Ferracioli Natália Gallo Mendes, Rodrigues Elaine Campos Guijarro, Santos Manoel Antônio Dos
Faculty of Philosophy, Sciences and Letters at Ribeirão Preto, University of São Paulo, Ribeirão Preto 14040-900, São Paulo, Brazil.
Int J Environ Res Public Health. 2025 Aug 17;22(8):1284. doi: 10.3390/ijerph22081284.
Online psychotherapy for patients with suicidal behavior was considered inappropriate by the Brazilian Federal Psychology Council prior to the COVID-19 pandemic. Due to the need for physical distancing, this restriction was temporarily suspended. This study aims to analyze the perceptions of Brazilian clinical psychologists regarding online psychotherapy for patients with suicidal behavior in the context of the COVID-19 pandemic, to generate a theoretical understanding of this experience. It is a qualitative, exploratory, longitudinal study based on the Constructivist Grounded Theory framework. Ten clinical psychologists who conducted online psychotherapy for patients with suicidal behavior during the pandemic were interviewed at two moments, with an interval of approximately two years: the first round was conducted from December 2020 to March 2021, followed by a second round between November and December 2022. Data analysis led to four categories: (1) Reflecting on suicidal behavior; (2) Addressing specificities of online interventions; (3) Managing suicidal behavior in online psychotherapy; (4) Evaluating online psychotherapy for patients with suicidal behavior. The theoretical model "Pathways of care: main roads and access routes in online psychotherapy for suicidal behavior" was constructed. It was concluded that online psychotherapy for patients with suicidal behavior is complex and requires caution but is feasible and can be important in specific circumstances. This makes it an additional resource for suicide prevention and mental health promotion.
在新冠疫情大流行之前，巴西联邦心理学会认为对有自杀行为的患者进行在线心理治疗是不合适的。由于需要保持社交距离，这一限制被暂时中止。本研究旨在分析巴西临床心理学家对新冠疫情背景下有自杀行为患者的在线心理治疗的看法，以便对这一经历形成理论上的理解。这是一项基于建构主义扎根理论框架的定性、探索性纵向研究。对10位在疫情期间为有自杀行为的患者提供在线心理治疗的临床心理学家进行了两轮访谈，时间间隔约为两年：第一轮访谈于2020年12月至2021年3月进行，第二轮访谈于2022年11月至12月进行。数据分析得出四个类别：（1）反思自杀行为；（2）处理在线干预的特殊性；（3）在在线心理治疗中管理自杀行为；（4）评估针对有自杀行为患者的在线心理治疗。构建了“护理途径：自杀行为在线心理治疗的主要道路和接入路线”的理论模型。研究得出结论，对有自杀行为的患者进行在线心理治疗是复杂的，需要谨慎，但可行，且在特定情况下可能很重要。这使其成为预防自杀和促进心理健康的一种额外资源。
