Sociodemographic and clinical profile of people with suicidal ideation or attempted suicide treated in the context of psychiatric emergency
DOI:
https://doi.org/10.5216/ree.v27.79746Keywords:
Mental Health, Suicidal Ideation, Suicide, Attempted, Emergency Services, PsychiatricAbstract
Objectives: to analyze the sociodemographic and clinical profile of individuals treated at a psychiatric emergency department due to suicidal ideation or attempted suicide. Methods: this is a descriptive, analytical study of secondary data based on documentary analysis of records of care provided at a psychiatric emergency department. Sociodemographic data, chief complaint, diagnosis, prescribed medications, and referrals were collected. Results: the treatment records of 187 individuals were analyzed. Most patients were female (64.2%); 40.6% were between 18 and 30 years old; 49.2% were single; and 59.4% were working or studying. The most prevalent complaints were suicidal ideation (69.0%), depressive symptoms (45.5%), suicide attempt (40.6%), and substance abuse (14.4%). The most frequently diagnosed mental disorders were personality disorders (27.8%), mood disorders (27.8%), and substance abuse (17.6%). Conclusion: people treated at a psychiatric emergency department due to suicidal ideation or attempts are predominantly young adults, female, single, and have mood or personality disorders.
Downloads
References
1. Santos LA, Kind L. Integralidade, intersetorialidade e cuidado em saúde: caminhos para se enfrentar o suicídio. Interface. 2019 Sept 23;24:e190116. https://doi.org/10.1590/Interface.190116
2. World Health Organization (WHO). Suicide [Internet]. Geneva: World Health Organization (WHO); 2021 [cited 2025 Nov 06]. Available from: https://www.who.int/news-room/fact-sheets/detail/suicide
3. Ministério da Saúde, Secretaria de Vigilância em Saúde (BR). Boletim Epidemiológico: Suicídio. Saber, agir e prevenir [Internet]. 2017 [cited 2025 Nov 06];48(30). Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/apresentacoes/2017/2017-025-perfil-epidemiologico-das-tentativas-e-obitos-por-suicidio-no-brasil-e-a-rede-de-aten-ao-a-sa-de-pdf
4. Vedana KGG, Zanetti ACG. Attitudes of nursing students toward to the suicidal behavior. Rev. Latino-Am. Enfermagem. 2019;27:e3116. https://doi.org/10.1590/1518-8345.2842.3116
5. Ministério da Saúde, Secretaria de Vigilância em Saúde (BR). Boletim Epidemiológico: Mortalidade por suicídio e notificações de lesões autoprovocadas no Brasil [Internet]. 2021 Sept [cited 2025 Nov 06];52(33). Available from: https://www.gov.br/saude/pt-br/media/pdf/2021/setembro/20/boletim_epidemiologico_svs_33_final.pdf
6. de la Torre-Luque A, Pemau A, Ayad-Ahmed W, Borges G, Fernandez-Sevillano J, Garrido-Torres N, et al. Risk of suicide attempt repetition after an index attempt: a systematic review and meta-analysis. Gen Hosp Psychiatry. 2023 Jan 23;81:51-6. https://doi.org/10.1016/j.genhosppsych.2023.01.007
7. Pereira AS, Willhelm AR, Koller SH, Almeida RMM. Fatores de risco e proteção para tentativa de suicídio na adultez emergente. Ciênc. saúde colet. 2018 Nov;23(11):3767-77. https://doi.org/10.1590/1413-812320182311.29112016
8. Minayo MCS, Figueiredo AEB, Mangas RMN. Estudo das publicações científicas (2002-2017) sobre ideação suicida, tentativas de suicídio e autonegligência de idosos internados em Instituições de Longa Permanência. Ciênc. saúde colet. 2019 May 2;24(4):1393-404. https://doi.org/10.1590/1413-81232018244.01422019
