Risco de suicídio e comorbidades psiquiátricas no transtorno de ansiedade generalizada

Factors associated with suicide risk among nurses and physicians: a cross-section study

OBJECTIVE

to estimate the prevalence and factors associated with suicide risk among nurses and physicians.

METHOD

a cross-sectional study carried out at a university hospital with 216 health professionals, who answered a socio-demographic-labor questionnaire, the Mini International Neuropsychiatric Interview (MINI) for assessing suicide risk, and the Depression, Anxiety and Stress Scale (DASS 21). The Poisson Regression Model was used for multiple analysis.

RESULTS

it was identified that variables such as not having a partner, history of attempted suicide, stress and depression symptoms were statistically associated with suicide risk. The prevalence of lifelong suicide attempts among nurses was 9.41%, and among physicians, 2.29%.

CONCLUSION

the findings of this investigation enable the understanding of suicidal behavior among hospital nurses and physicians, in addition to enabling the development of prevention strategies in order to reduce suicide risk prevalence in this population group.

Prevalence of ideation and attempted suicide among users of a psychosocial care center

OBJECTIVE

This study aims at identifying and characterizing the prevalence of suicidal ideation and attempted suicide among users of a Psychosocial Care Center in the municipality of Pelotas (RS).

METHOD

Transversal study, documentary based study in 389 active medical records. Data collection were carried out between September 2017 and May 2018. Data were digitated in the software Microsoft Excel and afterwards converted for the statistical Stata 11 Software.

RESULTS

The prevalence of ideation and attempted suicide was 48,1% and 33,4%, respectively. Significant differences were observed in relation to hearing voices (p=<0,001) and history of violence (p=<0,001). Users who heard voices presented prevalence of suicidal ideation corresponding to 58,1%. Among those users who have reported suicidal ideation, the prevalence of attempt was 57,7%, while the users without report of ideation, the attempts were prevalent in 10,9% (p=<0.001).

CONCLUSIONS

The users presented a significant prevalence of ideation and attempted suicide.

Prevalence and factors associated with anxiety among university students of health sciences in Brazil: findings and implications

ABSTRACT Objective The aim was to evaluate the prevalence and factors associated with anxiety disorders among university students of health sciences at Federal University of Ouro Preto, Brazil. Methods A cross-sectional study between March to June 2019. Data were collected through a self-administered questionnaire including sociodemographic, academic, family and behavioral issues. The Beck Anxiety Inventory was used to assess anxiety. Estimates were obtained through the prevalence ratio and Poisson multivariate analysis. Results Four hundred and ninety-three students participated with a mean age of 23.1 and predominantly women (79.9%). All students had some degree of anxiety, with the frequency of the severe, moderate and mild forms being 28.0%, 29.8% and 27.0%, respectively. The factors associated with anxiety included having suffered psychological and/or physical violence in childhood, having suicidal thoughts, having a deceased parent, living with parents, being dissatisfied with the course and being in the exam period. Conclusions The prevalence of anxiety was high in our study and family problems prior to entering university seem to significantly influence the degree of anxiety, which may compromise the student’s academic and social performance.

Suicide attempt in mental disorders (MeDi): Association with 5-HTT, IL-10 and TNF-alpha polymorphisms

BACKGROUND

Mental disorders (MeDi) and suicide attempts (SA) are influenced by environmental and genetic factors. Genetic polymorphism studies have identified some candidate genes for suicidal behaviour in people with MeDi.

OBJECTIVE

To evaluate MeDi and SA in relation to the presence of rs2020933 (5-HTT), rs1800871 (IL-10) and rs1800629 (TNF-α) polymorphisms.

METHODS

A questionnaire for identification and general data, a brief quality of life assessment (WHOQOL-brief), the scale of suicide ideation by Beck and the MINI International Neuropsychiatric Interview were used in this study. DNA was obtained using buccal mucosa swab samples, and genotyping was performed using real-time polymerase chain reaction. A total of 306 patients were assessed with MeDi; 161 patients had MeDi and a history of SA, and 145 patients had MeDi and no history of SA. The study had 175 subjects in the control group.

RESULTS

The TNF-α rs1800629 -308A/G genotype was significantly associated with function as a protection factor in the control group compared with MeDi without SA. The TNF-α rs1800629 -308G allele appeared as risk factor for MeDi compared to the control group, for female gender. Additionally, the -308A/G + A/A genotype appeared as protection factor for the control group compared to the group with MeDi. For TNF-α, the -308G allele appeared as risk factor for the number of SA (1 time) compared to the control group.

CONCLUSION

The IL-10 (rs1800871) and 5-HTT (rs2020933) SNPs were considered to have inadequate statistical power. The rs1800629 (TNF-α) polymorphism may be associated with MeDi without SA, MeDi in females and the number of SA (1 time) in the studied group.