Intervenções psicológicas baseadas em resiliência para risco de suicídio: uma revisão sistemática
Resumo
O problema do suicídio motivou a busca por estratégias preventivas, destacando as intervenções de resiliência como uma abordagem promissora para o bem-estar mental. O objetivo do estudo foi determinar a eficácia das intervenções psicológicas baseadas em resiliência para o risco de suicídio, avaliando o risco de viés, mapeando as evidências e analisando as pontuações pré e pós-intervenção. A revisão sistemática foi realizada com 4 artigos que foram selecionados usando a metodologia PRISMA. Os resultados mostram um baixo risco de viés na maioria dos estudos, com algumas exceções. A diversidade das intervenções em cada estudo foi refletida nas estratégias, no número de sessões, na estratificação dos participantes, nas variáveis e nos instrumentos utilizados. No entanto, há evidências de sua eficácia na redução do comportamento suicida e na melhoria da saúde mental. Ainda assim, é fundamental avançar na padronização dessas intervenções.
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Referências
Aldaz, N. B., & Escobar, G. R. (2020). Resiliencia en adolescentes con ideación suicida. Revista Científica Sinapsis, 3(18). https://doi.org/10.37117/s.v3i18.386
American Psychological Association. (2011, 26 de julio). El Camino a la Resiliencia. https://www.apa.org/topics/resilience/camino
Baptista, M. N., Cunha, F. A., Batista, H. H. V., & Cremasco, G. da S. (2022). Suicide prevention programs: An integrative literature review. Psicologia: Teoria e Pesquisa, 24(2). https://www.redalyc.org/journal/1938/193875163011/
Busby Grant, J., Batterham, P. J., McCallum, S. M., Werner-Seidler, A., & Calear, A. L. (2023). Specific anxiety and depression symptoms are risk factors for the onset of suicidal ideation and suicide attempts in youth. Journal of Affective Disorders, 327, 299-305. https://doi.org/10.1016/j.jad.2023.02.024
Cañón, S. C., Carmona Parra, J. A., Cañón Buitrago, S. C., & Carmona Parra, J. A. (2018). Ideación y conductas suicidas en adolescentes y jóvenes. Pediatría Atención Primaria, 20(80), 387-397.
Chingay, S. N. S., Alfaro, W. I. M., Guerr, M. del P. M., & Huamanchumo, R. M. E. (2022). Resiliencia y competitividad empresarial: Una revisión sistemática, período 2011 – 2021. Revista de Ciencias Sociales (Ve), XXVIII(3). https://www.redalyc.org/journal/280/28071865021/html/
Christopher, M. S., Hunsinger, M., Goerling, Lt. R. J., Bowen, S., Rogers, B. S., Gross, C. R., Dapolonia, E., & Pruessner, J. C. (2018). Mindfulness-based resilience training to reduce health risk, stress reactivity, and aggression among law enforcement officers: A feasibility and preliminary efficacy trial. Psychiatry Research, 264, 104-115. https://doi.org/10.1016/j.psychres.2018.03.059
Cuellar, C. D., & Pallares, L. (2020). Resiliencia ante el suicidio en estudiantes universitarios con síntomas de estrés, ansiedad y depresión [Tesis de licenciatura, Universidad Santo Tomás]. https://lc.cx/zlKjT5
Gínez-Silva, M. J., Astorga, C. M., & Urchaga-Litago, J. D. (2019). Resiliencia psicológica a través de la edad y el sexo. Revista INFAD de Psicología. International Journal of Developmental and Educational Psychology, 4(1). https://doi.org/10.17060/ijodaep.2019.n1.v4.1513
González, L. (2022). La Ideación suicida en adolescentes. Estado de la cuestión. Revista Construyendo Paz Latinoamericana, 17. https://doi.org/10.35600/25008870.2023.17.0270
Hahm, H. C., Zhou, L., Lee, C., Maru, M., Petersen, J. M., & Kolaczyk, E. D. (2019). Feasibility, preliminary efficacy, and safety of a randomized clinical trial for Asian Women’s Action for Resilience and Empowerment (AWARE) intervention. The American Journal of Orthopsychiatry, 89(4), 462-474. https://doi.org/10.1037/ort0000383
