The study aimed to analyze the association between exposure to violence and the presence of mental disorder in the population aged 18 or more in the neighborhood of Benedito Bentes, Maceió / Alagoas. Epidemiological population-based study of analytical and cross-section, with a pure probability sample of 872 people in a cluster sampling. Data collection in the period from january 26 to march 2, 2015, with residents interviewed in the referenced households. The sociodemographic questionnaire, the Mini International Neuropsychiatric Interview and the Instrument Socioeconomic Stratum were used. The ethical aspects are met. Was obtained prior approval from the Ethics Committee of the Federal University of Alagoas, opinion n.º 608 613. We used the statistical package IBM Statistical Package for Social Sciences (S.P.S.S.) for Windows version 17.0, for statistical analysis, with a 95% confidence interval. In the results, 74.9% of respondents were female, 73.7% of blacks, 7.4 years of study average. The violence against children was prevalent in 12.4%, violence in adulthood by 19.6%, witnessing violence in life and 50.5% triple exposure to violence in 4.1%. Violence in childhood and in adulthood occurred mostly in the victim's home. Suffer violence in childhood was associated with lower socioeconomic status. The non-nuclear family structure was a protective factor for violence in childhood, adulthood or triple. Exposure to violence in childhood was associated with most disorders, with five times more likely to panic attack symptoms with limited; sexual violence in childhood was associated with four times the suicide risk of chances. Suffer violence as an adult was associated with a greater number of disorders, with six times more likely to abuse alcohol. Witnessing violence was associated with some of the disorders, with less force in the associations except substance dependence, with six times more likely. The triple exposure to violence was associated with fewer disorders than those who have experienced violence in adulthood; however, the combinations were more intense, thereby indicating whether the dose- response effect. Most outbreaks of violence demonstrated association with risk of suicide. Victims of sexual violence in childhood or adulthood had more than three times as likely to more risk of suicide. The posttraumatic stress disorder (PTSD) has been associated with sexual violence in adulthood, with ratio greater chances to eight times; there were no significant associations between sexual violence in childhood and PTSD. Exposure to violence was associated with higher chances of manifestation of disorders and suicide risk. There is a pressing need for early identification of victims of violence to offer appropriate psychosocial support. Violence should be a condition investigated in people with disorders history. Managers and health professionals articulated with other sectors need to discuss in amplified form the interrelationship between violence and mental health field in order to propose convergent interventions to local needs. / Fundação de Amparo a Pesquisa do Estado de Alagoas / O estudo teve por objetivo analisar a associação entre exposição à violência e presença de transtorno mental na população com 18 anos ou mais do bairro Benedito Bentes, Maceió/Alagoas. Estudo epidemiológico de base populacional, com caráter analítico e corte transversal, amostra probabilística simples com 872 pessoas, amostragem por conglomerados. Coleta de dados no período de 26 de janeiro a 2 de março de 2015, com entrevistados residentes nos domicílios referenciados. Foram utilizados o Questionário Sociodemográfico, o Mini International Neuropsychiatric Interview e o Instrumento do Estrato Socioeconômico. Os aspectos éticos foram atendidos. Obteve-se aprovação prévia do Comitê de Ética em Pesquisa da Universidade Federal de Alagoas, parecer n.º 608.613. Utilizou-se o pacote estatístico IBM Statistical Package for the Social Sciences (S.P.S.S.) para Windows versão 17.0, para análises estatísticas, com intervalo de confiança de 95%. Nos resultados, 74,9% dos entrevistados são do sexo feminino, 73,7% da raça negra, média de estudo de 7,4 anos. A violência na infância foi prevalente em 12,4%, violência na vida adulta em 19,6%, testemunhar violência na vida em 50,5% e tríplice exposição à violência em 4,1%. A violência na infância bem como na vida adulta ocorreu em sua maioria no domicílio da vítima. Sofrer violência na infância associou-se a estrato socioeconômico mais baixo. A configuração familiar não nuclear foi fator de proteção para a violência na infância, na vida adulta ou tríplice. A exposição à violência na infância esteve associada à maioria dos transtornos, com cinco vezes mais chances para ataque de pânico com sintomas limitados; a violência sexual na infância associou-se a quatro vezes mais de chances de risco de suicídio. Sofrer violência quando adulto associou-se a um maior número de transtornos, com seis vezes mais chances para abuso de álcool. Testemunhar violência associou- se com alguns dos transtornos, com menor força nas associações, exceto dependência de substâncias, com seis vezes mais chances. A tríplice exposição à violência associou-se a um menor número de transtornos em comparação aos que sofreram violência na vida adulta; no entanto, as associações foram mais intensas, evidenciando-se assim o efeito dose-resposta. A maioria das manifestações de violência demonstrou associação com risco de suicídio. As vítimas de violência sexual na infância ou na vida adulta tiveram mais que o triplo de chances a mais para risco de suicídio. O transtorno de estresse pós-traumático (TEPT) esteve associado a sofrer violência sexual na vida adulta, com razão de chances superior a oito vezes; não foram encontradas associações significativas entre sofrer violência sexual na infância e TEPT. A exposição à violência esteve associada a maiores chances de manifestação de transtornos e risco de suicídio. É premente a necessidade de identificação precoce das vítimas de violência com oferta de suporte psicossocial adequado. A violência deve ser uma condição investigada em pessoas com histórico de transtornos. Gestores e profissionais de saúde articulados com outros setores necessitam discutir de maneira ampliada a inter-relação entre violência e o campo da saúde mental, a fim de propor intervenções convergentes com as necessidades locais.

