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Previous issue date: 2016-12-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / Introdu??o: No mundo, anualmente, ocorrem milh?es de suic?dios e parassuic?dios,
os quais s?o temas reconhecidos como prioridade da Sa?de P?blica. Estudos
internacionais realizados nos ?ltimos dez anos evidenciam associa??o de aspectos
psicol?gicos e sociais no comportamento suicida de pessoas transg?nero. N?o foram
encontrados no Brasil estudos que tenham rastreado e avaliado os aspectos
associados ? Idea??o Suicida (IS) nesse p?blico. Objetivo: Analisar a associa??o
entre IS e os aspectos sociodemogr?ficos, de sa?de-doen?a, de depress?o, de
viol?ncia e comportamento suicida em pessoas transg?nero. M?todo: Trata-se de um
estudo com abordagem quantitativa, do tipo descritivo-anal?tico e transversal,
desenvolvido junto a quatro Organiza??es N?o Governamentais (ONGs) de Direitos
de Pessoas Travestis e Transexuais no Rio Grande do Norte. A popula??o foi
constitu?da por 58 sujeitos. A coleta de dados ocorreu no per?odo de novembro de
2015 a junho de 2016, utilizando-se tr?s instrumentos espec?ficos: (1) Escala de
Idea??o Suicida de Beck; (2) Invent?rio de Depress?o de Beck; e (3) Question?rio de
informa??es sociodemogr?ficas, de sa?de-doen?a, viol?ncia e comportamento
suicida. Os dados coletados foram organizados e armazenados em um banco de
dados constru?do no software Microsoft Office Excel? vers?o 2016, com dupla
digita??o e, posteriormente, importados para o software R vers?o 3.3.1 para
realiza??o de testes. Para a an?lise descritiva, consideraram-se as frequ?ncias
absolutas e relativas, medidas de tend?ncia central e de dispers?o. Para verificar a
associa??o das vari?veis, aplicou-se o Teste Qui-Quadrado de Pearson para
Independ?ncia e, quando os pr?-requisitos para o teste n?o foram atendidos, aplicouse
o Teste Exato de Fisher. Adotou-se o n?vel de signific?ncia de 5%. O estudo
foi autorizado pelas ONGs colaboradoras, aprovado pelo Comit? de ?tica em
Pesquisas e todos os participantes assinaram o TCLE. Resultados: IS foi presente
em 41,38% dos participantes, entre os quais prevaleceram as seguintes
caracter?sticas: identidade de g?nero transexual (62,07%); sujeitos jovens com faixaet?ria
de 18 aos 29 anos (68,97%); solteiros (81,03%); escolaridade menor ou igual a
ensino m?dio (77,59%); ra?a negra ou parda (68,97%); em atividade de prostitui??o
(29,31%) ou sem ocupa??o laboral (17,24%); e com renda mensal de at? um sal?rio
m?nimo (44,83%). Verificou-se associa??o estatisticamente significante com a
presen?a de IS as seguintes vari?veis: n?veis de depress?o (p=0,002); viol?ncia escolar (p=0,012); expuls?o do n?cleo familiar em raz?o da identidade de g?nero
(p=0,020); hist?rico de tentativa de suic?dio (p=0,008); e intensidade da vontade de
morrer na ?ltima tentativa de suic?dio (p=0,028). A IS n?o se associou aos aspectos
sociodemogr?ficos nem de sa?de-doen?a. Conclus?es: Os resultados alertam para
a necessidade da implementa??o, em car?ter de urg?ncia, de interven??es que
objetivem o controle da IS, enquanto agravo ? Sa?de P?blica, na popula??o estudada. / Introduction: Millions of suicides and parasuicides occur all over the world, every
year, which are issues recognized as a Public Health priority. In the last decade,
international researches have been demonstrating associations among psychological
and social aspects in the suicidal behavior of transgender people. In Brazil, there are
no researches that have tracked and evaluated the aspects associated to the Suicide
Ideation (SI) among these people. Objective: To analyze the association among
Suicidal Ideation and the aspects related to the issues: sociodemographic; healthillness;
depression; violence and suicidal behavior in transgender
people Method: This research presents a quantitative approach, descriptive-analytical
and transversal type; which was developed with the collaboration of four Non-
Governmental Organizations (NGOs) concerning the Civil Rights of Transvestite and
Transsexual People in the State of Rio Grande do Norte, Brazil. This population was
constituted by 58 individuals. Data collection occurred between November, 2015 and
June, 2016. Three specific instruments have been used: (1) Beck?s Suicidal Ideation
Scale; (2) Beck Depression Inventory; and (3) a Questionnaire involving
sociodemographic, health-illness, violence and suicide information behavior. The
collected data were organized and stored in a database built in the software Microsoft
Office Excel?version 2016, with double entry; these data were then imported into the
software R version 3.3.1 to provide tests realization. Regarding the descriptive
analysis, the following criteria were considered: relative and absolute frequency and
measures of central and dispersion tendency. In order to verify the association among
the variables, Pearson's Chi-Square Test of Independence was used, and when the
prerequisites weren?t met, Fisher's Exact Test was applied instead. It was adopted a
5% significance level. The study was authorized by the collaborative NGOs, approved
by the Research Ethics Committee, and all participants signed a Free Informed Term
of Consent. Results: SI was detected in 41,38% of the participants, among them
prevailed the following characteristics: transsexual gender identity (62,07%); young
individuals ? age range varying from 18 to 29 years old (68,97%); singles (81,03%);
educational level ? high school or lower (77,59%); black or brown race (68,97%); under
prostitution activities (29,31%) or without any occupation (17,24%); and with a monthly
income up to the Brazilian minimum wage (44,83%).It was verified an association,
statistically significant, regarding the presence of SI and the following variables: depression levels (p=0,002); school violence (p=0,012); expulsion from the family
environment due to the gender identity (p=0,020); suicide attempts background
(p=0,008): and dying wishing intensity during the last suicide attempt (p=0,028). SI was
not associated to the sociodemographic aspects, neither to the health-illness
ones. Conclusions: The results alert to the need of interventions implementation,
under an urgent status, which would aim SI control, as damage to the Public Health,
on the researched population.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22608 |
| Date | 19 December 2016 |
| Creators | Silva, Glauber Weder dos Santos |
| Contributors | 04960360330, http://lattes.cnpq.br/9242337504601387, Torres, Gilson de Vasconcelos, 51326728415, http://lattes.cnpq.br/1944547152815226, Azevedo, Dulcian Medeiros de, 03294284462, http://lattes.cnpq.br/7071042889558651, Ara?jo, Ednaldo Cavalcante de, 44284721453, http://lattes.cnpq.br/7392652886296731, Cavadinha, Edu Turte, 01189126400, http://lattes.cnpq.br/3212754108181591, Miranda, Francisco Arnoldo Nunes de |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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