Houston, J. B., First, J., Spialek, M. L., Sorenson, M. E., Mills-Sandoval, T., Lockett, M., First, N. L., Nitiéma, P., Allen, S. F., & Pfefferbaum, B. (2017). Randomized controlled trial of the Resilience and Coping Intervention (RCI) with undergraduate university students. Journal of American College Health: J of ACH, 65(1), 1-9. https://doi.org/10.1080/07448481.2016.1227826
Instituto Nacional de Estadísticas y Censos. (2021). Estadísticas vitales. Registro estadístico de defunciones generales de 2021. https://lc.cx/CRy2da
Janzarik, G., Wollschläger, D., Wessa, M., & Lieb, K. (2022). A Group Intervention to Promote Resilience in Nursing Professionals: A Randomised Controlled Trial. International Journal of Environmental Research and Public Health, 19(2), 649. https://doi.org/10.3390/ijerph19020649
Jeste, D. V., Glorioso, D. K., Depp, C. A., Lee, E. E., Daly, R. E., Jester, D. J., Palmer, B. W., & Mausbach, B. T. (2023). Remotely Administered Resilience- and Wisdom-Focused Intervention to Reduce Perceived Stress and Loneliness: Pilot Controlled Clinical Trial in Older Adults. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 31(1), 58-64. https://doi.org/10.1016/j.jagp.2022.07.006
Joiner, T. E., Van Orden, K. A., Witte, T. K., Selby, E. A., Ribeiro, J. D., Lewis, R., & Rudd, M. D. (2009). Main predictions of the interpersonal–psychological theory of suicidal behavior: Empirical tests in two samples of young adults. Journal of Abnormal Psychology, 118(3), 634-646. https://doi.org/10.1037/a0016500
Joyce, S., Shand, F., Tighe, J., Laurent, S. J., Bryant, R. A., & Harvey, S. B. (2018). Road to resilience: A systematic review and meta-analysis of resilience training programmes and interventions. BMJ Open, 8(6). https://doi.org/10.1136/bmjopen-2017-017858
Kennard, B. D., Hughes, J. L., Minhajuddin, A., Slater, H., Blader, J. C., Mayes, T. L., Kirk, C., Wakefield, S. M., & Trivedi, M. H. (2023). Suicidal thoughts and behaviors in youth seeking mental health treatment in Texas: Youth Depression and Suicide Network research registry. Suicide and Life-Threatening Behavior, 53(5), 748-763. https://doi.org/10.1111/sltb.12980
Kreutzer, J. S., Marwitz, J. H., Sima, A. P., Mills, A., Hsu, N. H., & Lukow, H. R. (2018). Efficacy of the resilience and adjustment intervention after traumatic brain injury: A randomized controlled trial. Brain Injury, 32(8), 963-971. https://doi.org/10.1080/02699052.2018.1468577
Ludolph, P., Kunzler, A., Stoffers, J., Helmreich, I., & Lieb, K. (2019). Interventions to Promote Resilience in Cancer Patients. Deutsches Ärzteblatt. 116, 865-872. https://doi.org/10.3238/arztebl.2019.0865
Ministerio de Ciencia e Innovación. (2012). Guía de práctica clínica de prevención y tratamiento de la conducta suicida. https://lc.cx/dQcEG-
Molina, M. (2013). El ensayo clínico aleatorizado. Pediatría Atención Primaria, 15(60), 393-396. https://doi.org/10.4321/S1139-76322013000500021
Morán, C., Vicente, F., Sánchez, A., & Montes, E. (2014). La psicología positiva: Antigua o nueva concepción. Revista INFAD de Psicología. International Journal of Developmental and Educational Psychology, 3(1). https://doi.org/10.17060/ijodaep.2014.n1.v3.522
Moutier, C., & American Foundation for Suicide Prevention. (2023). Conducta suicida—Trastornos de la salud mental [Manual MSD]. Manual MSD versión para público general. https://lc.cx/1pnDZ-
O’Keefe, V., Haroz, E., Goklish, N., Ivanich, J., El equipo Celebrando la Vida, Barlow, A., & Cwik, M. (2019). Employing a sequential multiple assignment randomized trial (SMART) to evaluate the impact of brief risk and protective factor prevention interventions for American Indian Youth Suicide. BMC Public Health 19(1675). https://doi.org/10.1186/s12889-019-7996-2
Organización Mundial de la Salud. (2021, 17 de junio). Suicidio. https://www.who.int/es/news-room/fact-sheets/detail/suicide
Organización Panamericana de la Salud. (2021, 17 de junio). Una de cada 100 muertes es por suicidio—OPS/OMS. https://www.paho.org/es/cada-100-muertes-es-por-suicidio
Ortunio, C. M. S., & Guevara, R. H. (2016). Aproximación teórica al constructo resiliencia. Comunidad y Salud, 14(2), 96-105.
