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Uma análise profunda do suicídio

O suicídio é uma tragédia que, em muitos aspectos, permanece envolta em mistério. Ele frequentemente surge de um sentimento profundo de desesperança, onde a incapacidade de enxergar soluções para problemas ou de enfrentar circunstâncias desafiadoras da vida leva indivíduos a considerar o ato de tirar a própria vida como a única saída. No entanto, a maioria das pessoas que sobrevivem a tentativas de suicídio acaba encontrando caminhos para viver de forma plena e gratificante, demonstrando que a situação que parecia insuportável era, na verdade, temporária.

A depressão é um dos principais fatores de risco para o suicídio, mas não é o único. Outros incluem transtornos psiquiátricos, uso abusivo de substâncias, dor crônica, histórico familiar de suicídio e tentativas prévias. Entre os adolescentes, a impulsividade muitas vezes desempenha um papel significativo em atos suicidas.

É crucial estar atento a sinais de alerta. Mudanças repentinas de humor — incluindo uma aparente melhora inesperada — ou comportamentos novos e incomuns podem indicar que alguém está considerando o suicídio. Além disso, expressões como se sentir um fardo para os outros, não ter razão para viver, sentir-se preso ou em dor insuportável também são sinais preocupantes. (Para mais detalhes, consulte Sinais de que alguém está pensando em suicídio.)

Estatísticas atuais sobre o suicídio

Segundo a Organização Mundial da Saúde (OMS), são registrados mais de 700 mil suicídios anualmente. No Brasil, o número chega a aproximadamente 14 mil casos por ano, o que corresponde a cerca de 38 suicídios por dia.
Dados recentes mostram que o suicídio é mais comum entre pessoas de 45 a 54 anos. Além disso, embora as mulheres tentem o suicídio com mais frequência, os homens têm maior probabilidade de consumar o ato. Essas estatísticas destacam a importância de abordar o tema com sensibilidade e de oferecer suporte adequado a quem está em risco.

O suicídio é um problema de saúde pública que exige atenção, compreensão e ação. Reconhecer os sinais, entender os fatores de risco e promover diálogos abertos sobre saúde mental são passos essenciais para prevenir essa tragédia e salvar vidas.

Como conversar com alguém que apresenta tendências suicidas?
Existem muitos mitos em torno do suicídio. Um deles é a ideia equivocada de que falar sobre o assunto com alguém em risco pode encorajar o ato. Na realidade, abordar o tema de forma sensível e aberta é crucial. Se um ente querido expressa pensamentos ou planos suicidas, é fundamental iniciar uma conversa honesta e acolhedora. Uma abordagem eficaz inclui identificar recursos de apoio, como um terapeuta ou uma linha direta de prevenção ao suicídio, e finalizar o diálogo com um compromisso claro de acompanhar a pessoa ao longo do tempo, demonstrando apoio contínuo.

Ao conversar, seja direto e faça perguntas como:

  • Como você está lidando com as dificuldades que está enfrentando?
  • Você já pensou em se machucar?
  • Você tem pensado em morrer?
  • Você está considerando o suicídio?
  • Você já fez algum plano para tirar a própria vida?

Essas perguntas podem ajudar a entender o nível de risco e a oferecer o suporte necessário. Lembre-se de ouvir sem julgamentos, mostrar empatia e garantir que a pessoa saiba que não está sozinha. A conversa pode ser o primeiro passo para salvar uma vida.

Compreendendo a ideação suicida

A rigor, ideação suicida se refere a pensamentos (ideação) de suicídio ou tirar a própria vida. No entanto, existem dois tipos de ideação suicida: passiva e ativa.

A ideação suicida é um dos sintomas da depressão maior e da depressão encontrada no transtorno bipolar, mas também pode ocorrer em pessoas com outras doenças mentais ou sem nenhuma doença mental.

A ideação suicida passiva ocorre quando você deseja estar morto ou poder morrer, mas não formula um plano para morrer por suicídio.

A ideação suicida ativa, por outro lado, não é apenas pensar sobre isso, mas ter a intenção de morrer por suicídio, incluindo planejar como fazê-lo.

“Há uma necessidade urgente de abordar o suicídio de populações jovens a idosas. De acordo com o CDC, em 2021, pelo menos 20% dos estudantes do ensino médio consideraram seriamente tentar suicídio”, diz  Hilary Blumberg, MD , Professora John and Hope Furth de Neurociência Psiquiátrica e Professora de Psiquiatria na Escola de Medicina de Yale.

Quão comum é isso?

