A triagem de suicídio não deve ser limitada àqueles com histórico psiquiátrico, sugerem especialistas
Quase um em cada cinco que tentam o suicídio o fazem sem preencher os critérios para um transtorno psiquiátrico antecedente, de acordo com um estudo publicado on-line em 21 de fevereiro no JAMA Psychiatry.
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)
Domínio público
Quase um em cada cinco que tentam o suicídio o fazem sem preencher os critérios para um transtorno psiquiátrico antecedente, de acordo com um estudo publicado on-line em 21 de fevereiro no JAMA Psychiatry.
Maria A. Oquendo, MD, Ph.D., da Universidade da Pensilvânia, na Filadélfia, e colegas usaram dados de 1.948 adultos norte-americanos com tentativas de suicídio ao longo da vida, provenientes de uma pesquisa de base populacional representativa nacionalmente, para determinar a porcentagem de pessoas que tentam o suicídio. critérios para um transtorno psiquiátrico.
Os pesquisadores descobriram que 6,2% não tinham diagnósticos psiquiátricos aparentes ao longo da vida quando pesquisados, enquanto 13,4% fizeram a primeira tentativa de suicídio antes do início do transtorno psiquiátrico. Não foram observadas diferenças significativas de idade ou sexo na percentagem de pessoas com tentativas de suicídio ao longo da vida, na ausência de perturbações psiquiátricas. No entanto, as mulheres eram mais propensas do que os homens a tentar o suicídio no ano de início do transtorno psiquiátrico (14,9 versus 8,6 por cento).
As tentativas foram menos frequentes entre aqueles com idade ?50 a 65 anos (3,9 por cento versus 6,1 por cento para aqueles com idade entre 35 e 50 anos e 6,2 por cento para aqueles com idade entre 20 e <35 anos).
“Esta descoberta desafia as noções clínicas sobre quem está em risco de comportamento suicida e levanta questões sobre a segurança de limitar o rastreio do risco de suicídio às populações psiquiátricas”, escrevem os autores.
Mais informações: Maria A. Oquendo et al, Tentativas de suicídio ao longo da vida em indivíduos psiquiatricamente saudáveis, JAMA Psychiatry (2024). DOI: 10.1001/jamapsiquiatria.2023.5672
Informações do jornal: JAMA Psychiatry
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