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Brazilian Psychiatric Association guidelines for the management of suicidal behavior. Part 2. Screening, intervention, and prevention
Baldaçara, Leonardo; Grudtner, Roberta R.; da S. Leite, Verônica; Porto, Deisy M.; Robis, Kelly P.; Fidalgo, Thiago M.; Rocha, Gislene A.; Diaz, Alexandre P.; Meleiro, Alexandrina; Correa, Humberto; Tung, Teng C.; Malloy-Diniz, Leandro; Quevedo, João; da Silva, Antônio G..
Afiliação
  • Baldaçara, Leonardo; Universidade Federal do Tocantins (UFT). Palmas. BR
  • Grudtner, Roberta R.; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
  • da S. Leite, Verônica; Universidade Federal do Tocantins (UFT). Palmas. BR
  • Porto, Deisy M.; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
  • Robis, Kelly P.; Pontifícia Universidade Católica de Minas Gerais (PUC Minas). Departamento de Psiquiatria. Belo Horizonte. BR
  • Fidalgo, Thiago M.; Universidade Federal de São Paulo (UNIFESP). Departamento de Psiquiatria. São Paulo. BR
  • Rocha, Gislene A.; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
  • Diaz, Alexandre P.; The University of Texas Health Science Center at Houston (UTHealth). McGovern Medical School. Translational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences. TX. US
  • Meleiro, Alexandrina; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
  • Correa, Humberto; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
  • Tung, Teng C.; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
  • Malloy-Diniz, Leandro; Universidade Federal de Minas Gerais (UFMG). Departamento de Psiquiatria. Belo Horizonte. BR
  • Quevedo, João; The University of Texas Health Science Center at Houston (UTHealth). McGovern Medical School. Translational Psychiatry Program, Faillace Department of Psychiatry and Behavioral Sciences. TX. US
  • da Silva, Antônio G.; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; Braz. J. Psychiatry (São Paulo, 1999, Impr.);43(5): 538-549, Sept.-Oct. 2021. tab, graf
Article em En | LILACS | ID: biblio-1345478
Biblioteca responsável: BR1.1
ABSTRACT
This article continues our presentation of the Brazilian Psychiatric Association guidelines for the management of patients with suicidal behavior, with a focus on screening, intervention, postvention, prevention, and promotion. For the development of these guidelines, we conducted a systematic review of the MEDLINE (via PubMed), Cochrane Database of Systematic Reviews, Web of Science, and SciELO databases for research published from 1997 to 2020. Systematic reviews, clinical trials, and cohort/observational studies on screening, intervention, and prevention in suicidal behavior were included. This project involved 14 Brazilian psychiatry professionals and 1 psychologist selected by the Psychiatric Emergencies Committee of the Brazilian Psychiatric Association for their experience and knowledge in psychiatry and psychiatric emergencies. Publications were evaluated according to the 2011 Oxford Center for Evidence-Based Medicine (OCEBM) Levels of Evidence Classification. Eighty-five articles were reviewed (of 5,362 initially collected and 755 abstracts on the drug approach). Forms of screening, intervention, and prevention are presented. The intervention section presents evidence for psychotherapeutic and drug interventions. For the latter, it is important to remember that each medication is effective only for specific groups and should not replace treatment protocols. We maintain our recommendation for the use of universal screening plus intervention. Although the various studies differ in terms of the populations evaluated and several proposals are presented, there is already significant evidence for certain interventions. Suicidal behavior can be analyzed by evidence-based medicine protocols. Currently, the best strategy is to combine several techniques through the Safety Plan. Nevertheless, further research on the topic is needed to elucidate some approaches with particular potential for intervention and prevention. Systematic review registry number CRD42020206517
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Guias de Prática Clínica como Assunto / Ideação Suicida Tipo de estudo: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies / Systematic_reviews Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Assunto da revista: PSIQUIATRIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil / Estados Unidos País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Guias de Prática Clínica como Assunto / Ideação Suicida Tipo de estudo: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies / Systematic_reviews Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Assunto da revista: PSIQUIATRIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil / Estados Unidos País de publicação: Brasil