Bakgrund: Outhärdlig psykisk smärta, bristande livslust och suicid är ett folkhälsoproblem. Tidigare studier visar att det finns många faktorer som förhöjer risken för suicid. Dock finns det inte i samma utsträckning kunskap om de faktorerna som skyddar mot suicid. Genom ökad kunskap om de skyddande faktorerna mot suicid kan även ökad resiliens skapas inför framtida utmaningar. Syfte: Syftet med föreliggande studie var att beskriva de skyddande faktorer som kan stärka livskraften hos suicidnära personer. Metod: En systematisk litteraturstudie av tio studier med kvalitativ ansats användes. Dataanalysen genomfördes utifrån Evans beskrivande metod.  Resultat: Tre teman identifierades som skyddande faktorer för suicidnära personer: Kontakt, Vändpunkter och Coping. Tio subteman identifierades: Kontakt: familj och vänner, kontakt med sig själv, kontakt med en gud, andra gemenskaper; Vändpunkter: nya insikter, känsla av delaktighet; Coping: framtida mål, förebild, hälsosamt beteende, lidande och suicidtankar som coping.  Diskussion: Sjuksköterskans uppgift är att värna om livet, lindra lidande, ingjuta hopp, främja hälsa och in i det längsta förstärka livskraften hos patienten. Kunskap från den vårdvetenskapliga forskningen med avseende på bemötande och skyddande faktorer i samband med suicidalitet kan bidra till ny kunskap av vikt inom psykiatriskomvårdnad. / Background: Unbearable psychological pain, lack of desire to live and suicide are public health problems. Earlier studies have shown that there are many factors that increase the risk for suicide. The field of research in protective factors for suicide has been rather unexplored, in comparison. By increasing the knowledge the protective factors there can be an increased resilience before future challenges in psychiatric care.   Aim: The purpose of the present study was to describe the protective factors that can strengthen the viability in suicidal persons.  Method: A systematic review of literature of ten studies with qualitative approach was used. Data analysis was performed based on the descriptive method invented by Evans.  Results: Three themes where identified as protective factors for suicidal persons: Contact, Turning points and Coping. For each theme, different subthemes has been identified: Contact: family and friends, contact with oneself, spiritual contact, other communities; Turning points: new insights, participation; Coping: future goals, role model, healthy behaviour, suffering and suicidal thoughts as coping. Discussion: The nurse’s role is to protect life itself, to ease suffering, to instil hope, to promote health and into the longest increase the viability in suicidal patients. The psychiatric care needs to assimilate new knowledge from the Science of care in terms of treatment of patients and protective factors. Furthermore, to better understand the psychology of suicide and to counteract taboo, which still revolves around suicide.

