O ITINERÁRIO ASSISTENCIAL DO COMPORTAMENTO SUICIDA NO AMAPÁ
Suicide; Suicide Attempt; Mental Health; Intersectoral Collaboration; Health
Network.
.
Suicide constitutes a serious public health problem and is the second leading cause of mortality
among the population aged 10 to 29 in the State of Amapá. The general objective of this study
was to characterize the care pathway for individuals with suicidal behavior in the State of
Amapá. The specific objectives were to identify the epidemiological profile of individuals
exhibiting suicidal behavior in the state, describe the profile of healthcare professionals
attending to these individuals, and depict the network of care for suicidal behavior. This
descriptive, observational, retrospective, cross-sectional study utilized secondary data from the
National System of Notifiable Diseases (SINAN) and primary data obtained through
questionnaires. The results highlighted a growing trend in suicide attempts among young
females and adolescents, a high pattern of repetition, and significant underreporting. Individuals
with suicidal behavior access the healthcare network belatedly, primarily through emergency
services. Professionals perceived themselves as prepared to assist individuals in crisis due to
suicidal behavior, despite having low exposure to the topic. Difficulties were identified in
communication and coordination among network services, a lack of protocols and care flows,
and gaps in assistance, creating barriers to ongoing care. It is inferred, therefore, that the care
pathway requires structuring processes, implementation of a care line, expansion of specialized
mental health care, enabling matrix support for primary care teams, in addition to investment
in continuous education to qualify network professionals and enhance and improve
epidemiological information.