Social representations of emergency professionals on prevention of hospital readmissions trough suicide attempt

Abstract The research that originated this article aimed to analyze social representations of emergency professionals about the prevention of recurrences due to suicide attempt. It was a research based on the theory of social representations in the procedural approach, with thirty emergency workers from a public hospital in Bahia, Brazil, carried out in 2017. The question was based on the understanding of these professionals about the prevention of recurrence of suicide attempt, and the analysis was performed using the cognitive network analysis model. The semantic network was composed of 260 vertices and 431 edges with an average degree equal to 2.61. The main terms that radiated meaning to the discourse of the social group were ‘monitoring’, ‘psychologist’ and ‘patient’, demonstrating a perception of prevention for recurrences by suicide attempts in a positively complex and multidisciplinary way. Participants understand that the phenomenon has particularities that require both in-hospital transformations – by encouraging demystification and combating prejudice of patients at risk of dying from suicide, restructuring of management, screening and monitoring during the stay of hospitalization – as well as extra-hospital, evoking the work between the different levels of care and support networks, in addition to dynamism and comprehensive care as a resource to prevent recurrences of these patients.摘要 本文依托的研究旨在探析急诊从业人员对自杀未遂复发预防的社会表征。本研究基于程序式社会表征理论，于2017年在巴西巴伊亚州一所公立医院开展，共纳入30名急诊工作人员。研究问题围绕上述从业者对自杀未遂复发预防的认知展开，分析采用认知网络分析模型完成。该语义网络包含260个顶点与431条边，平均度为2.61。对该社会群体话语辐射核心意义的核心术语为“监测”“心理医生”与“患者”，体现出该群体以积极且兼具复杂性的多学科视角看待自杀未遂复发预防的认知。参与者认为，该现象具有独特性，既需要院内变革——包括破除针对自杀风险患者的误解与偏见、重构管理流程、住院期间的筛查与监测——也需要院外协作，涵盖不同层级照护与支持网络间的协同工作，此外还需以动态化、全维度照护作为预防此类患者复发的有效手段。