Made available in DSpace on 2016-04-04T18:27:17Z (GMT). No. of bitstreams: 1 Liliane Peruche.pdf: 204635 bytes, checksum: d35dfabc3f368d2ff71f49458fec79e0 (MD5) Previous issue date: 2006-02-24 / Studies epidemiologists regarding the suicide describe high incidence, being one of the 10 causes of death in all the ages. The concept of attempt of suicide adopted in this work mentions the act to it that cause injury to that it emits the reply, that can be of esquiva or escape of aversivas situations (Banaco, 2001). The suicide attempts are executed in the majority of the times for women, whom they use as method the ex?gena poisoning. Some events of life are related to the suicide attempt, as fight, problems of loving and familiar relationships, death of wanted being, separation or abandonment, financial losses, indesejada pregnancy, abortion and religious inconst?ncia. However the factor of found more significant risk in the cases of attempt of described suicide and in literature is the presence of mental upheaval. The depression, the upheavals of personality and the excessive alcoholic consumption are most common. In this work the theoretical referencial of the Analysis of the Behavior was used as form of understanding of the auto-destructive behavior. The contingencies gifts in the occurrence of the suicide attempt, together with the history of life of the citizen, are part of the necessary content for the accomplishment of the functional analysis, that is a clinical instrument of the mannering therapy. The objective of this work was functionally to analyze the story of the current contingencies and the history of life of a sample of four participants with history of suicide attempt. Beyond the story of the participants, information of a familiar one of each patient had been harvested. This sample was selected in a service of emergency of a general hospital of the interior of S?o Paulo. A fiche of identification of the participant and a script of interview half-structuralized for the collection of data of the participant had been used. The same interview script was used in the interview with the familiar one, however with some adaptations. The first contact was made during the internment of the patient in the hospital, in the attendance of the suicide attempt. The interviews, as much with the participant how much with its familiar one, they had been carried through in the clinic of the hospital. To the end of the interviews, it was offered to the participant five sessions of psychological support; these sessions had not been used in this study. One concludes that the aversivas contingencies gifts in the life of all the participants at the moment of the TS had been discriminated without difficulties, however the referring contingencies the life history well had not been identified. The familiar desestrutura was a found significant factor in the participants. The functional evaluation of the use of strategies of confrontation presented by the participant can collaborate in the prevention of future attempts. / Estudos epidemiol?gicos a respeito do suic?dio descrevem alta incid?ncia, sendo uma das 10 causas de morte em todas as idades. O conceito de tentativa de suic?dio adotado neste trabalho refere-se ao ato que causa les?o ?quele que emite a resposta, que pode ser de esquiva ou fuga de situa??es aversivas (Banaco, 2001). As tentativas de suic?dio s?o executadas na maioria das vezes por mulheres, que utilizam como m?todo a intoxica??o ex?gena. Alguns eventos de vida s?o relacionados ? tentativa de suic?dio, como brigas, problemas de relacionamentos amorosos e familiares, morte de ente querido, separa??o ou abandono, perdas financeiras, gravidez indesejada, aborto e inconst?ncia religiosa. Por?m o fator de risco mais significativo encontrado nos casos de tentativa de suic?dio e descrito na literatura ? a presen?a de transtorno mental. A depress?o, os transtornos de personalidade e o abuso de ?lcool s?o os mais comuns. Neste trabalho foi utilizado o referencial te?rico da An?lise do Comportamento como forma de compreens?o do comportamento auto-destrutivo. As conting?ncias presentes na ocorr?ncia da tentativa de suic?dio, juntamente com a hist?ria de vida do sujeito, fazem parte do conte?do necess?rio para a realiza??o da an?lise funcional, que ? um instrumento cl?nico da terapia comportamental. O objetivo deste trabalho foi analisar funcionalmente o relato das conting?ncias atuais e a hist?ria de vida de uma amostra de quatro participantes com hist?ria de tentativa de suic?dio. Al?m do relato dos participantes, foram colhidas informa??es de um familiar de cada paciente. Esta amostra foi selecionada num servi?o de emerg?ncia de um hospital geral do interior de S?o Paulo. Foram utilizados uma ficha de identifica??o do participante e um roteiro de entrevista semi-estruturada para a coleta de dados do participante. O mesmo roteiro de entrevista foi usado na entrevista com o familiar, por?m com algumas adapta??es. O primeiro contato foi feito durante a interna??o do paciente no hospital, no atendimento da tentativa de suic?dio. As entrevistas, tanto com o participante quanto com o seu familiar, foram realizadas no ambulat?rio do hospital. Ao final das entrevistas, foi oferecido ao participante cinco sess?es de apoio psicol?gico; estas sess?es n?o foram utilizadas neste estudo. Conclui-se que as conting?ncias aversivas presentes na vida de todos os participantes no momento da TS foram discriminadas sem dificuldades, por?m as conting?ncias referentes a hist?ria de vida n?o foram bem identificadas. A desestrutura familiar foi um fator significativo encontrado nos participantes. A avalia??o funcional do uso de estrat?gias de enfrentamento apresentadas pelo participante pode colaborar na preven??o de futuras tentativas.

