Instituto Nacional da Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz (Fiocruz). Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
Departamento Estudos sobre Violência e Saúde Jorge Careli, Escola Nacional de Saúde Pública Sergio Arouca, Fiocruz. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2021 Jul;26(7):2693-2698. doi: 10.1590/1413-81232021267.07302021. Epub 2021 Apr 2.
This article aims to understand the construction and repercussion of taboos involving suicides among children and adolescents, considering the discomfort, silence, and dread that the theme causes across society. Due to the recognition of a continuum of taboos (taboo of death < taboo of suicide < taboo of child suicide), the authors present, as an attempt to address this issue, the concept of a triple taboo, recognizing the incommensurability of self-inflicted deaths that have children and adolescents as protagonists. Developed from a qualitative study with paediatricians during their medical residence, this paper serves as a call to professionals who assist children and adolescents in the country. Paediatric training needs to recognise these taboos and the dimensions of suicidal behaviour as a manifestation of violence and as a threat to mental health. Their identification is a critical and urgent element in contemporary children and adolescents' care.
本文旨在探讨儿童和青少年自杀相关禁忌的构建和影响,考虑到这一主题在整个社会中引起的不适、沉默和恐惧。由于认识到禁忌的连续性(死亡禁忌<自杀禁忌<儿童自杀禁忌),作者提出了三重禁忌的概念,认识到以儿童和青少年为主角的自杀死亡的不可通约性。本文是从儿科医生在医学实习期间进行的定性研究中发展而来的,旨在呼吁国家帮助儿童和青少年的专业人员。儿科培训需要认识到这些禁忌以及自杀行为作为暴力表现和心理健康威胁的维度。识别这些禁忌是当代儿童和青少年护理的一个关键和紧迫的要素。