9. Carbogim FC, Pereira NL, Luiz FS, Braz PR, Barbosa ACS, Paula GL, et al. Suicídio e cuidado às vítimas de tentativa de suicídio. Rev enferm UFPE on line. 2019 Apr 19;13(4):1090-9. https://doi.org/10.5205/1981-8963-v13i4a238056p1090-1096-2019
10. Docherty AR, Mullins N, Ashley-Koch AE, Qin X, Coleman JRI, Shabalin A, et al. GWAS meta-analysis of suicide attempt: identification of 12 genome-wide significant loci and implication of genetic risks for specific health factors. Am J Psychiatry. 2023 Oct 1;180(10):723-38. https://doi.org/10.1176/appi.ajp.21121266
11. Mullins N, Kang JE, Campos AI, Coleman JRI, Edwards AC, Galfalvy H, et al. Dissecting the shared genetic architecture of suicide attempt, psychiatric disorders, and known risk factors. Biol Psychiatry. 2022 Feb 1;91(3):313-27. https://doi.org/10.1016/j.biopsych.2021.05.029
12. Fan ZH, Xu J, Ge MW, Huang JW, Ni HT, Shen WQ, et al. Suicide death, suicidal ideation and suicide attempt in patients with diabetes: a systematic review and meta-analysis. J Adv Nurs. 2024 Jan 31;80(10):4050-73. https://doi.org/10.1111/jan.16074
13. Lei nº 13.819 da Presidência da República, de 26 de Abril de 2019 (BR) [Internet]. Institui a Política Nacional de Prevenção da Automutilação e do Suicídio, a ser implementada pela União, em cooperação com os Estados, o Distrito Federal e os Municípios; e altera a Lei nº 9.656, de 3 de Junho de 1998. Diário Oficial da União. 2019 Apr 26 [cited 2025 Nov 06]. Available from: https://www.in.gov.br/web/dou/-/lei-n%C2%BA-13.819-de-26-de-abril-de-2019-85673796
14. Freitas APA, Borges LM. Do acolhimento ao encaminhamento: O atendimento às tentativas de suicídio nos contextos hospitalares. Estud. psicol. 2017 Jan-Mar;22(1):50-60. https://doi.org/10.22491/1678-4669.20170006
15. World Health Organization (WHO). Suicide prevention [Internet]. Geneva: World Health Organization (WHO); 2021 [cited 2023 Dec 24]. Available from: http://www.who.int/mental_health/suicide-prevention/en/
16. Silva DA, Marcolan JF. Tentativa de suicídio e suicídio no Brasil: análise epidemiológica. Medicina. 2021 Dec 30;54(4):e-181793. https://doi.org/10.11606/issn.2176-7262.rmrp.2021.181793
17. Botti NCL, Cantão L, Silva AC, Dias TG, Menezes LC, Castro RAS. Características do comportamento suicida de homens e mulheres em tratamento psiquiátrico. Cogitare Enferm. 2018 Apr 18;23(2):e54280. https://doi.org/10.5380/ce.v23i1.54280
18. Lannoy S, Ohlsson H, Stephenson M, Kendler KS, Sundquist J, Sundquist K, et al. Prediction of suicide attempt in a Swedish population-based cohort. Acta Psychiatr Scand. 2024 Sept 24;151(1):92-101. https://doi.org/10.1111/acps.13761
19. Na PJ, Shin J, Kwak HR, Lee J, Jester DJ, Bandara P, et al. Social determinants of health and suicide-related outcomes: a review of meta-analyses. JAMA Psychiatry. 2025 Jan 2;82(4):337-46. https://doi.org/10.1001/jamapsychiatry.2024.4241
20. Chen M, Wang X, Tan DS, Wang H, Guo J, Li J, et al. Tobacco and alcohol use; suicide ideation, plan, and attempt among adolescents; and the role of legal purchase age restrictions: a pooled population-based analysis from 58 countries. BMC Med. 2025 Mar 18;23(1):163. https://doi.org/10.1186/s12916-025-03983-6
21. Pedrosa NFNC, Barreira DA, Rocha DQC, Barreira MA. Analysis of the main epidemiological factors related to suicide in a town of Ceará country-side, Brazil. J. Health Biol Sci. 2018 Oct 9;6(4):399-404. https://doi.org/10.12662/2317-3076jhbs.v6i4.2068.p399-404.2018