This diploma thesis on the theme: The incidence of suicidal behaviour among drug addicts in the theoretical part deals with the development of the drug scene in the Czech Republic, the EU drugs policy in the Czech Republic, selected studies dealing with drug use, health and social consequences of drug use. Also deals with suicide behaviour, its forms, types, methods and causes of suicidal behaviour, motivation, development of data collection and the treatment of suicidal behaviour. The aim of this work was to find out the most common reasons and ways of suicidal behaviour in addicts individuals in the psychiatric hospital of the Cerveny Dvur (hereinafter referred to as PH CD ). Another objective was to determine whether the clients have undergone a treatment PH CD after the suicide attempt. On the basis of the objectives have been created three research questions. Due to the nature of the investigated problem was as a research method chosen semi- structured interview with clients. Before the research was carried out in PH CD questionnaire survey on suicidal behavior for a team project GA JU No. 103/2013/S "The effect of systematic psychotherapy tailored to the incidence of intentional self-injurious behaviour".. Based on the data from the questionnaire investigation were clients selected for this diploma thesis. Interviews were conducted with eight clients of PH CD.

A queimadura pode ser considerada como um dos traumatismos mais destrutivos que o ser humano pode sofrer. Sua relevância decorre não só da frequência com que acontece, mas também, pelas sequelas funcionais, estéticas e emocionais que a queimadura provoca. A autoagressão é um dos motivos preocupantes e de difícil manejo tanto para a equipe de saúde como para toda a sociedade, visto que é uma situação que relaciona tanto aspectos subjetivos e culturais, como também religiosos e de saúde pública. Os objetivos desta pesquisa são: caracterizar os pacientes que sofreram queimadura térmica por líquido inflamável na tentativa de suicídio, após a alta hospitalar de uma Unidade de Queimados de um Hospital Universitário entre os anos de 2006 e 2009; investigar a vida ocupacional do paciente em suas atividades de vida diária e prática, atividades produtivas e de trabalho e as atividades de lazer após a alta hospitalar e identificar quais são os recursos que contam para prosseguir sua vida. Trata-se de um estudo qualitativo, em que a história oral foi utilizada como método de investigação na modalidade história oral temática. Para a análise dos dados, seguiram-se os passos da técnica de Análise Indutiva de Conteúdo. A coleta de dados foi realizada no período de agosto a outubro de 2010. As entrevistas foram realizadas com oito pacientes queimados por autoagressão que forneceram subsídios para a construção de três núcleos de sentidos: \"Morrer ou viver: a busca pelo atendimento de urgência/emergência\"; \"Os desafios enfrentados pelo paciente no retorno para casa\" e \" Recursos e projetos futuros após a sobrevivência\". A partir da análise e discussão destas categorias, fica evidente a importância de conhecer estes pacientes em seu retorno para casa e saber por meio de suas experiências as principais dificuldades, avanços e desafios, bem como os recursos com que contam para enfrentar suas vidas, com um olhar atento para suas queixas relacionadas a ideias ou pensamentos de morte, a fim de atentar-se principalmente a possíveis reincidivas que certamente poderão ser letais; necessitando dos profissionais de saúde de urgência e emergência e dos familiares a capacidade, quando possível, de identificar um pedido de socorro ou ajuda com tomadas de ações mais efetivas e de acompanhamento a esses pacientes, mesmo com a falta de adesão ao tratamento. Para isso, é preciso conhecer a realidade e as necessidades dos serviços a partir das experiências das pessoas que recebem assistência nos mesmos e dos profissionais de saúde que as assistem. / The burn can be considered as one of the most destructive traumas that humans can suffer. Its relevance stems not only on how often it happens, but also by functional sequelae, both aesthetic and emotional cause. Self-harm is one reason for concern and difficult to manage both for the health care team for the whole society, since it is a situation that relates both subjective and cultural aspects, as well as religious and public health. The objectives of this research are: characterizer of patients who suffered thermal burns of flammable liquid in a suicide attempt, after discharge from a burn unit of a university hospital between the years 2006 to 2009; investigate the occupational life of the patient in their activities of daily living and practical, productive activities and work and leisure activities after discharge and identify what resources they have to continue your life. This is a qualitative study in which oral history was used as a method of research in oral history form. For data analysis, followed the steps of the technique of Inductive Content Analysis. Data collection was conducted between August to October 2010. The interviews were conducted with eight patients burned by self-harm which provided subsidies for the construction of three groups of meaning: \"To die or live: the search for urgent care / emergency,\" \"The challenges faced by the patient upon returning home\" and \"Resources and future projects after survival.