Salud Mental

Views of Education Professionals of the Role of Schools in Addressing Suicidal Behavior at Brazilian Schools

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Maraina Gomes Pires Fernandes Dias
Luciane Sá de Andrade

Abstract

Introduction. The suicide rate among adolescents is a public health problem in Brazil, due to the significant increase observed in attempts and deaths. Despite the recent legislation on prevention, there is a lack of effective public policies, particularly in schools. Teachers, who have direct contact with adolescents, are often ill-equipped to deal with this issue.

Objective: To understand how education professionals identify the role of schools in dealing with suicidal behavior.

Method: A transversal, exploratory, qualitative study. Eight public school teachers working with adolescents participated in the research. Interviews were conducted via Google Meet due to the pandemic. Braun and Clarke’s inductive thematic analysis was used to analyze the data.

Results: The analysis of the interviews yielded108 codes, resulting in the topic “Schools also involve the issue of affection between teachers and students.”

Discussion and conclusion: The influence of the affection between teachers and students in preventing suicidal behavior was emphasized, together with the challenges schools face in addressing this issue. This study has shown that schools are key elements in protecting adolescents from suicidal behavior. However, it is essential to develop strategies that include incorporating mental health into the curriculum and teacher training.

Keywords:
Suicide prevention, school, adolescent

References

Avanci, J. Q., Pinto, L. W., & Assis, S. G. (2021). Notifications, hospitalizations and deaths from self-harm in childrenin Brazil’s national health systems.Ciência & Saude Coletiva, 26(Suppl. 3), 4895-4908. https://doi.org/10.1590/1413-812320212611.3.35202019

Bertolote, J. M. (2012). O suicídio e sua prevenção. São Paulo: Editora Unesp.

Botega, N. J. (2015). Crise suicida: avaliação e manejo. Porto Alegre: Artmed.

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa

Brito, M. D. L. S., Silva Júnior, F. J. G., Costa, A. P. C., Sales, J. C. S., Gonçalves, A. M. S., & Monteiro, C. F. S. (2020). Suicidalbehavior and prevention strategies fromteachers’perspective.Escola Anna Nery, 24(4), e20200109. https://doi.org/10.1590/2177-9465-EAN-2020-0109

Castro, E. de, & Oliveira, U. T. V. de. (2022). [The semi-structuredinterviewin qualitative-interpretative research: a guide to procedural analysis]. Entretextos, 22(3), 25-45. https://doi.org/10.5433/1519-5392.2022v22n3p25-45

Child and Adolescent Statute. (1990).[Law No. 8.069/1990]. Brasília, DF: Senado Federal. Retrieved from https://www.planalto.gov.br/ccivil_03/leis/L8069.htm

Dávila Cervantes, C. A., & Luna Contreras, M. (2019). Suicide attempt in teenagers: associated factors. Revista Chilena de Pediatría, 90(6), 606-616. https://doi.org/ 10.32641/rchped.v90i6.1012

Estanislau, G. M., & Bressan, R. A. (2014). Saúde Mental na Escola: o que os educadores devem saber. São Paulo: Artmed.

Hawton, K., & Fortune, S. (2008). Suicidal behavior and deliberate self-harm. In M. Rutter, D. Bishop, D. Pine, S. Scott, J. Stevenson, E. Taylor, & A. Thapar (Eds.).Rutter’s Child and Adolescent Psychiatry(5th. Ed.; pp. 648-669). Oxford, UK: Blackwell Publishing Ltd.

Hawton, K., Saunders, K. E., & O’Connor, R. C. (2012). Self-harm and suicide in adolescents.The Lancet, 379(9834), 2373-2382. https://doi.org/10.1016/s0140-6736(12)60322-5

Juliano, M. C. C., & Yunes, M. A. M. (2014). Reflectionson the social support network as a mechanism forthe protectionand promotionof resilience. Ambiente & Sociedade, 17(3), 135-154. https://doi.org/10.1590/s1414-753x2014000300009

Klonsky, E. D., May, A. M., & Saffer, B. Y. (2016). Suicide, Suicide Attempts, and Suicidal Ideation. Annual Review of Clinical Psychology, 12(1), 307-330. https://doi.org/10.1146/annurev-clinpsy-021815-093204

