Treatment of suicidal people around the world

Autor(es):Mostrar menos -

Bruffaerts, R. ^[1] ; Demyttenaere, K. ^[1] ; Hwang, I. ^[2] ; Chiu, W-T. ^[2] ; Sampson, N. ^[2] ; Kessler, R. C. ^[2] ; Alonso, J. ^{[3, 4]} ; Borges, G. ^{[5, 6]} ; de Girolamo, G. ^[7] ; de Graaf, R. ^[8] ; Florescu, S. ^[9] ; Gureje, O. ^[10] ; Hu, C. ^{[11, 12]} ; Karam, E. G. ^[13] ; Kawakami, N. ^[14] ; Kostyuchenko, S. ^[15] ; Kovess-Masfety, V. ^{[16, 17]} ; Lee, S. ^[18] ; Levinson, D. ^[19] ; Matschinger, H. ^[20] ; Posada-Villa, J. ^[21] ; Sagar, R. ^[22] ; Scott, K. M. ^[23] ; Stein, D. J. ^[24] ; Tomov, T. ^[25] ; Viana, M. C. ^[26] ; Nock, M. K. ^[27]

Afiliação do(s) autor(es):Mostrar menos -

^[1] UPC KUL, Univ Hosp Gasthuisberg, Louvain - Belgium

^[2] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 - USA

^[3] Hosp Mar, Hlth Serv Res Unit, IMIM, Barcelona - Spain

^[4] CIBER Epidemiol & Salud Publ, Barcelona - Spain

^[5] Natl Inst Psychiat Mexico, Dept Epidemiol Res, Div Epidemiol & Psychosocial Res, Mexico City, DF - Mexico

^[6] Metropolitan Autonomous Univ, Mexico City, DF - Mexico

^[7] IRCCS Ctr S Giovanni di Dio Fatebenefratelli, Brescia - Italy

^[8] Netherlands Inst Mental Hlth & Addict, Utrecht - Netherlands

^[9] Natl Sch Publ Hlth & Hlth Serv Management, Publ Hlth Res & Evidence Based Med Dept, Bucharest - Romania

^[10] Univ Coll Hosp, Ibadan - Nigeria

^[11] Shenzhen Inst Mental Hlth, Shenzhen - Peoples R China

^[12] Shenzhen Kangning Hosp, Shenzhen - Peoples R China

^[13] Balamand Univ, St George Hosp Univ Med Ctr, Fac Med, Med Inst Neuropsychol Disorders, Inst Dev Res Advo, Beirut - Lebanon

^[14] Univ Tokyo, Grad Sch Med, Dept Mental Hlth, Tokyo - Japan

^[15] Ukrainian Psychiat Assoc, Kiev - Ukraine

^[16] Univ Paris 05, EA 4069, Paris - France

^[17] EHESP Sch Publ Hlth, Dept Epidemiol, Paris - France

^[18] Chinese Univ Hong Kong, Prince Wales Hosp, Shatin, Hong Kong - Peoples R China

^[19] Mental Hlth Serv Minist Hlth, Jerusalem - Israel

^[20] Univ Leipzig, Psychiat Clin, Leipzig - Germany

^[21] Javeriana Univ, Ctr Med Sabana, Bogota - Colombia

^[22] All India Inst Med Sci, Dept Psychiat, Delhi - India

^[23] Wellington Sch Med & Hlth Sci, Dept Psychol Med, Otago - New Zealand

^[24] Univ Cape Town, Dept Psychiat, ZA-7925 Cape Town - South Africa

^[25] New Bulgarian Univ, Inst Human Relat, Sofia - Bulgaria

^[26] Univ Sao Paulo, Sch Med, Sect Psychiat Epidemiol, Inst Psychiat, Sao Paulo - Brazil

^[27] Harvard Univ, Dept Psychol, Cambridge, MA 02138 - USA

• Tipo de documento: Artigo Científico
• Fonte: BRITISH JOURNAL OF PSYCHIATRY; v. 199, n. 1, p. 64-70, JUL 2011.
• Citações Web of Science: 135

Resumo

Background Suicide is a leading cause of death worldwide; however, little information is available about the treatment of suicidal people, or about barriers to treatment. Aims To examine the receipt of mental health treatment and barriers to care among suicidal people around the world. Method Twenty-one nationally representative samples worldwide (n=55 302; age 18 years and over) from the World Health Organization's World Mental Health Surveys were interviewed regarding past-year suicidal behaviour and past-year healthcare use. Suicidal respondents who had not used services in the past year were asked why they had not sought care. Results Two-fifths of the suicidal respondents had received treatment (from 17% in low-income countries to 56% in high-income countries), mostly from a general medical practitioner (22%), psychiatrist (15%) or non-psychiatrist (15%). Those who had actually attempted suicide were more likely to receive care. Low perceived need was the most important reason for not seeking help (58%), followed by attitudinal barriers such as the wish to handle the problem alone (40%) and structural barriers such as financial concerns (15%). Only 7% of respondents endorsed stigma as a reason for not seeking treatment. Conclusions Most people with suicide ideation, plans and attempts receive no treatment. This is a consistent and pervasive finding, especially in low-income countries. Improving the receipt of treatment worldwide will have to take into account culture-specific factors that may influence the process of help-seeking. (AU)

• Processo FAPESP: 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica
• Beneficiário: Laura Helena Silveira Guerra de Andrade
• Modalidade de apoio: Auxílio à Pesquisa - Temático