Idea??o e tentativa de suic?dio em idosos atendidos pela estrat?gia sa?de da fam?lia de Porto Alegre
Ano de defesa: | 2013 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Pontif?cia Universidade Cat?lica do Rio Grande do Sul
|
Programa de Pós-Graduação: |
Programa de P?s-Gradua??o em Gerontologia Biom?dica
|
Departamento: |
Instituto de Geriatria e Gerontologia
|
País: |
BR
|
Palavras-chave em Português: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede2.pucrs.br/tede2/handle/tede/2696 |
Resumo: | Population aging is a global phenomenon that occurs more rapidly in developing countries like Brazil. As a consequence, there is the increased frequency of health problems characteristic of the elderly, including mental disorders. Depression is the most common psychiatric illness among the elderly. This pathology can achieve different levels of severity, from mild to the most severe and associated with suicide. Older individuals are at higher risk of suicide than any other population. The aim of this study is to evaluate ideation, attempts and risks of suicide in a random sample of the elderly attended by the Family Health Program of Porto Alegre. A prospective cross-sectional study was conducted. The sample consisted of 530 randomly selected older people from 27 Family Health Teams in the city of Porto Alegre (FHT/POA) drawn in a stratified manner by the "Health Districs". Diagnosis was made by psychiatrists experienced in evaluating the elderly and using the Brazilian version of the Mini International Neuropsychiatric Interview (M.I.N.I 5.0.0 plus). The results showed a total of 15.7% (n=83) of the elderly sample presented a risk of suicide. Of this total 10% (n = 53) had low risk, 0.8% (n = 4) moderate risk, and 4.9% (n = 26) high risk. Among the subjects who were at risk for suicide a few significant associations can be highlighted: female (19.5%, P <0.001), not having income (34.1%, P = 0.022) and loss of one or more children (22.6%, P = 0.007). Regarding the mood it was found that 59.2% (n=45) of those individuals with current unipolar depression presented a suicide risk, whilst 62.5% (n=5) with current bipolar disorder and 33.3% (n=8) with a past history of this disease also presented a risk of suicide. A high rate of suicide risk was found by this study in the elderly population living in the community of Porto Alegre. Increased mental distress was noted in the evaluated individuals and it was possible to identify predictive factors for suicide risk through the analyses performed. The findings of this study are worrying, being necessary to be replicated in other localities and samples. Even so, the results cited clamor for urgency in promoting the treatment of mental disorders and suicide risk, especially those specializing in the elderly. |
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Cataldo Neto, AlfredoCPF:16734270068http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4704404Z8CPF:82341389015http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4735245A5Ciulla, Leandro2015-04-14T13:53:56Z2013-05-142013-02-26CIULLA, Leandro. Idea??o e tentativa de suic?dio em idosos atendidos pela estrat?gia sa?de da fam?lia de Porto Alegre. 2013. 146 f. Disserta??o (Mestrado em Gerontologia Biom?dica) - Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2013.http://tede2.pucrs.br/tede2/handle/tede/2696Population aging is a global phenomenon that occurs more rapidly in developing countries like Brazil. As a consequence, there is the increased frequency of health problems characteristic of the elderly, including mental disorders. Depression is the most common psychiatric illness among the elderly. This pathology can achieve different levels of severity, from mild to the most severe and associated with suicide. Older individuals are at higher risk of suicide than any other population. The aim of this study is to evaluate ideation, attempts and risks of suicide in a random sample of the elderly attended by the Family Health Program of Porto Alegre. A prospective cross-sectional study was conducted. The sample consisted of 530 randomly selected older people from 27 Family Health Teams in the city of Porto Alegre (FHT/POA) drawn in a stratified manner by the "Health Districs". Diagnosis was made by psychiatrists experienced in evaluating the elderly and using the Brazilian version of the Mini International Neuropsychiatric Interview (M.I.N.I 5.0.0 plus). The results showed a total of 15.7% (n=83) of the elderly sample presented a risk of suicide. Of this total 10% (n = 53) had low risk, 0.8% (n = 4) moderate risk, and 4.9% (n = 26) high risk. Among the subjects who were at risk for suicide a few significant associations can be highlighted: female (19.5%, P <0.001), not having income (34.1%, P = 0.022) and loss of one or more children (22.6%, P = 0.007). Regarding the mood it was found that 59.2% (n=45) of those individuals with current unipolar depression presented a suicide risk, whilst 62.5% (n=5) with current bipolar disorder and 33.3% (n=8) with a past history of this disease also presented a risk of suicide. A high rate of suicide risk was found by this study in the elderly population living in the community of Porto Alegre. Increased mental distress was noted in the evaluated individuals and it was possible to identify predictive factors for suicide risk through the analyses performed. The findings of this study are worrying, being necessary to be replicated in other localities and samples. Even so, the results cited clamor for urgency in promoting the treatment of mental disorders and suicide risk, especially those specializing in the elderly.O envelhecimento populacional ? um fen?meno mundial que ocorre de forma mais acelerada em pa?ses em desenvolvimento como o Brasil. Em consequ?ncia disso h? um aumento da frequ?ncia de problemas de sa?de caracter?sticos do idoso, entre eles os transtornos mentais. A depress?o ? a doen?a psiqui?trica mais frequente entre idosos. Esta patologia pode alcan?ar diferentes n?veis de gravidade, desde o leve at? o mais severo e associado ao suic?dio. Pessoas idosas t?m risco mais alto para suic?dio do que qualquer faixa et?ria. O objetivo do presente estudo ? avaliar idea??o, tentativa e risco de suic?dio em uma amostra aleat?ria de idosos atendidos pela Estrat?gia Sa?de da Fam?lia de Porto Alegre. O estudo ? do tipo transversal com coleta prospectiva. A amostra constituiu-se de 530 idosos randomicamente selecionados de 27 Equipes de Sa?de da Fam?lia do Munic?pio de Porto Alegre (ESF/POA) sorteadas de modo estratificado por Ger?ncia Distrital. Para os diagn?sticos, psiquiatras com experi?ncia na avalia??o de idosos utilizaram a vers?o brasileira do Mini International Neuropsychiatric Interview 5.0.0 plus (M.I.N.I. 5.0.0 plus). Em rela??o aos resultados: um total de 15,7% (n=83) dos idosos da amostra apresentaram risco de suic?dio. Desse total, 10% (n=53) obtiveram risco baixo de suic?dio, 0,8%(n=4) risco moderado e 4,9%(n=26) risco alto. Dentre os idosos que estavam com risco de suic?dio algumas associa??es significativas podem ser destacadas: sexo feminino (19,5%; P<0,001), n?o ter renda (34,1%; P=0,022) e perda de um ou mais filhos (22,6%; P=0,007). Com rela??o ao humor, verificou-se que 59,2% (n=45) dos indiv?duos com depress?o unipolar atual apresentaram risco de suic?dio. 62,5% (n=5) com transtorno bipolar atual estavam com risco de suic?dio assim como 33,3% (n=8) dos indiv?duos com transtorno bipolar no passado. Neste estudo foi encontrado uma alta taxa de risco de suic?dio em idosos que vivem na comunidade de Porto Alegre. Notou-se elevado sofrimento mental nestes indiv?duos avaliados e foi poss?vel identificar fatores preditores do risco de suic?dio atrav?s das an?lises realizadas. Os achados do presente trabalho s?o preocupantes, sendo necess?rio serem reproduzidos em outras localidades e amostras. Mesmo assim, os resultados citados clamam pela urg?ncia na promo??o do tratamento de transtornos mentais e do risco de suic?dio, em especial, aquele especializado em idosos.Made available in DSpace on 2015-04-14T13:53:56Z (GMT). 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dc.title.por.fl_str_mv |
Idea??o e tentativa de suic?dio em idosos atendidos pela estrat?gia sa?de da fam?lia de Porto Alegre |
title |
Idea??o e tentativa de suic?dio em idosos atendidos pela estrat?gia sa?de da fam?lia de Porto Alegre |
spellingShingle |
Idea??o e tentativa de suic?dio em idosos atendidos pela estrat?gia sa?de da fam?lia de Porto Alegre Ciulla, Leandro MEDICINA GERIATRIA GERONTOLOGIA SUIC?DIO DEPRESS?O TRANSTORNO BIPOLAR ENVELHECIMENTO - ASPECTOS PSICOL?GICOS CNPQ::CIENCIAS DA SAUDE::MEDICINA |
title_short |
Idea??o e tentativa de suic?dio em idosos atendidos pela estrat?gia sa?de da fam?lia de Porto Alegre |
title_full |
