• Fatima Gonçalves Cavalcante - CAVALCANTE,FG - Rio de Janeiro, Rio de Janeiro - Laboratório de Práticas Sociais Integradas, Mestrado Profissional em Psicanálise, Saúde e Sociedade, Universidade Veiga de Almeida, Rua Ibituruna, 108, Tijuca, RJ. - <fatimagold7x7@yahoo.com.br> +
Coautor(es):
• Maria Cecília de Souza Minayo - Minayo, M.C.S - Rio de Janeiro, RJ - Centro Latino Americano de Estudos de Violência e Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz - <maminayo@terra.com.br> + ORCID: https://orcid.org/0000-0001-6187-9301
O artigo analisa diferentes faces da depressão associadas a suicídio em idosos, a partir de autópsias psicológicas. Utilizou-se um método retrospectivo para o estudo de mortes indeterminadas, a partir de entrevistas e laudos, que analisa circunstâncias psicossociais associadas ao suicídio. O artigo traz uma predominância de gênero, classe social e raça – mulheres, classe média e alta, brancos - e contextualiza de modo inédito a depressão numa população de alto risco de suicídio, pouco estudada no Brasil e no mundo. Buscou-se reconstituir o nível de saúde física e mental, as circunstâncias sociais e os traços biográficos marcantes para compreender a magnitude da depressão na ocorrência do suicídio. A depressão apareceu na quase totalidade dos casos como diagnóstico primário ou secundário, como sintoma associado a outras comorbidades ou como reação a estressores sociais, demandando diferentes condutas e procedimentos terapêuticos. A associação entre depressão e comorbidade múltipla agrava o prognóstico do caso e amplia cumulativamente o risco de suicídio. A depressão acompanhada de ideações suicidas é um fator de risco que justifica medidas preventivas e imediatas. Recomenda-se ampliar as formas de diagnosticar e tratar assertivamente a depressão em idosos.
Palavras-chave:
suicídio em idosos
depressão
autópsia psicológica
Abstract:
This article analyses different sides of depression and its association to elderly suicide based in psychological autopsies. It was used a retrospective method to study undetermined deaths, based on interviews and reports, which analyzes psychosocial circumstances related to suicide. The paper shows the predominance of gender, social class and race – women, middle and higher class, whites – and it contextualizes in an unusual way the depression in a population with high risk of suicide, poorly studied in Brazil and in the world. The level of physical and mental health, the social circumstances and the major biographic characteristics of the suicide victim was reconstructed in order to comprehend the impact of depression in the occurrence of suicide. Depression was presented in almost all cases as primary and secondary diagnosis, as symptoms associated to other co-morbidities or as reaction to social stressors, demanding different approaches and therapeutic procedures. The association between depression and multiple co-morbidities is worst to the case prognostic and it cumulatively increases the risk for suicide. Depression followed by suicide ideations is a risk factor which justifies immediately and preventive actions. It is recommended procedures to enlarge assertive diagnostic and treatment of depression in old age.
Keywords:
suicide in old age
depression
psychological autopsies
This article analyses different sides of depression and its association to elderly suicide based in psychological autopsies. It was used a retrospective method to study undetermined deaths, based on interviews and reports, which analyzes psychosocial circumstances related to suicide. The paper shows the predominance of gender, social class and race – women, middle and higher class, whites – and it contextualizes in an unusual way the depression in a population with high risk of suicide, poorly studied in Brazil and in the world. The level of physical and mental health, the social circumstances and the major biographic characteristics of the suicide victim was reconstructed in order to comprehend the impact of depression in the occurrence of suicide. Depression was presented in almost all cases as primary and secondary diagnosis, as symptoms associated to other co-morbidities or as reaction to social stressors, demanding different approaches and therapeutic procedures. The association between depression and multiple co-morbidities is worst to the case prognostic and it cumulatively increases the risk for suicide. Depression followed by suicide ideations is a risk factor which justifies immediately and preventive actions. It is recommended procedures to enlarge assertive diagnostic and treatment of depression in old age.
Palavras-chave (keywords):
suicide in old age
depression
psychological autopsies
CAVALCANTE,FG, Minayo, M.C.S, Mangas, RMN. Diferentes faces da depressão no suicídio em idosos. Cien Saude Colet [periódico na internet] (2012/jul). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/diferentes-faces-da-depressao-no-suicidio-em-idosos/10753?id=10753