A prevalência de ideação suicida ao longo da vida para a população mundial em geral é de cerca de 9% e cerca de 2% em um período de 12 meses. 1

De acordo com a Pesquisa Nacional sobre Uso de Drogas e Saúde (NSDUH) de 2017, realizada pela Administração de Serviços de Abuso de Substâncias e Saúde Mental (SAMHSA), 4,3% dos adultos dos EUA com 18 anos ou mais tiveram pensamentos suicidas, com a maior prevalência entre adultos de 18 a 25 anos.

Para pessoas com transtornos de saúde mental, a taxa é significativamente maior. Os números exatos não são claros, mas como a ideação suicida é um sintoma de transtornos de saúde mental como depressão maior e transtorno bipolar, o problema existe em uma porcentagem muito maior nessas populações.

Sinais e sintomas de ideação suicida

Os sinais de alerta de que você ou alguém querido está pensando ou contemplando o suicídio incluem:

  • Isolar-se dos seus entes queridos
  • Sentindo-se sem esperança ou preso
  • Falando sobre morte ou suicídio
  • Doar posses
  • Um aumento no uso ou abuso de substâncias
  • Aumento das oscilações de humor, raiva, fúria e/ou irritabilidade
  • Envolver-se em comportamentos de risco, como usar drogas ou ter relações sexuais desprotegidas
  • Acessar meios para se matar, como medicamentos, drogas ou uma arma de fogo
  • Agindo como se estivesse se despedindo das pessoas
  • Sentindo-me extremamente ansioso

Se você acha que um ente querido está pensando ou planejando suicídio, pergunte. É um mito que você dará a outra pessoa a ideia de se matar. Perguntar mostra que você está preocupado e que se importa com a pessoa.

Esteja ciente de que a ideação suicida passiva, desejar morrer dormindo ou em um acidente em vez de morrer por suas próprias mãos, não é necessariamente menos séria do que a ideação suicida ativa.  Ela pode rapidamente se tornar ativa e certamente tem uma mistura de componentes ativos e passivos.

Também é importante notar que os pensamentos suicidas flutuam. Eles são conhecidos por “aumentar e diminuir”, o que significa que os pensamentos podem ser específicos, intensos e persistentes em um dia e, no outro, podem ser mais vagos e ocorrer com menos frequência. No entanto, é sempre importante levar a sério os pensamentos suicidas e procurar ajuda, mesmo que pareça que eles melhoraram.

Se o seu ente querido admitir que está pensando em suicídio, faça o possível para garantir que ele esteja seguro.

As crianças e adolescentes correm risco de suicídio

Embora o risco geral de uma criança se machucar seja considerado baixo, é importante reconhecer que crianças e adolescentes podem, sim, ter pensamentos suicidas ou, em casos extremos, morrer por suicídio. Embora o risco tenda a aumentar durante a adolescência, há registros de crianças a partir dos 5 anos que apresentaram pensamentos ou atos suicidas.

Os pais e cuidadores desempenham um papel crucial na prevenção ao estarem atentos a sinais de alerta comuns, como mudanças repentinas de humor, conversas frequentes sobre “ir embora” ou morrer, comportamentos impulsivos e de risco, ou isolamento social. Além disso, buscar assistência profissional em saúde mental para crianças e adolescentes que possam estar em risco é essencial.

Promover um ambiente de apoio emocional, onde as crianças se sintam seguras para expressar seus sentimentos, também é fundamental. A prevenção começa com a conscientização, o diálogo aberto e o acesso a recursos adequados para ajudar jovens em momentos de crise.

Como lidar com a perda de alguém para o suicídio?


Perder um ente querido para o suicídio desencadeia um processo de luto profundo e complexo. Além da dor da perda em si, aqueles que enfrentam essa situação muitas vezes lidam com sentimentos intensos e conflituosos, como vergonha, raiva, culpa, desespero ou até mesmo alívio. Em alguns casos, a forma como a morte é descoberta ou revelada pode ser particularmente traumatizante.

Embora seja comum sentir a tentação de se isolar e carregar a dor sozinho, buscar apoio é fundamental para o processo de cura. Conectar-se com familiares, amigos, um profissional de saúde mental ou participar de grupos de apoio pode oferecer um caminho mais seguro para lidar com a perda. Esses recursos ajudam a processar as emoções e a reconstruir a vida após a tragédia.

Embora a dor da perda possa nunca desaparecer completamente, muitos enlutados descobrem que, com o tempo, conseguem entender que a morte de seu ente querido não foi culpa deles. Aos poucos, é possível encontrar significado e propósito novamente, honrando a memória de quem se foi enquanto seguem em frente. A jornada de cura é única para cada pessoa, mas o apoio e a compaixão são essenciais para superar esse desafio.

O que é contágio suicida?


