University of Sao Paulo at Ribeirao Preto College of Nursing, Ribeirao Preto, Brazil.
University of Sao Paulo at Ribeirao Preto College of Nursing, Ribeirao Preto, Brazil.
Arch Psychiatr Nurs. 2019 Apr;33(2):136-142. doi: 10.1016/j.apnu.2018.11.012. Epub 2018 Nov 19.
It is important to investigate the care given to people with suicidal behavior, as it is an important predictor of future death by suicide and there is a lack of studies on this issue in Brazil. This study had the objective of investigating assistance related to suicidal behavior at a mobile emergency service and sociodemographic and clinical associated factors. This was a quantitative, cross-sectional study based on documental information. The data were collected through manual consultation of nursing records in which call-outs for suicidal behavior in the year 2014 were documented. The data were analyzed using descriptive statistics, Chi-squared test, Fisher's exact test, correlation tests, and comparison of means tests. In the 313 records analyzed there was a predominance of adult women with self-inflicted drug poisoning, attended to in their own residence and referred to pre-hospital emergency medical services. There was a lack of documentation on signs, symptoms, and grievances in most cases. The interventions most carried out by the nurses were related to monitoring of clinical parameters. There were differences related to the victim's sex and lethality, suicide attempt method, referral to emergency services, and semester of occurrence (January-June, July-December). Suicide attempts through self-poisoning or self-inflicted injuries differed in relation to time of call-out, waiting time, lethality, documentation on clinical assessment and interventions, and referral to emergency services. This study enabled the charting of factors linked with suicidal behavior and associated factors; it offers reflections on limitations and nursing care potential in the prevention of reoccurrence of suicidal behavior.
研究自杀行为患者所接受的护理十分重要，因为这是未来自杀死亡的重要预测因素，而巴西在这方面的研究还很缺乏。本研究旨在调查移动急救服务中与自杀行为相关的辅助措施，以及与自杀行为相关的社会人口学和临床因素。这是一项基于文献信息的定量、横断面研究。通过手动查阅护理记录来收集数据，其中记录了 2014 年的自杀行为呼救信息。使用描述性统计、卡方检验、Fisher 确切检验、相关检验和均值比较检验对数据进行分析。在分析的 313 份记录中，主要是成年女性，因自我药物中毒拨打急救电话，在自己的住所接受治疗，并被转介到院前急救医疗服务。大多数情况下，记录中缺乏对症状和主诉的描述。护士进行的干预主要与监测临床参数有关。受害者的性别和致命性、自杀企图方法、转介到急救服务以及发生的学期（1 月至 6 月、7 月至 12 月）存在差异。通过自我中毒或自伤实施的自杀企图在呼救时间、等待时间、致命性、临床评估和干预措施的记录以及转介到急救服务等方面存在差异。本研究能够记录与自杀行为相关的因素和相关因素；它反映了在预防自杀行为再次发生方面的局限性和护理潜力。
