Suicide attempt by intentional drug overdose: management in urgency and emergency services – integrative review
Objective: to analyze the characteristics of suicide attempts by intentional overdose of medication committed by adults and the management of these situations in urgent and emergency services. Method: this is an integrative review, with a search in the Latin American and Caribbean Literature in Heal...
| Autores: | , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2023 |
| País: | Brasil |
| Institución: | Universidade Federal de Santa Maria (UFSM) |
| Repositorio: | Saúde (Santa Maria) |
| Idioma: | portugués |
| OAI Identifier: | oai:ojs.pkp.sfu.ca:article/73413 |
| Acceso en línea: | https://periodicos.ufsm.br/revistasaude/article/view/73413 |
| Access Level: | acceso abierto |
| Palabra clave: | Tentativa de suicídio Serviços médicos de emergência Intoxicações Overdose de drogas Medicina Suicide attempt Emergency medical services Poisoning Drug overdose Medicine |
| Sumario: | Objective: to analyze the characteristics of suicide attempts by intentional overdose of medication committed by adults and the management of these situations in urgent and emergency services. Method: this is an integrative review, with a search in the Latin American and Caribbean Literature in Health Sciences (LILACS) and Medical Literature and Retrivial System Online (MEDLINE) databases. The selection of articles occurred using the Mendeley® reference manager. For the analysis of the results, a narrative synthesis of evidence was developed. The recommendations of the Preferred Reporting Items for Systematic Review sand Meta-Analyses – PRISMA method were followed. Results: 11 studies were included for the synthesis of evidence. Most cases of intentional drug overdose occurred in women (n=7; 63.6%). As for selfadministered medications, there was a prevalence of anti-inflammatories/analgesics and antidepressants/anxiolytics. With regard to the management employed in the cases studied, most performed intravenous volume resuscitation (n=6; 54.5%) and gastrointestinal lavage with activated charcoal (n=6; 54.5%). Conclusion: a profile of suicide attempts by drug ingestion of females, with ingestion of anti-inflammatories/analgesics, was revealed. The main management involves the administration of intravenous volumes and the use of activated charcoal. |
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