Esta tese apresenta um conjunto de estudos que investigaram a manifestação de comportamentos de risco na adolescência e as relações com variáveis de risco e proteção pessoais e contextuais. Engloba uma revisão sistemática de literatura, que identificou os comportamentos de risco mais investigados; um artigo que apresenta o processo de construção e análise do Índice de Comportamento de Risco (ICR); dois artigos empíricos construídos a partir do ICR; e um capítulo com o relato da experiência de devolução dos resultados da pesquisa em diferentes contextos. A versão final do ICR foi composta por 17 itens, que avaliam conjuntamente o uso de substâncias, comportamento sexual de risco, comportamento antissocial e comportamento suicida, com consistência interna satisfatória (α=0.84). Quanto aos estudos empíricos, um deles investigou o engajamento em comportamentos de risco e suas relações com fatores de risco e proteção, e o outro investigou longitudinalmente adolescentes que vivem em diferentes contextos: família, acolhimento institucional e instituições para cumprimento de medidas socioeducativas. Foi possível identificar que o comportamento de risco assume características diferenciadas conforme o contexto de inserção dos adolescentes, além de variações por idade e sexo, e que está associado com violência intra e extrafamiliar, eventos estressores, relações com a família, escola e religião, ter amigos próximos ou familiares que usam drogas e autoeficácia. Conclui-se que é preciso intervir minimizando fatores de risco e potencializando fatores de proteção, especialmente em grupos mais vulneráveis como adolescentes institucionalizados. / This thesis presents a set of studies that investigated the manifestation of risk behaviors in adolescence and the relationship among risk, personal protection and context variables. Encompasses a systematic literature review that identified risk behaviors investigated further; an article that presents the process of construction and analysis of Risk Behavior Index (RCI); two empirical articles built from the RCI; and a chapter with an experience report of returning the search results in different contexts. The final version of the RCI was composed of 17 items, which jointly assess substance use, risky sexual behavior, antisocial behavior, and suicidal behavior, with satisfactory internal consistency (α = 0.84). About the empirical studies, one investigated the engagement in risky behaviors and their relationships with risk and protective factors, and the other investigated longitudinally adolescents living in different contexts: family, institutional care and institutions to abide educational measures. The study identified that the risk behavior takes different characteristics depending on the adolescents’ context, plus variations by age and sex. The risk behavior in adolescents is also associated with intra- and extra-family violence, stressful events, relationships with family, school and religion, have close friends or relatives who use drugs and self-efficacy. In conclusion, the study shows that an intervention is required to minimize risk factors and enhancing protective factors, especially in vulnerable groups such as institutionalized adolescents.

The study aimed to investigate the perception of professionals on risk and protective factors when working with adolescents who are undergoing socioeducative measures (MSE) in inpatient treatment units and supervised outpatient work for adolescents in conflict with the law in a small city of Rio Grande do Sul state. It also sought to undestand how the practices of Restorative Justice (JR) can be perceived as potencial protective factors for adolescents who are in conflict with the law. To achieve the proposed objectives, a qualitative research was performed with the professionals working in the inpatient and outpatient units. For data collection we used a questionnaire with open and closed questions based on the literature review. To analyze the information of the data collected, open questions were submitted to thematic content analysis as proposed by Bardin. For analysis of the closed questions a statistical summary of variables was used. The data analysis revealed that the professionals notice different risk and protective factors in the lives of the adolescents in conflict with the law. In regard to knowledge of restorative practices, the majority of the professionals report to be aware of them but few indicate the ones they apply in their treatment units. In conclusion, we suggest the need to develop new studies, mainly on risk and protective factors at the individual level, which were the least considered aspects by the respondents. / Esse trabalho buscou investigar a percepção dos socioeducadores sobre os fatores de risco e proteção em adolescentes que cumprem Medida Socioeducativa (MSE) em unidades de internação e de semiliberdade, para adolescentes em conflito com a lei de uma cidade do interior do estado do RS. Ainda procurou entender suas opiniões sobre as práticas da Justiça Restaurativa (JR) no sistema socioeducativo.. Para alcançar os objetivos propostos foi realizada uma pesquisa de caráter qualitativo tendo como participantes os socioeducadores das unidades de internação e semiliberdade da cidade. Para coleta de dados foi utilizado um questionário com questões abertas e fechadas construídas a partir da revisão de literatura. Para análise das informações das questões abertas os dados encontrados foram submetidos à análise de conteúdo temática, conforme proposto por Bardin. Para análise das questões fechadas foi utilizado um levantamento estatístico das variáveis. A análise dos dados revelou que os socioeducadores percebem diferentes fatores de risco e proteção na trajetória de vida dos adolescentes em conflito com a lei. Com relação ao conhecimento de práticas restaurativas apesar de a maioria deles informar que as conhecem, poucos deles indicaram as que executam em suas unidades de trabalho. Em conclusão sugerimos a necessidade de desenvolvimento de novos estudos principalmente sobre fatores de risco e proteção em nível individual que foi o aspecto menos considerado pelos socioeducadores pesquisados.