\" From the analysis and discussion of these categories, it is evident the importance of knowing these patients on their return home and learn from their experiences major difficulties, progress and challenges, as well as the resources that have to face their lives with a look attentive to their complaints related to ideas or thoughts of death, to pay attention mainly to relapsed possible that certainly could be lethal for health professionals needing urgent and emergency capacity and family whenever possible to identify a distress or help with more effective actions taken and follow-up of these patients despite the lack of adherence to treatment. For this, one must know the reality and needs of services from the experiences of people who receive the same assistance and health professionals who care for them.

Orientador: Neury Jose Botega / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-06T23:30:18Z (GMT). No. of bitstreams: 1 Cais_CarlosFilintodaSilva_M.pdf: 11229550 bytes, checksum: a9dd21a89813b1247415690cf31f50e2 (MD5) Previous issue date: 2006 / Resumo: A quase totalidade dos dados sobre indivíduos que repetem tentativas de suicídio provêm de países desenvolvidos. O objetivo deste estudo é descrever o perfil clínico de 61 indivíduos que deram entrada no Pronto Socorro do Hospital das Clínicas da Universidade Estadual de Campinas por uma tentativa de suicídio que era, pelo menos, a terceira de suas vidas. Tal descrição foi feita através da comparação com 102 indivíduos que deram entrada no mesmo pronto socorro pela primeira tentativa de suicídio de suas vidas. Dados sociodemográfícos e clínicos foram coletados através do questionário WHO/SUPRE-MISS, o qual continha também diversas escalas psicométricas. No grupo dos repetidores havia maior proporção de mulheres (83.6% vs 56.8%; OR= 4,47), indivíduos na faixa etária entre 25 e 44 anos, em pior situação ocupacional e com maior disfunção no desempenho de papéis sociais (OR= 2,5; 3,1 e 1.05 respectivamente). Repetidores também apresentaram mais sintomas depressivos. Talvez em nossa cultura mulheres tenham melhor retomo em termos de pedido de socorro e/ou mudança de ambiente após a tentativa de suicídio, o que encorajaria a repetição do ato / Abstract: The great majority of data regarding individuals with repeated suicide attempts were obtained from developed countries- The aim of this study is to describe the clinical profile of 61 Brazilian individuals who attempted suicide at least three times and compare them to 102 who were brought to a university hospital for their first suicide attempt. Socio-démographie and clinical data were collected using the WHO/SUPRE-MISS questionnaire, which also comprises several psychometric scales. In the repeaters' group, there were more women (83.6% vs 56.8%; OR= 4,47), 25-44 year-old subjects, worse occupational status and social role performance disability (OR= 2.5, 3.1 and 1.05 respectively). Repeaters also had higher scores on depression. Maybe in our culture women would obtain better feedback with such behavior, that is, help and/or change in the environment, which would encourage the repetition of the act / Mestrado / Saude Mental / Mestre em Ciências Médicas

Orientador: Neury Jose Botega / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-09T04:19:30Z (GMT). No. of bitstreams: 1 Stefanello_Sabrina_M.pdf: 2912070 bytes, checksum: 46f125568957a4af1cabc9400f3352fe (MD5) Previous issue date: 2007 / Resumo: Objetivo: Identificar diferenças entre os sexos em variáveis sócio-demográficas, psicossociais e clínicas entre aqueles que tentaram o suicídio e que foram atendidos no pronto socorro do Hospital de Clínicas (HC) da UNICAMP. Método: Trata-se de estudo transversal, sub-projeto do Estudo Multicêntrico de Intervenção no Comportamento Suicida (SUPRE-MISS), organizado pela Organização Mundial de Saúde (OMS). Duzentos e doze sujeitos participaram do estudo. A avaliação foi feita por meio de entrevista estruturada, contendo informações sobre saúde mental e física, contato com serviços de saúde, uso de substâncias psicoativas, eventos traumáticos de vida, dificuldades psicossociais, apoio social, diagnóstico psiquiátrico, problemas