Management of suicidal behavior in children and adolescents: the perception of child and adolescent mental health professionals at a CAPSi in the Federal District

Abstract

Introduction: children and adolescents can exhibit one or several suicidal behaviors and express them in different ways: suicidal intent, thoughts of death, suicidal ideation, suicidal plan, suicide attempt, self-harm without suicidal ideation, concealed suicide, or suicide survivor. It is important to understand the dimensions involved in suicidal behavior among the younger population in order to assess the risk and develop an appropriate care plan. Objective: to understand the perception of mental health professionals working in a Child and Adolescent Psychosocial Care Center (CAPSi) in a region of the Federal District (DF), regarding the management of suicidal behavior among children and adolescents receiving care at this facility. Methodology: qualitative, semi-structured interviews with health care professionals regarding the management of suicidal behavior in children and adolescents. Results: the participants provide support, qualified listening, but they do not feel equipped to handle children/adolescents with suicidal behavior. They identified causes of suicidal behavior such as family dysfunction, weakened support network, feelings of loneliness, rejection, and power lessness, anxious symptoms triggered by social media, low frustration tolerance, non-acceptance of sexual orientation, bullying at school, and other forms of violence. They noted that the pandemic has impacted their services, and social isolation has worsened mental health. They considered multidisciplinary support important and identified risk factors for suicidal behavior, including violence, rights violation, and vulnerabilities, as well as isolation, selfharm, and behavioral changes. Conclusion: it is expected that this study Will contribute to raising awareness of the issue and encourage training, courses, and discussions on the subject in order to enhance the assistance provided to the younger population.