This work deals with finding out the opinions and experiences of children from the asylum house to addictive substances and mapping the occurrence of other risky forms of behavior. Another aim of this work was to investigate and describe the risk and protective factors involved in risk behavior. The starting point for this work is that many researches point to the occurrence of risk behaviors among children and adolescents, and to the growing number of single-parent children,often ending in shelters. The theoretical part deals with the description of the use of addictive substances and the occurrence of risk behavior in the school population, as well as explanation of terms such as risk behavior and risk and protective factors. In addition, the individual chapters in the Theory are dedicated to family, school, peers, social exclusion and asylum homes. The practical part describes the process of the survey itself. The research group consisted of three children aged between 9 and 11 in one asylum house, a case study. The research set was chosen by the method of deliberate institutional selection. Half-structured interviews were used in the research, which was subsequently analyzed by encoding, segmentation and categorization of data. There were eight categories that emerged from interviews with...

Esta tese apresenta um conjunto de estudos que investigaram a manifestação de comportamentos de risco na adolescência e as relações com variáveis de risco e proteção pessoais e contextuais. Engloba uma revisão sistemática de literatura, que identificou os comportamentos de risco mais investigados; um artigo que apresenta o processo de construção e análise do Índice de Comportamento de Risco (ICR); dois artigos empíricos construídos a partir do ICR; e um capítulo com o relato da experiência de devolução dos resultados da pesquisa em diferentes contextos. A versão final do ICR foi composta por 17 itens, que avaliam conjuntamente o uso de substâncias, comportamento sexual de risco, comportamento antissocial e comportamento suicida, com consistência interna satisfatória (α=0.84). Quanto aos estudos empíricos, um deles investigou o engajamento em comportamentos de risco e suas relações com fatores de risco e proteção, e o outro investigou longitudinalmente adolescentes que vivem em diferentes contextos: família, acolhimento institucional e instituições para cumprimento de medidas socioeducativas. Foi possível identificar que o comportamento de risco assume características diferenciadas conforme o contexto de inserção dos adolescentes, além de variações por idade e sexo, e que está associado com violência intra e extrafamiliar, eventos estressores, relações com a família, escola e religião, ter amigos próximos ou familiares que usam drogas e autoeficácia. Conclui-se que é preciso intervir minimizando fatores de risco e potencializando fatores de proteção, especialmente em grupos mais vulneráveis como adolescentes institucionalizados. / This thesis presents a set of studies that investigated the manifestation of risk behaviors in adolescence and the relationship among risk, personal protection and context variables. Encompasses a systematic literature review that identified risk behaviors investigated further; an article that presents the process of construction and analysis of Risk Behavior Index (RCI); two empirical articles built from the RCI; and a chapter with an experience report of returning the search results in different contexts. The final version of the RCI was composed of 17 items, which jointly assess substance use, risky sexual behavior, antisocial behavior, and suicidal behavior, with satisfactory internal consistency (α = 0.84). About the empirical studies, one investigated the engagement in risky behaviors and their relationships with risk and protective factors, and the other investigated longitudinally adolescents living in different contexts: family, institutional care and institutions to abide educational measures. The study identified that the risk behavior takes different characteristics depending on the adolescents’ context, plus variations by age and sex. The risk behavior in adolescents is also associated with intra- and extra-family violence, stressful events, relationships with family, school and religion, have close friends or relatives who use drugs and self-efficacy. In conclusion, the study shows that an intervention is required to minimize risk factors and enhancing protective factors, especially in vulnerable groups such as institutionalized adolescents.