Palacios, A., Gómez, O., Huaricancha, T., & Hilario, C. (2016). Análisis crítico de ensayos clínicos aleatorizados: Riesgo de sesgo. Revista Estomatológica Herediana, 25(4), 304-308.
Ramírez, L. L. (2020). Programa de intervención sobre resiliencia y crecimiento postraumático en mujeres que han sufrido violencia de género [Tesis de maestría, Universidad de Alcalá]. https://lc.cx/5dH9Sl
Riblet, N. B., Stevens, S. P., Watts, B. V., Gui, J., Forehand, J., Cornelius, S., Powell, R., Lewicki, K., Wasserman, D., & Shiner, B. (2021). A pilot randomized trial of a brief intervention to prevent suicide after inpatient psychiatric discharge. Psychiatric Services, 72(11), 1320-1323. https://doi.org/10.1176/appi.ps.202000537
Rosenberg, A. R., Zhou, C., Bradford, M. C., Salsman, J. M., Sexton, K., O’Daffer, A., & Yi-Frazier, J. P. (2021). Assessment of the Promoting Resilience in Stress Management Intervention for Adolescent and Young Adult Survivors of Cancer at 2 Years: Secondary Analysis of a Randomized Clinical Trial. JAMA Network Open, 4(11). https://doi.org/10.1001/jamanetworkopen.2021.36039
Sánchez, G. (2016). Programa de intervención terapéutica en resiliencia en una institución de educación superior. Revista de Psicología, 8(1), 49-64.
Sher, L. (2019). Resilience as a focus of suicide research and prevention. Acta Psychiatrica Scandinavica, 140(2), 169-180. https://doi.org/10.1111/acps.13059
Soto, V., Ivorra González, D., Alonso, J., Castellvi, P., Rodríguez Marín, J., & Piqueras, J. A. (2019). Revisión sistemática de programas de prevención del suicidio en adolescentes de población comunitaria. Revista de Psicología Clínica con Niños y Adolescentes, 6(3), 1-13. http://dspace.umh.es/handle/11000/5510
Tala T, A., Larraguibel Q, M., & Muñoz L, G. (2016). Resiliencia en población Infanto-Juvenil: Una aproximación a las intervenciones basadas en la evidencia. Rev. chil. psiquiatr. neurol. infanc. Adolesc, 27(1), 9-17.
Tam, C. C., Li, X., Benotsch, E., & Lin, D. (2020). A Resilience-Based Intervention Programme to Enhance Psychological Well-Being and Protective Factors for Rural-to-Urban Migrant Children in China. Applied Psychology Health and Well-Being 12(1). https://doi.org/10.1111/aphw.12173
Urrútia, G., & Bonfill, X. (2010). Declaración PRISMA: Una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis. Medicina Clínica, 135(11), 507-511. https://doi.org/10.1016/j.medcli.2010.01.015
Zhang, D., Tian, Y., Wang, R., Wang, L., Wang, P., & Su, Y. (2022). Effectiveness of a resilience-targeted intervention based on «I have, I am, I can» strategy on nursing home older adults’ suicidal ideation: A randomized controlled trial. Journal of Affective Disorders, 308, 172-180. https://doi.org/10.1016/j.jad.2022.04.046
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