22. Santos DR, Xavier DP, Bentes LGB, Araújo NP, Teixeira RKC, Silva JAC. Perfil epidemiológico do suicídio no Brasil de 2007 a 2017. Rev Bioét. 2025 May 30;32:e3055PT. https://doi.org/10.1590/1983-803420243055PT
23. Corsi CAC, Assunção-Luiz AV, Cintra AS, Pitta NC, Paschoal ACS, Queiroz TS, et al. Vigilância em saúde do trabalhador: o suicídio relacionado ao trabalho. SMAD, Rev. Eletrônica Saúde Mental Álcool Drog. 2020 Aug 31;16(4):133-43. https://doi.org/10.11606/issn.1806-6976.smad.2020.172196
24. Cortez PA, Veiga HMS, Gomide APA, Souza MVR. Suicídio no trabalho: um estudo de revisão da literatura brasileira em psicologia. Rev. Psicol., Organ. Trab. 2019 Jan-Mar;19(1):523-31. https://doi.org/10.17652/rpot/2019.1.14480
25. Crispim MO, Santos CMR, Frazão IS, Frazão CMFQ, Albuquerque RCR, Perrelli JGA. Prevalence of suicidal behavior in young university students: a systematic review with meta-analysis. Rev. Latino-Am Enfermagem. 2021 Nov 8;29:e3495. https://doi.org/10.1590/1518-8345.5320.3495
26. Ferede YA, Tassew WC, Zeleke AM, Beyene JA, Gonete YA, Abebe MT. Suicide attempt and its determinants among adolescents and youth in Ethiopia: a systematic review and meta-analysis. BMC Psychiatry. 2025 Feb 20;25:160. https://doi.org/10.1186/s12888-025-06574-0
27. Durkheim E. O suicídio. São Paulo: WMF Martins Fontes; 2019. 552 p.
28. Vasconcelos Neto PJA, Moreira RS, Oliveira Júnior FJM, Ludermir AB. Tentativa de suicídio, transtorno de estresse pós-traumático e fatores associados em mulheres do Recife. Rev. bras. epidemiol. 2020 Mar 9;23:e200010. https://doi.org/10.1590/1980-549720200010
29. Braga RB, Pegoraro RF. Internação Psiquiátrica: O que as famílias pensam sobre isso? Revista Psicologia e Saúde. 2020 Feb 7;12(1):61-73. https://doi.org/10.20435/pssa.v12i1.820
30. Sampaio ML, Bispo Júnior JP. Rede de Atenção Psicossocial: avaliação da estrutura e do processo de articulação do cuidado em saúde mental. Cad. Saúde Pública. 2021 Apr 7;37(3):e00042620. https://doi.org/10.1590/0102-311X00042620
31. Santos CVM. Sofrimento psíquico e risco de suicídio: diálogo sobre saúde mental na universidade. Rev. Nufen: Phenom. Interd [Internet]. 2019 [cited 2025 Nov 06];11(2):149-60. Available from: https://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S2175-25912019000200010
32. Borba LO, Ferreira ACZ, Capistrano FC, Kalinke LP, Maftum MA, Maftum GJ. Fatores associados à tentativa de suicídio por pessoas com transtorno mental. Rev Min Enferm. 2020 May 20;24:e-1284. https://doi.org/10.5935/1415-2762.20200013
33. Lessa RT, Mesquita FBM, Silva VL, Silva VNLV, Ferreira TB, Yamashita MM, et al. Caracterização do perfil epidemiológico suicida e o aumento do número de casos de suicídio na cidade de Juiz de Fora, Minas Gerais, Brasil, entre 2012 a 2020. Debates em Psiquiatria. 2023 Jan 24;13:1-22. https://doi.org/10.25118/2763-9037.2023.v13.428
34. Zhou J, Qin Q, Chen S, Zhang H. Moral dilemmas regarding physical restraints in intensive care units: understanding autonomy, beneficence, non-maleficence and justice in the use of physical restraints. J Multidiscip Healthc. 2024 Apr 12;17:1619-27. https://doi.org/10.2147/JMDH.S455910
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Revista Eletrônica de Enfermagem

This work is licensed under a Creative Commons Attribution 4.0 International License.