A presente dissertação avaliou a associação entre as habilidades sociais e fatores de risco e proteção para o desenvolvimento em jovens adultos brasileiros. O Capítulo 1 consiste em uma revisão de literatura que ilustra a importância das habilidades sociais nos diferentes contextos sociais da vida adulta. O Capítulo 2 apresenta a adaptação e as evidências de validade das Escalas Multidimensionais de Expressão Social partes Cognitiva (EMES-C) e Motora (EMES-M). Apresenta-se uma nova estrutura fatorial e evidências de validade convergente, demonstrando que as escalas são adequadas para o uso na população brasileira. O Capítulo 3 analisou as relações entre as habilidades sociais e fatores de risco e proteção em jovens adultos. Correlações de Pearson e ANOVAs demonstraram que as habilidades sociais podem ser consideradas um fator protetivo, uma vez que sua presença esteve relacionada com o aumento dos demais fatores de proteção, auxiliando na formação de redes de apoio. / This work evaluated the association between social skills and risk and protective factors for developing in Brazilian young adults. Chapter 1 consists of a literature review that illustrates the importance of social skills in different social contexts of adult life. Chapter 2 presents the adaptation and evidence of validity of the Multidimensional Scale for Social Expression Cognitive (ESMS-C) and Motor (EMES-M) subscales. It presents a new factor structure and convergent validity evidence, demonstrating that the scales are suitable for use in the Brazilian population. Chapter 3 examined the relationship between social skills and risk and protective factors in young adults. Pearson correlations and ANOVAs were used. The results showed that social skills could be considered as a protective factor, since their presence was related to the increase of other protective factors, assisting in the formation of support networks.

Esta tese apresenta um conjunto de estudos que investigaram a manifestação de comportamentos de risco na adolescência e as relações com variáveis de risco e proteção pessoais e contextuais. Engloba uma revisão sistemática de literatura, que identificou os comportamentos de risco mais investigados; um artigo que apresenta o processo de construção e análise do Índice de Comportamento de Risco (ICR); dois artigos empíricos construídos a partir do ICR; e um capítulo com o relato da experiência de devolução dos resultados da pesquisa em diferentes contextos. A versão final do ICR foi composta por 17 itens, que avaliam conjuntamente o uso de substâncias, comportamento sexual de risco, comportamento antissocial e comportamento suicida, com consistência interna satisfatória (α=0.84). Quanto aos estudos empíricos, um deles investigou o engajamento em comportamentos de risco e suas relações com fatores de risco e proteção, e o outro investigou longitudinalmente adolescentes que vivem em diferentes contextos: família, acolhimento institucional e instituições para cumprimento de medidas socioeducativas. Foi possível identificar que o comportamento de risco assume características diferenciadas conforme o contexto de inserção dos adolescentes, além de variações por idade e sexo, e que está associado com violência intra e extrafamiliar, eventos estressores, relações com a família, escola e religião, ter amigos próximos ou familiares que usam drogas e autoeficácia. Conclui-se que é preciso intervir minimizando fatores de risco e potencializando fatores de proteção, especialmente em grupos mais vulneráveis como adolescentes institucionalizados. / This thesis presents a set of studies that investigated the manifestation of risk behaviors in adolescence and the relationship among risk, personal protection and context variables. Encompasses a systematic literature review that identified risk behaviors investigated further; an article that presents the process of construction and analysis of Risk Behavior Index (RCI); two empirical articles built from the RCI; and a chapter with an experience report of returning the search results in different contexts. The final version of the RCI was composed of 17 items, which jointly assess substance use, risky sexual behavior, antisocial behavior, and suicidal behavior, with satisfactory internal consistency (α = 0.84). About the empirical studies, one investigated the engagement in risky behaviors and their relationships with risk and protective factors, and the other investigated longitudinally adolescents living in different contexts: family, institutional care and institutions to abide educational measures. The study identified that the risk behavior takes different characteristics depending on the adolescents’ context, plus variations by age and sex. The risk behavior in adolescents is also associated with intra- and extra-family violence, stressful events, relationships with family, school and religion, have close friends or relatives who use drugs and self-efficacy. In conclusion, the study shows that an intervention is required to minimize risk factors and enhancing protective factors, especially in vulnerable groups such as institutionalized adolescents.

