Itinerário, cuidado e vivência de profissionais de saúde na atenção à pessoa em risco e crise suicida

Abstract

Suicide is a social fact, considered a public health problem, of high complexity and multicausal, which commonly generates significant impacts on society, groups and individuals, whether in biological, psychological, economic, social and/or personal factors. Through this study, we sought to know the itinerary taken by the user at risk or in suicidal crisis in the RAPS of Belém, as well as to know the perception of health professionals who work in points of care of the suicide crisis care network. To this end, descriptive exploratory qualitative research was used, with a phenomenological strategy, in two stages: (1) theoretical study, in the scientific literature and in governmental and non-governmental documents; and (2) an empirical study with professionals who work with people at risk and in suicidal crisis. The data from the theoretical study were organized into thematic spreadsheets and analyzed for content; while the empirical study was analyzed according to the method of discourse analysis proposed by Amedeo Giorgi. The itinerary of care for users at risk and suicidal crisis in the RAPS of Belém-Pa is designed in a disjointed way between the devices, the points of care present absence/lack of communication with each other, due to technological barriers, but also relational barriers. On the other hand, the professionals present pragmatic experiences in relation to each operational role they play in the device in which they work, and showed their subjectivity about their work process experienced in the care of a crisis. Finally, this study evidenced the need to expand the Psychosocial Care Network in the care of people at risk of suicide that goes beyond the hospital focus, hospitalization, to care with devices that focus on the real dimensions and demands of the person, in the territory and in society, through an expanded clinic.