Idea??o e tentativa de suic?dio em idosos atendidos pela estrat?gia sa?de da fam?lia de Porto Alegre |
title_fullStr |
Idea??o e tentativa de suic?dio em idosos atendidos pela estrat?gia sa?de da fam?lia de Porto Alegre |
title_full_unstemmed |
Idea??o e tentativa de suic?dio em idosos atendidos pela estrat?gia sa?de da fam?lia de Porto Alegre |
title_sort |
Idea??o e tentativa de suic?dio em idosos atendidos pela estrat?gia sa?de da fam?lia de Porto Alegre |
author |
Ciulla, Leandro |
author_facet |
Ciulla, Leandro |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Cataldo Neto, Alfredo |
dc.contributor.advisor1ID.fl_str_mv |
CPF:16734270068 |
dc.contributor.advisor1Lattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4704404Z8 |
dc.contributor.authorID.fl_str_mv |
CPF:82341389015 |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4735245A5 |
dc.contributor.author.fl_str_mv |
Ciulla, Leandro |
contributor_str_mv |
Cataldo Neto, Alfredo |
dc.subject.por.fl_str_mv |
MEDICINA GERIATRIA GERONTOLOGIA SUIC?DIO DEPRESS?O TRANSTORNO BIPOLAR ENVELHECIMENTO - ASPECTOS PSICOL?GICOS |
topic |
MEDICINA GERIATRIA GERONTOLOGIA SUIC?DIO DEPRESS?O TRANSTORNO BIPOLAR ENVELHECIMENTO - ASPECTOS PSICOL?GICOS CNPQ::CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::MEDICINA |
description |
Population aging is a global phenomenon that occurs more rapidly in developing countries like Brazil. As a consequence, there is the increased frequency of health problems characteristic of the elderly, including mental disorders. Depression is the most common psychiatric illness among the elderly. This pathology can achieve different levels of severity, from mild to the most severe and associated with suicide. Older individuals are at higher risk of suicide than any other population. The aim of this study is to evaluate ideation, attempts and risks of suicide in a random sample of the elderly attended by the Family Health Program of Porto Alegre. A prospective cross-sectional study was conducted. The sample consisted of 530 randomly selected older people from 27 Family Health Teams in the city of Porto Alegre (FHT/POA) drawn in a stratified manner by the "Health Districs". Diagnosis was made by psychiatrists experienced in evaluating the elderly and using the Brazilian version of the Mini International Neuropsychiatric Interview (M.I.N.I 5.0.0 plus). The results showed a total of 15.7% (n=83) of the elderly sample presented a risk of suicide. Of this total 10% (n = 53) had low risk, 0.8% (n = 4) moderate risk, and 4.9% (n = 26) high risk. Among the subjects who were at risk for suicide a few significant associations can be highlighted: female (19.5%, P <0.001), not having income (34.1%, P = 0.022) and loss of one or more children (22.6%, P = 0.007). Regarding the mood it was found that 59.2% (n=45) of those individuals with current unipolar depression presented a suicide risk, whilst 62.5% (n=5) with current bipolar disorder and 33.3% (n=8) with a past history of this disease also presented a risk of suicide. A high rate of suicide risk was found by this study in the elderly population living in the community of Porto Alegre. Increased mental distress was noted in the evaluated individuals and it was possible to identify predictive factors for suicide risk through the analyses performed. The findings of this study are worrying, being necessary to be replicated in other localities and samples. Even so, the results cited clamor for urgency in promoting the treatment of mental disorders and suicide risk, especially those specializing in the elderly. |
publishDate |
2013 |
dc.date.available.fl_str_mv |
2013-05-14 |
dc.date.issued.fl_str_mv |
2013-02-26 |
dc.date.accessioned.fl_str_mv |
2015-04-14T13:53:56Z |
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CIULLA, Leandro. Idea??o e tentativa de suic?dio em idosos atendidos pela estrat?gia sa?de da fam?lia de Porto Alegre. 2013. 146 f. Disserta??o (Mestrado em Gerontologia Biom?dica) - Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2013. |
dc.identifier.uri.fl_str_mv |
http://tede2.pucrs.br/tede2/handle/tede/2696 |
identifier_str_mv |
CIULLA, Leandro. Idea??o e tentativa de suic?dio em idosos atendidos pela estrat?gia sa?de da fam?lia de Porto Alegre. 2013. 146 f. Disserta??o (Mestrado em Gerontologia Biom?dica) - Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2013. |
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