiatria (ABP), por meio da sua Comissão de Emergências Psiquiátricas, elaborou diretrizes específicas para o manejo de pacientes com comportamento suicida, com foco em triagem, intervenção, prevenção e promoção da saúde mental. Embora a evidência disponível ainda apresente controvérsias e limitações, já é possível identificar a eficácia de certas intervenções para grupos específicos de pacientes. A recomendação atual inclui a combinação de várias técnicas, como o Plano de Segurança, que integra a avaliação de fatores de risco e proteção com medidas terapêuticas subsequentes. Destaca-se a necessidade de pesquisas adicionais para esclarecer abordagens com potencial específico para intervenção, visando sempre otimizar as estratégias de manejo do comportamento suicida e incorporá-las nas políticas públicas de saúde.

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Biografia do Autor

Leonardo Baldaçara, Professor, Universidade Federal do Tocantins, UFT, Palmas, TO, Brasil

Cintia de Azevedo-Marques Périco, Faculdade de Medicina do ABC, Santo André, SP, Brasil

Flavia Ismael Pinto, Faculdade de Medicina do ABC, Santo André, SP, Brasil

Roberta Rossi Grudtner, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil; Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros, UNIMONTES, Montes Claros, MG, Brasil

Elie Leal de Barros Calfat, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil; Irmandade da Santa Casa de São Paulo, São Paulo, SP, Brasil

Gislene Alves da Rocha, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil; Hospital Universitário Clemente de Faria, Universidade Estadual de Montes Claros, UNIMONTES, Montes Claros, MG, Brasil

Deisy Mendes Porto, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

Verônica da Silveira Leite, Universidade Federal do Tocantins, Palmas, TO, Brasil; Associação Brasileira de Psiquiatria. ABP, Rio de Janeiro, RJ, Brasil

Kelly Pereira Robis, Departamento de Psiquiatria, Pontifícia Universidade Católica de Minas Gerais, PUC Minas, Belo Horizonte, MG, Brasil; Departamento de Psiquiatria, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil

Thiago Marques Fidalgo, Professor, Departamento de Psiquiatria, Universidade Federal de São Paulo, UNIFESP, São Paulo, SP, Brasil

Alexandre Paim Diaz, Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA

Alexandrina Maria Augusto da Silva Meleiro, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

Leandro Fernandes Malloy-Diniz, Departamento de Saúde Mental, Faculdade de Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil

Humberto Corrêa da Silva Filho, Professor Titular, Psiquiatria, Faculdade de Medicina, Universidade Federal de Minas Gerais, UFMG, Belo Horizonte, MG, Brasil

João Quevedo, Translational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, UTHealth, Houston, TX, USA

Teng Chei Tung, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, USP, SP, Brasil

Antônio Geraldo da Silva, Pós-Doutor em Medicina Molecular, Presidente, Associação Brasileira de Psiquiatria, ABP, Rio de Janeiro, RJ, Brasil

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2024-07-08

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Baldaçara L, Périco C de A-M, Pinto FI, Grudtner RR, Calfat EL de B, Rocha GA da, Porto DM, Leite V da S, Robis KP, Fidalgo TM, Diaz AP, Meleiro AMA da S, Malloy-Diniz LF, Silva Filho HC da, Quevedo J, Tung TC, da Silva AG. Diretrizes da Associação Brasileira de Psiquiatria para o manejo do comportamento suicida: intervenção: tradução revisada e ampliada de: https://doi.org/10.1590/1516-4446-2020-1108. Debates em Psiquiatria [Internet]. 8º de julho de 2024 [citado 9º de dezembro de 2024];14:1-27. Disponível em: https://revistardp.org.br/revista/article/view/1262

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