O contágio suicida refere-se ao aumento nas tentativas de suicídio e nos casos de suicídio consumado após a exposição a um suicídio, seja por meio da mídia ou no círculo pessoal de alguém. O suicídio de uma celebridade famosa ou de um membro de uma comunidade específica, como escolas ou forças armadas, já foi associado a um crescimento nas taxas de suicídio. Embora muitos estudos tenham identificado essa correlação, ainda não é possível afirmar com certeza que a exposição direta seja a causa do aumento.

Indivíduos mais vulneráveis ao contágio suicida, também chamado de suicídio por imitação, incluem adolescentes, pessoas que já enfrentam pensamentos suicidas e aqueles com problemas de saúde mental, como depressão, transtorno bipolar ou transtorno de estresse pós-traumático (TEPT).

Esse fenômeno pode ocorrer, em parte, devido à tendência de se inspirar em figuras importantes ou relevantes, além de a ideia do suicídio se tornar mais presente na mente das pessoas após serem expostas a ele.

Felizmente, o contágio suicida pode ser prevenido. A American Foundation for Suicide Prevention (Fundação Americana para a Prevenção do Suicídio) estabeleceu diretrizes para a mídia, que muitas publicações adotaram. Entre elas estão: evitar detalhar o método utilizado em suicídios, não sugerir que a morte foi motivada por uma razão simples ou por objetivos como fama ou vingança e, talvez o mais importante, fornece recursos de ajuda para quem pode estar enfrentando dificuldades. Essas práticas ajudam a reduzir o risco de contágio e a promover a conscientização sobre a prevenção ao suicídio.

O que é suicídio assistido?
Em alguns países e estados dos EUA, indivíduos diagnosticados com doenças terminais têm a opção legal de solicitar o suicídio assistido por médico. Nesse processo, um profissional de saúde fornece os meios para que o paciente termine sua vida de forma deliberada, caso essa seja sua vontade. O suicídio assistido é um tema que gera intenso debate.

Aqueles que defendem a prática argumentam que ela permite que as pessoas “morram com dignidade”, evitando sofrimento prolongado para si mesmas e para seus ente queridos. Por outro lado, os opositores afirmam que o suicídio assistido pode desvalorizar a vida humana ou ser utilizado por indivíduos que ainda têm outras opções de tratamento ou suporte não exploradas.

A discussão envolve questões éticas, morais e legais complexas, refletindo diferentes perspectivas sobre autonomia, qualidade de vida e o valor da existência humana.

Depressão e Suicídio

A maioria dos suicídios está associada a transtornos psiquiátricos, especialmente a depressão. No entanto, nem todas as pessoas com depressão grave tiram a própria vida. Cerca de 5% dos deprimidos têm pensamentos suicidas, mas apenas uma pequena parcela faz planos concretos.

A depressão altera o pensamento e intensifica o dor emocional, tornando difícil enxergar saídas. A exclusão, eventos traumáticos e perdas podem agravar esse sofrimento, aumentando o risco de suicídio. Fatores como histórico familiar, TEPT, abuso de substância e isolamento social também elevam esse risco.

Os principais sinais de alerta incluem falar sobre querer morrer, sentir-se sem propósito, isolamento social e mudanças repentinas de comportamento. Perguntar diretamente sobre pensamentos suicidas não incentiva uma ideia, mas pode oferecer apoio a uma pessoa em sofrimento.

Mensagem Final sobre Suicídio

É importante lembrar que, embora a dor e o desespero possam parecer insuportáveis, existe ajuda e esperança. A maioria das pessoas que pensa em suicídio não deseja realmente morrer, mas sim aliviar um sofrimento que parece impossível de suportar.

Se você ou alguém que você conhece está enfrentando pensamentos suicidas, não hesite em buscar ajuda. Converse com um profissional de saúde mental, entre em contato com serviços de apoio, como o CVV (Centro de Valorização da Vida), pelo número 188, ou busque apoio em grupos de ajuda mútua. Você não está sozinho.

Para aqueles que perderam alguém para o suicídio, é fundamental entender que não é sua culpa. O luto após uma perda assim é complexo e doloroso, mas buscar apoio emocional e compartilhar sua dor pode ser um passo importante para a cura.

A prevenção ao suicídio começa com a conscientização, a empatia e a disposição para ouvir sem julgamentos. Juntos, podemos quebrar o silêncio, oferecer apoio e salvar vidas. A vida é preciosa, e sempre há esperança.

Se este conteúdo é relevante para você, clique aqui para apoiar o Psicododia e contribuir para a continuidade da divulgação científica em psicologia e saúde mental.

If this content is relevant to you, click here to support Psicododia and help sustain the scientific dissemination of psychology and mental health.

Dunlhyan Arruda

Escritor e Acadêmico de Psicologia

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