RESUMO
Crisis hotlines are direct communication systems, usually telephone-based, set up to prevent suicide. However, few studies have evaluated their effectiveness. The present study aims to perform a systematic review, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, of the effectiveness of interventions through direct communication systems to reduce the number of suicides or suicide attempts. We searched the MEDLINE, Cochrane, SciELO, and ClinicaTrials.gov databases, and used the 2011 Oxford Centre for Evidence-Based Medicine Levels of Evidence classification. The literature search yielded 267 studies, of which 35 fulfilled the selection criteria. Although significant heterogeneity was found among studies, there is evidence that direct telephone interventions are effective when included in broader preventive protocols and provided by trained staff. Despite the limitations, which included heterogeneity of samples, designs, and outcome measures, we were able to design a protocol for the use of remote services to prevent suicide and suicide attempts. A hotline or similar system could be an effective intervention for broader suicide prevention programs. However, further research is necessary to specify which protocol components are key to enhance effectiveness. Systematic review registry number: PROSPERO CRD42020206517
RESUMO
Crisis hotlines are direct communication systems, usually telephone-based, set up to prevent suicide. However, few studies have evaluated their effectiveness. The present study aims to perform a systematic review, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, of the effectiveness of interventions through direct communication systems to reduce the number of suicides or suicide attempts. We searched the MEDLINE, Cochrane, SciELO, and ClinicaTrials.gov databases, and used the 2011 Oxford Centre for Evidence-Based Medicine Levels of Evidence classification. The literature search yielded 267 studies, of which 35 fulfilled the selection criteria. Although significant heterogeneity was found among studies, there is evidence that direct telephone interventions are effective when included in broader preventive protocols and provided by trained staff. Despite the limitations, which included heterogeneity of samples, designs, and outcome measures, we were able to design a protocol for the use of remote services to prevent suicide and suicide attempts. A hotline or similar system could be an effective intervention for broader suicide prevention programs. However, further research is necessary to specify which protocol components are key to enhance effectiveness.
Assuntos
Linhas Diretas , Prevenção do Suicídio , Humanos , Ideação Suicida , Brasil , Tentativa de Suicídio/prevenção & controleRESUMO
Este trabalho procura uma melhor compreensão dos mecanismos do esquecimento e da memória, enfatizando a importância não apenas do que é lembrado, mas, principalmente, de como a possibilidade de esquecer é fundamental para a formação de nossas memórias. Há uma ênfase no conceito da memória enquanto construto, e na aplicação deste conceito à Psicanálise.(AU)
This paper endeavors to reach a better understanding of the mechanisms of memory and of forgetfulness, underlining the importance not only of what is remembered but, especially, of how the possibility of forgetfulness is paramount to the formation of our memories. There is an emphasis in the concept of memory as a construct, an in the application of this concept to Psychoanalysis.(AU)
RESUMO
Este trabalho discute, por meio do filme O 13º andar e do livro correspondente Simulacron 3, questões referentes à irrealidade do cogito e suas relações com a irrealidade do mundo externo.
Assuntos
Humanos , Psicanálise , FalaRESUMO
Este trabalho procura uma melhor compreensão dos mecanismos do esquecimento e da memória, enfatizando a importância não apenas do que é lembrado, mas, principalmente, de como a possibilidade de esquecer é fundamental para a formação de nossas memórias. Há uma ênfase no conceito da memória enquanto construto, e na aplicação deste conceito à Psicanálise.(AU)
This paper endeavors to reach a better understanding of the mechanisms of memory and of forgetfulness, underlining the importance not only of what is remembered but, especially, of how the possibility of forgetfulness is paramount to the formation of our memories. There is an emphasis in the concept of memory as a construct, an in the application of this concept to Psychoanalisis.(AU)
RESUMO
Este trabalho busca alcançar melhor compreensão do fenômeno do serial killer na mídia, usando como exemplos Hannibal Lecter e Dexter (filmes e livros), e fazendo uma correlação com os conceitos de sociedade de consumo, canibalismo, reificação e o gozo lacaniano.(AU)
This paper endeavors to achieve a better understanding of the serial killer phenomenon in the media, using as examples Hannibal Lecter and Dexter (from books and movies) and relating the concepts of serial killer to those of consumer society, cannibalism, reification and the lacanian lust (Jouissance).(AU)
RESUMO
Este trabalho versa sobre os chamados"novos sintomas" como estreitamentevinculados à questão da inibição, e apartir daí faz um revisão do conceitoda inibição e procura estabelecer quaisas formas tomadas por esta relação(AU)
This paper describes the "newsymptoms" as closely tied to thequestion of inhibition, and then reviewsthe concept of inhibition, seeking toestablish the forms taken by thisrelationship(AU)
RESUMO
Este trabalho é a transcrição da fala de abertura da Jornada do Círculo Psicanalítico da Bahia sobre a Paixão, reunindo e organizando diversos conceitos e questões sobre o tema.(AU)
This paper is the transcription of the opening speech for the Symposium held by Círculo Psicanalítico da Bahia about Passion, collecting and organizing several concepts and questions on the theme.(AU)
RESUMO
Além de ser tema relativamente pouco abordado pelas instituições psicanalíticas, apesar de se tratar de importante forma de expressão do inconsciente, parece haver certa resistência em muitos psicanalistas a seu próprio estudo. Este trabalho propõe-se a uma investigação inicial sobre esta censura(AU)
Besides being a theme relatively less studied in psychoanalytical institutions, in spite of being an important expression of the unconscious, there seems to be some resistance in quite a few psychoanalysts to its very investigation. This paper proposes to begin a closer look at this censorship(AU)
RESUMO
O trabalho procura, através de revisão histórica e análise de conceitos e crenças culturais e acadêmicas relacionados ao tema, compreender melhor os múltiplos significados das técnicas de modificação corporal ao longo do tempo e na atualidade, além de discutir a influência das dicotomias corpo natural/corpo construído ou de linguagem, e do conceito de sujeito como uno e transcendente/dividido e fluido(AU)
The paper endeavors, by historical review and analysis of concepts and cultural and academical beliefs related to the theme, to reach a better understanding of the multiple signifiers attached to techniques of body modification through time and nowadays, and also to discuss the influence of the dichotomies natural/artificial body (or body of language), and the notion of subject as whole and transcendent/fluid and divided(AU)