com a justiça, comportamento anti-social e escalas psicométricas. A comparação entre os sexos foi feita usando-se análise de regressão logística uni e multivariada. Resultados: Do total, 49% estavam na faixa etária entre 25 a 44 anos, e 143 (68,1%) foram do sexo feminino. Quase todos os que tentaram suicídio tiveram um diagnóstico psiquiátrico (96%). Os transtornos do humor foram mais freqüentes entre as mulheres (54% versus 32%, p=0,003) e os transtornos mentais por uso de substâncias psicoativas, especialmente álcool, foi mais freqüente entre os homens (31% versus 7%, p=0,0001). As mulheres tiveram piores escores no Índice de Bem-Estar OMS (p=0,005), na escala de Beck de Depressão (p=0,01) e na escala de Desempenho do Papel Social (p=0,03). Mais mulheres (58%) que homens (35%, p=0,002) haviam tentado o suicídio anteriormente, e tinham sofrido abuso físico e/ou sexual (26% versus 8%, p=0,002). As mulheres haviam procurado mais frequentemente tratamento psiquiátrico (50% versus 34%, p=0,03) e freqüentaram mais o culto religioso (uma vez por semana: 45% versus 23%, p=0,007). As tentativas de suicídio envolveram maior risco de morte entre os homens (48% versus 28%, p=0,01), assim como o uso de álcool/drogas associado à tentativa de suicídio (30% versus 13%, p=0,003). Após uma tentativa de suicídio prévia, os homens sentiram mais pena de si mesmos (64% versus 36%, p=0,01). Na análise multivariada, as variáveis que melhor discriminaram diferenças entre os sexos foram: uso de álcool e/ou drogas relacionado à tentativa de suicídio atual(2,9 vezes maior nos homens), abuso físico e/ou sexual (4,4 vezes menor nos homens), sentimento do Índice de Bem-Estar ¿sentir-se ativo e vigoroso¿ (4,5 vezes maior entre os homens) e a presença de transtorno mental por uso de substância psicoativa (3,6 vezes maior nos homens). Conclusão: Os homens tiveram menos diagnóstico de depressão, menores escores na escala de depressão e disseram que estavam sentindo-se mais ¿ativos e vigorosos¿. Embora os homens ingeriram bebida alcoólica mais frequentemente e fizeram tentativas de suicídio mais graves, eles sentiram mais vergonha e pena de si mesmos, tiveram mais problemas no trabalho e haviam feito menos tratamento psiquiátrico que as mulheres. As mulheres mais frequentemente sofreram abuso físico e/ou sexual prévio, estavam mais deprimidas e apresentaram mais dificuldades em lidar com crises / Abstract: Objective: The aim of this study was to identify sex differences in clinical, psicossocial and demographic variables among those who attempted suicide and were seen at the emergency room of the Hospital de Clínicas (HC) UNICAMP.Methods: This was a cross-sectional study, sub-project of the Suicide Prevention ¿ Multisite Intervention Study on Suicidal Behaviors (SUPRE-MISS) organized by the World Health Organization (WHO). 212 subjects were enrolled in the study. A structured questionnaire covered a series of variables, including mental and physical health status, contact with health services, alcohol and drug related questions, traumatic experiences, psychosocial difficulties, life satisfaction, social support, psychiatric diagnosis, problems with justice, anti-social behavior and specific psychometric scales. A comparison between sexes was made using uni and multivariate logistic regression analysis. Results: Overall 49% were between 25 and 44 years old, and 143 (68.1%) were females. Almost all suicide attempters had a mental disorder (96%). Affective disorders were more frequent among women (54% versus 32%, p=0.003) and mental disorders caused by psychoactive substance use, especially alcohol, were more frequent among men (31% versus 7%, p=0.0001). Females had worse scores at the WHO Index of Well-Being (p=0.005), at the Beck Depression Inventory (p=0.01) and at the Psychiatric Disability Assessment Schedule (p=0.03). More women (58%) than men (35%, p=0.002) had previously made a suicide attempt, and had suffered physical and/or sexual abuse (26% versus 8%, p=0.002). Women had more frequently looked for psychiatric treatment (50% versus 34%, p=0.03) and attended to religious cult (once a week: 45% versus 23%, p=0.007). Suicide attempts involved more risk of death among men (48% versus 28%, p=0.01), as well as the use of alcohol/drugs at the suicide attempt (30% versus 13%, p=0.003). After a previous suicide attempt men felt more pity of themselves (64% versus 36%, p=0.01). In the multivariate analysis, the variables which better discriminated differences between sexes were: ingestion of alcohol and/or drugs at suicide attempt (2.9 times more frequent in men), physical and/or sexual abuse (4.4 times less frequent in males), ¿active and vigorous¿ well-being feelings (4.5 times more frequent in men) and a mental disorder caused by psychoactive substance use (3.6 more frequent in males). Conclusion: Males had less diagnosis of affective disorder, lower scores at the depression scale and told they were feeling more ¿active and vigorous¿. Although men consumed alcohol more frequently and had more serious suicide attempts, they felt more pity and shame of themselves, had more problems at work and had had less treatment than females. Women had more frequently suffered physical and/or sexual abuse, were more depressed and had difficulties to handle crisis / Mestrado / Saude Mental / Mestre em Ciências Médicas