Magister Psychologiae - MPsych / Using the literature on Baumrind's theory of Parenting Styles and how perceptions of these are associated to adolescent at-risk behaviour, this study set out to examine whether any parenting style increased or decreased adolescent substance use. The central aim of this study was to examine the association between perceived parenting styles and adolescent substance use. To further this, 239 grade 10 and 11 adolescent participants were drawn from 3 schools in Mitchell's Plain, a suburb in the Western Cape (with permission granted from the Education Department). This particular suburb was chosen due to the high rates of substance use and substance related crime within the area. A quantitative research design was implemented within this study. The participants were required to complete the Drug Use Disorders Identification Test (DUDIT), a questionnaire aimed at measuring drug use, and the Parental Authority Questionnaire (PAQ), aimed at measuring perceived parenting styles and a Biographical Questionnaire to provide additional information. Informed consent was obtained and the confidentiality of the schools and participants were protected. Data analysis was conducted using SPSS, a data analysis programme available at the University of the Western Cape. Results show that substance use reduction was significantly related to a perceived authoritative parenting style. However, no significant relationships could be found between perceived permissive and authoritarian parenting style. Significant difference was found in the results obtained for male and female adolescents, with males generally appearing to use more substances. It can be concluded that perceived authoritative parenting styles have an important role to play in the prevention of adolescent substance abuse. / South Africa

Magister Psychologiae - MPsych / This study, located within the systems theory framework, recognises that resilience is multidimensional and multi determined and can be understood as the product of connections with, and between multiple systemic levels over time, and further understands that risks factors are seen as influences that occur at the individual, family, community and societal level. The quantitative study used a secondary analysis survey of data and utilised a sample of 281 students from UWC - 90 male and 190 female. In drawing from the literature the study examined the relationship between gender, Socioeconomic status (SES) and exposure to violence and resilience. Results of the factorial MANOVA indicate a statistically significant association between low SES and exposure to violence (p <0.05 = 0.036). There were no statistically significant results for the associations between gender and exposure to violence and resilience, as well as the association between SES and resilience. These results were contrary to what was predicted. The results of the present study suggest that in the South African context, both males and females have managed to find ways of coping when faced with adversity as well as being able to draw from their protective influences. It is also possible that the selected variables (gender and SES) may only be significant in relation to other variables. The limitations of the study were also discussed, and recommendations for future research were put forward. / South Africa

Adolescents engage in a range of risk behaviors during their transition from childhood to adulthood. Identifying and understanding interpersonal and socio-environmental factors that may influence risk-taking is imperative in order to meet the Healthy People 2020 goals of reducing the incidence of unintended pregnancies, HIV, and other sexually transmitted infections among youth. The purpose of this study was to investigate gender differences in the predictors of HIV risk behaviors among South Florida youth. More specifically, this study examined how protective factors, risk factors, and health risk behaviors, derived from a guiding framework using the Theory of Problem Behavior and Theory of Gender and Power, were associated with HIV risk behavior. A secondary analysis of 2009 Youth Risk Behavior Survey data sets from Miami-Dade, Broward, and Palm Beach school districts tested hypotheses for factors associated with HIV risk behaviors. The sample consisted of 5,869 high school students (mean age 16.1 years), with 69% identifying as Black or Hispanic. Logistic regression analyses revealed gender differences in the predictors of HIV risk behavior. An increase in the health risk behaviors was related to an increase in the odds that a student would engage in HIV risk behavior. An increase in risk factors was also found to significantly predict an increase in the odds of HIV risk behavior, but only in females. Also, the probability of participation in HIV risk behavior increased with grade level. Post-hoc analyses identified recent sexual activity (past 3 months) as the strongest predictor of condom nonuse and having four or more sexual partners for both genders. The strongest predictors of having sex under the influence of drugs/alcohol were alcohol use in both genders, marijuana use in females, and physical fighting in males. Gender differences in the predictors of unprotected sex, multiple sexual partners, and having sex under the influence were also found. Additional studies are warranted to understand the gender differences in predictors of HIV risk behavior among youth in order to better inform prevention programming and policy, as well as meet the national Healthy People 2020 goals.