Lima, R. S., Silva, M. A. I., Andrade, L. S., Góes, F. D. S. N. D., Mello, M. A., & Gonçalves, M. F. C. (2020). Construction of professional identity in nursing students: qualitative research from the historical-cultural perspective.Revista Latino-Americana de Enfermagem, 28, e3284. https://doi.org/10.1590/1518-8345.3820.3284

Manzini, E. J. (2004) Entrevista semi-estruturada: análise de objetivos e roteiros. Educação Inclusiva UERJ. Retrieved from https://eduinclusivapesq-uerj.pro.br/entrevista-semi-estruturada-analise-de-objetivos-e-roteiro/

Minayo, M. C. S. (2013). O desafio do conhecimento: Pesquisa qualitativa em saúde. São Paulo: Hucitec.

Ministry of Health. (2021). Health Surveillance Secretariat. [Suicide mortality and notifications of self-harm in Brazil],Boletim Epidemiológico, 52(33). Retrieved from https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epidemiologicos/edicoes/2021/boletim_epidemiologico_svs_33_final.pdf

Ornell, F., Schuch, J. B., Sordi, A. O., & Kessler, F. H. P. (2020). “Pandemic fear” and COVID-19: mental health burden and strategies.Revista Brasileirade Psiquiatria, 42(3), 232-235. https://doi.org/10.1590/1516-4446-2020-0008

Pan American Health Organization. (2022).Making every school a health promoting school: Global standards and indicators. Retrieved from https://iris.paho.org/bitstream/handle/10665.2/55710/9789275725122_por.pdf

Polit, D. F., Beck, D. T., & Hungler, B. P. (2004).Fundamentos de pesquisa em enfermagem: métodos, avaliação e utilização (5a Ed.). Porto Alegre: Artmed.

Santos, J. C. P., Erse, M. P. Q. A., Façanha, J. D. N., Marques, L. A. F. A., & Simões, R. M. P. (2014). [Monograph Health Education and Research: + Contigo: Promoting Mental Health and Preventing Suicidal Behavior in the Educational Community]. Ed. Unidade de Investigação em Ciências da Saúde, Enfermagem Escola Superior de Enfermagem de Coimbra.

Shilubane, H. N., Ruiter, R. A., Bos, A. E., Reddy, P. S., & van den Borne, B. (2014). High school students’ knowledge and experience with a peer who committed or attempted suicide: a focus group study.BMC Public Health, 14(1), 1081. https://doi.org/10.1186/1471-2458-14-1081

Silva, J. K. B. da, Dias, M. G. P. F., & Andrade, L. S. de. (2023). Women’s perspective on prevention of pregnancy in adolescence and health actions at school.Revista Ibero-Americana de Estudos em Educação, 18(00), e023032. https://doi.org/10.21723/riaee.v18i00.17207

Souza, F.N., Costa, A.P., Moreira, A., Souza, D. N., & Freitas, F. (2016). webQDA: manual de utilização rápida. Aveiro: UA Editora, Retrieved from https://app.webqda.net/Fontes/Manual_de_Utilizacao_webQDA.pdf

Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.International Journal for Quality in Health Care, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042

Vinuto, J. (2014). A amostragem em bola de neve na pesquisa qualitativa: um debate em aberto. Temáticas, 22(44), 203-220. https://doi.org/10.20396/tematicas.v22i44.10977

Vygotsky, L. S. (1996). Obras escogidas: psicología infantil, Tomo IV. Madrid: Visor Dist. S. A.

Vygotsky, L. S. (2009). A construção do pensamento e da linguagem. São Paulo: Martins Fontes.

World Health Organization [WHO]. (2016).World Health Statistics data visualizations dashboard. Suicide. Retrieved from http://apps.who.int/gho/data/node.sdg.3-4-viz-2?lang=en

World Health Organization [WHO]. (2020).Guidelines on mental health promotive and preventive interventions for adolescents: helping adolescents thrive. Geneva: World Health Organization. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/336864/9789240011854-eng.pdf

World Health Organization [WHO]. (2023).Suicide prevention. Retrieved from https://www.who.int/health-topics/suicide#tab=tab_1