Aim: The aim of this literature review was to provide an overview of suicidal ideationand suicide attempt among immigrants in Europe. More specifically, the currentliterature review aimed to examine predictors of suicidal ideation and suicide attemptamong immigrants in Europe. Method: PsycINFO, PsycARTICLES and PubMed were used to generate existingarticles on the topic of interest. PRISMA flowchart was used to eliminate articles thatdid not meet the inclusion criteria. Results: Seventeen articles met the inclusion criteria. A number of environmental andsocial factors were found to predict suicidal ideation and suicide attempt amongimmigrants in Europe. These predictors included family conflict, health problems,substance abuse, low educational level and being adopted by a host inhabitant family.Socio-economical factor that predicted suicidal ideation and suicide attempt amongimmigrants in Europe was financial disadvantages. Finally, female immigrantsappeared to be a higher risk than male immigrants with regard to suicidal ideation andsuicide attempt. Furthermore, second-generation immigrants appear to be at higherrisk for suicide attempt than first-generation immigrants.Conclusion: There are a number of predictors that appear to predict suicidal ideationand suicide attempt among immigrants in Europe. Nationwide prevention programsfor new female immigrants are recommended.

Suicide is of great concern nationally and has become a significant social problem within the last 10years. One group of growing concern is those who served in the United States Coast Guard (USCG) and the impact of a suicide attempt on their career retention. Previous studies had focused on potential risk factors that may lead an individual to attempt suicide, but there was limited research on the impact of a suicide attempt on an individual's career retention. It was unknown if the desire of USCG veterans to retain their career can primarily influence their decision not to attempt suicide. The experiential impact of suicide on the career retention of the participants was examined in this study. The study method was planned to be a qualitative phenomenological study but changed to a qualitative descriptive design. The theoretical framework comprised an application of Joiner's interpersonal psychological theory of suicidal behavior and Tinto's integration model for retention relevance and practical implications. Semistructured interviews were used to collect data from 12 USCG veterans to address the primary research question as to the lived experience of USCG members who have attempted suicide while on active duty that are currently veterans. NVivo analysis indicated that participants experienced difficulties with career, work, and personal relationships before their suicide attempt. Themes were similar for participants who stayed or left service after a suicide attempt. The results also indicated that all participants needed to receive support from people in their life after the attempts. Data suggested peer support was critical for retention and contributed to the promotion of a confident, healthy workforce and social growth in communities and society after an attempted suicide.

Objectives: The objective of this study was to prove concepts in the characterization of suicidal patients and the possible usefulness of those markers to potentially identify patients with a higher risk for suicidality. Methods: Patients with a recent suicide attempt were compared with patients suffering from depression, adjustment disorder, anxiety, or eating disorders without suicidality, healthy controls and remitted patients with a history of at least 1 suicide attempt (≥1 year). We analyzed impulsivity (Barratt Impulsivity Scale, BIS) and saliva cortisol concentrations. Results: Independently of suicidality and disease state patients display higher BIS scores than healthy controls. Saliva cortisol levels tend to be higher in patients in the acute disease state than in remitted patients and healthy controls. Conclusions: Saliva cortisol may be a useful marker that reveals alterations in nonsuicidal patients suffering from depression, adjustment disorder, anxiety, or eating disorders who might be at risk.