Made available in DSpace on 2014-12-17T15:38:55Z (GMT). No. of bitstreams: 1 AnaKSA.pdf: 312843 bytes, checksum: 0cd445a1b328a584a7eba502f9efc6aa (MD5) Previous issue date: 2006-11-10 / Suicide rates have been rising all over the world. In Rio Grande do Norte state, a study carried out by Dutra (1999) investigated suicide rates among youngsters and found that in 1997 alone 244 cases of suicide attempt were registered. The author took an interest in studying this phenomenon among adolescents after reviewing Dutra s study and the technical literature on suicide. In addition to that, another topic caught her attention and raised new research questions: suicide attempts motivated by love, i.e., the end of a relationship, the fantasy of being abandoned by a partner. These have made the author to question how love manifested itself among adolescents and how it could become a reason for adolescents to give up their lives. Based on the data she analyzed and the research questions she developed, her research objective was to understand how adolescents who have attempted suicide because of love-related reasons have gone through this experience. The theoretical reference for the research was the Client-centered Therapy and more specifically, the construct self , according to Carl Rogers. The methodological strategy was inspired by the existential-phenomenological strategy. It used the narrative as a research instrument, inspired by the work of Walter Benjamim (1994) which was developed into a research strategy by Schmidt (1990). Four youngsters (three male and one female) have participated in this study. They have attempted suicide for love-related reasons during dolescence, when they were 12 to 18 years old. The interviews were recorded on cassette tapes, transcribed and literalized into narratives. The understanding of the narratives was based on the meanings that emerged from the youngsters speeches, as well as from the moments that touched the author. These moments highlighted the meaning of the experience of giving up life and the experience of love-based relationship as experienced by the youngsters. The study detected, among the adolescents who were interviewed, the existence of impulsiveness related to the suicide attempt. Also, the majority of the interviewees came from unstructured family backgrounds and had lost of one of their parents or had to face their parents divorce. The suicide was attempted by these youngsters through the ingestion of medicines. The research also revealed that the youngsters had regretted attempting suicide and felt guilty about it. With regards to their self-evaluation, the author observed that the youngsters had low self-esteem, negative perceptions about themselves and distorted views of themselves. These findings helped the author to reflect on the close relationship between the construct self and the suicide attempt. She also observed that a few factors, i.e., family context, education, social and cultural values, have influenced the way the youngsters perceived themselves . The results of this research confirm the idea that we have to understand the suicide attempt as a multi-determined phenomenon. This study contributed to the analysis and reflection on the factors that contribute to suicide attempts thus providing a foundation for the development of public health programs and policies to deal with this topic / Os ?ndices de suic?dio t?m crescido em todo o mundo. No Rio Grande do Norte, Dutra (1999), em estudo que verificava o ?ndice de tentativa de suic?dio entre jovens, constatou que somente no ano de 1997 houve 244 casos de tentativa de suic?dio. Tais dados, associados ? leitura de artigos e de estudiosos do suic?dio nos chamaram a aten??o para o estudo de tal fen?meno na adolesc?ncia. Al?m deste, um outro ponto passou a provocar questionamentos: a tentativa de suic?dio relacionada ? motivos amorosos o fim de um relacionamento amoroso ou a fantasia de abandono do parceiro , nos fez pensar acerca da forma como o amor se expressa entre os adolescentes, podendo tornar-se um motivo ou raz?o para que se desista de viver. Com base nesses dados e questionamentos, o nosso objetivo nesta pesquisa consistiu em compreender como adolescentes que tentaram suic?dio por quest?es amorosas vivenciaram essa experi?ncia. Para tanto, adotamos como referencial te?rico a Abordagem Centrada na Pessoa e, mais especificamente, o construto self, segundo o pensamento de Carl Rogers. A estrat?gia metodol?gica utilizada teve inspira??o fenomenol?gico-existencial, utilizando-se como instrumento de pesquisa a narrativa, inspirada em Walter Benjamim (1994) e desenvolvida como estrat?gia de pesquisa por Schmidt (1990). Participaram do presente estudo quatro jovens (tr?s do sexo feminino e um do sexo masculino), que tentaram suic?dio devido a quest?es amorosas, durante a adolesc?ncia, quando tinham entre 12 e 18 anos. As entrevistas foram gravadas em fitas cassete, transcritas e, posteriormente, literalizadas em forma de narrativas. A compreens?o das narrativas teve como base os sentidos que emergiram da fala dos jovens, bem como os momentos que nos afetaram, indicando o sentido da experi?ncia da desist?ncia de viver, e a experi?ncia da rela??o amorosa tal como vivenciada por eles. O estudo evidenciou, dentre muitos aspectos, entre os adolescentes estudados, a presen?a de impulsividade com rela??o ao ato suicida; o fato de que estes jovens eram provenientes de fam?lias com perdas parentais ou separa??o dos pais. A tentativa de suic?dio foi cometida pelos jovens atrav?s da ingest?o de medicamentos; observamos tamb?m a express?o de culpa ou arrependimento ap?s a tentativa de auto-exterm?nio. Em rela??o ao autoconceito desses jovens, observamos a presen?a de baixa auto-estima, atribui??es negativas sobre si mesmos, vis?es distorcidas de si, o que nos permitiu refletir sobre a estreita rela??o entre o construto self e a tentativa de suic?dio. Percebemos que fatores como o contexto familiar, a educa??o, os valores cultivados socialmente e os aspectos culturais de nossa sociedade influenciaram a maneira como os adolescentes de nossa pesquisa se percebiam. Os resultados confirmam a id?ia de que devemos perceber a tentativa de suic?dio como um fen?meno multideterminado. O estudo realizado favoreceu a reflex?o acerca dos resultados, contribuindo, assim, para o desenvolvimento de a??es preventivas, podendo se constituir em subs?dios para programas e pol?ticas de sa?de p?blica