Suicide attempt by intentional drug overdose: management in urgency and emergency services – integrative review

• Autor(a) principal: Tier, William Oliveira
• Data de Publicação: 2023
• Outros Autores: Silva, Ritele Hernandez da, Ilha, Silomar, Munhoz, Oclaris Lopes
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Saúde (Santa Maria)
• Texto Completo: https://periodicos.ufsm.br/revistasaude/article/view/73413
• topic: Tentativa de suicídio; Serviços médicos de emergência; Intoxicações; Overdose de drogas; Medicina; Suicide attempt; Emergency medical services; Poisoning; Drug overdose; Medicine

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.