BAKGRUND Suicidal problematik är ett stort folkhälsoproblem som leder till att ca 800 000 människor tar sitt liv i världen varje år. Begreppet suicidal problematik innefattar suicid, suicidförsök och suicidtankar. Stigmatisering och attityders nära samband beskriver patientens upplevelser och sjuksköterskans sätt att bemöta, utifrån dess kunskap ge förutsättningar till en god omvårdnad.  SYFTE Syftet var att beskriva sjuksköterskors upplevelser av att vårda patienter med suicidal problematik. METOD Föreliggande litteraturstudie har en deskriptiv design och är sammanställd av 11 vetenskapliga artiklar med kvalitativ ansats. Databaser som använts är PubMed, CINAHL och PsycINFO, artiklarna kvalitetsgranskades, lästes och färgkodades vilket gav huvudrubriker och underrubriker.   HUVUDRESULTAT Sjuksköterskorna upplever både positiva och negativa känslor i mötet med patienten. Negativa upplevelser grundar sig på okunskap, bristande erfarenhet och religiös tro. Positiva upplevelser grundar sig på utbildning, erfarenhet och teamkänsla. Ett viktigt verktyg anses vara kommunikation, sjuksköterskor med erfarenhet vågar tala mer öppet om suicidal problematik än de med lite erfarenhet. Att fatta beslut över patienter med suicidrisk skapar konflikt med integritet och självständighet, detta är etiska dilemman som sjuksköterskor upplever. SLUTSATS Det finns ett tydligt kunskapsglapp där behov av utbildning och erfarenhet behövs. Avsaknad av detta ger en negativ inställning till patienter med suicidal problematik, samtidigt som man tydligt ser att utbildning och erfarenhet skapar trygghet hos sjuksköterskor. Holistiskt förhållningssätt och icke dömande inställning är något som bör prägla sjuksköterskors bemötande. / BACKGROUND Suicidal problematics are a major public health problem that causes about 800,000 people to take their lives in the World every year. The term suicidal problematics includes suicide, suicide attempts and suicidal thoughts. Stigmatization and attitudes closely relation describe the patient's experiences and the nurse's way of responding, based on this knowledge give the conditions for a good nursing. AIM The aim of this study was to describe nurses' experiences of caring for patients with suicidal problems. METHOD The present literature study has a descriptive design and is composed of 11 scientific articles with a qualitative approach. Databases that were used is PubMed, CINAHL and PsycINFO, the articles were quality checked, read and color coded which gave main headings and subheadings. MAIN RESULT The nurses experience both positive and negative feelings in the meeting with the patient. Negative experiences are based on lack of knowledge, lack of experience and religious affiliation and positive experiences are based on education, experience and team spirit. An important tool is considered communication, nurses with experience dare speak more openly about suicidal problems than those with little experience. Making decisions about patients with suicide risk conflicts with integrity and independence. These are ethical dilemmas that nurses experience. CONCLUSION There is a clear gap in knowledge where the need for education and experience is needed. The absence of this gives a negative attitude to patients with suicidal problems, at the same time you clearly seeing that education and experience create safety in nurses. A holistic approach and a non-judgmental attitude is something that should characterize nurses' attitude.

The thesis focuses on the attitudes of health care professionals in intensive care to patients after a suicide attempt. First chapter deals with suicide issues in detail, outlines sources of emotional problems and stress which can health care professionals encounter. The next chapter talks about burnout syndrome. The research part surveys the attitudes of healthcare professionals to suicidal patients, investigates the level and effectiveness of the awareness of health care professionals in the psychiatric and psychological issues and its impact on their attitudes, assesses awareness of burnout syndrome and eventual respondent's own experiences with this condition and evaluates the degree of mental and emotional demands of care of suicidal patients. On the qualitative research in the form of semi-structured interviews participated 20 respondents. We found that the attitudes of health care professionals to patients after a suicide attempt are rather positive. A surprising finding was that 70 % of respondents didn't receive any seminar or course focused on topics mentioned above, and that none of them are actively interested in the specific issue of psychiatric intensive care of patients with somatic disease and neither the issue of suicides. A disturbing finding was that 85 % of respondents observed...