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Mandados de condução à urgência de psiquiatria em imigrantes
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Resumo(s)
RESUMO - Introdução: várias pesquisas internacionais têm colocado em evidência que em indivíduos de maior vulnerabilidade, como é o caso dos imigrantes, o risco de distúrbios mentais é superior ao da população recetora. Em Portugal, onde são ainda escassos estudos sobre a dimensão desse risco neste grupo vulnerável, o levantamento e análise de mandados de condução a um estabelecimento de saúde mental permite abrir portas a ao conhecimento do perfil dos indivíduos conduzidos, se, de que forma e em relação a que variáveis esse difere dos demais indivíduos (não-imigrantes).
Material e Métodos: procedeu-se à análise de processos referentes a mandados de condução à urgência de Psiquiatria emitidos na USP da Amadora, no período entre 1 de janeiro de 2010 a 31 de dezembro de 2015. Trata-se de um estudo observacional, descritivo, transversal, com componente analítica. Usou-se o software Microsoft Excel 2013 e o IBM® Statistical Package for the Social Sciences (SPSS®) Statistics 22.
Resultados: foram validados 338 mandados de condução de 248 indivíduos em que a proporção correspondente a imigrantes foi de 26,9%. Esta prevalência foi superior à esperada. Dos imigrantes estudados, 42,9% são naturais de Cabo Verde, a naturalidade estrangeira mais frequente no concelho da Amadora. A idade média neste grupo é inferior ao encontrado no grupo de não-imigrantes [42,04 (±15,63) e 45,96 (±16,12), respetivamente], sendo os imigrantes do sexo masculino os mais jovens de todos os indivíduos estudados. Em ambos os subgrupos, a maioria dos mandados referia-se a indivíduos do sexo masculino (64,8% nos imigrantes e 62,3% nos não-imigrantes) com diagnóstico de Esquizofrenia (38,5% e 41,3%) seguido de diagnóstico de Doença Bipolar (14,2% e 21,0%). Não foram encontradas associações estatisticamente significativas entre a variável Imigrante e as variáveis independentes. Cerca de 1 em cada 4 indivíduos teve recorrência de mandado de condução. O número de indivíduos alvo de três ou mais mandados de condução foi superior nos imigrantes (14,8%; 7,5% em não-imigrantes).
Conclusão: O presente estudo pretendeu ser um ponto de partida para a obtenção de uma base de conhecimentos respeitantes ao tema proposto, tema este ainda pouco estudado em Portugal, e que podem constituir pontes para investigações futuras nesta área.
ABSTRACT - Introduction: several international researches have shown that individuals in greater vulnerability, such as immigrants, the risk of mental disorders is higher than that of the receiving population. In Portugal, where there are still few studies on the extent of that risk in this vulnerable group, the analysis of the procedures for involuntary admission to a mental health facility can open doors to the knowledge on driven individuals’ profiles, how it may differ from the other individuals (nonimmigrants), and whether the obtained information supports the context of mental health vulnerability of immigrant communities. Methodology: a analysis was carried out on all the cases of individuals conducted to the psychiatric emergency through a mental health warrant issued by the Public Health Unity of Amadora in the period from 1 January 2010 to 31 December 2015. It’s a observational, descriptive, cross-sectional study with an analytical component. For statistical treatment of the collected data it was used the Microsoft Excel 2013 e o IBM® Statistical Package for the Social Sciences (SPSS®) Statistics 22. Results: 338 mental health warrants were validated for a total of 248 individuals; the proportion corresponding to immigrants was 26.9%. Of these, 42.9% are from Cape Verde, the most frequent foreigner origin in the municipality of Amadora. The mean age in this group is lower than that found in the group of nonimmigrants ([42,04 (±15,63) and 45,96 (±16,12), respectively), with the male immigrants being the youngest of all the individuals studied. In both cases, most of the orders referred to males (64.8% of immigrants and 62.3% of nonimmigrants) with a diagnosis of Schizophrenia (38.5% and 41.3%) followed by diagnosis Of Bipolar Disorder (14.2% and 21.0%). There were no statistically significant associations between Immigrant variable and independent variables. About 1 in 4 individuals had a recurrence of involuntary admission. The number of individuals with three or more involuntary admission was higher in immigrants (14.8%; 7.5% in non-immigrants). Conclusion: this study intends to be a starting point for obtaining a base of knowledge related to the proposed theme, a topic that has not yet been deeply studied in Portugal and which may constitute bridges for future research in this field.
ABSTRACT - Introduction: several international researches have shown that individuals in greater vulnerability, such as immigrants, the risk of mental disorders is higher than that of the receiving population. In Portugal, where there are still few studies on the extent of that risk in this vulnerable group, the analysis of the procedures for involuntary admission to a mental health facility can open doors to the knowledge on driven individuals’ profiles, how it may differ from the other individuals (nonimmigrants), and whether the obtained information supports the context of mental health vulnerability of immigrant communities. Methodology: a analysis was carried out on all the cases of individuals conducted to the psychiatric emergency through a mental health warrant issued by the Public Health Unity of Amadora in the period from 1 January 2010 to 31 December 2015. It’s a observational, descriptive, cross-sectional study with an analytical component. For statistical treatment of the collected data it was used the Microsoft Excel 2013 e o IBM® Statistical Package for the Social Sciences (SPSS®) Statistics 22. Results: 338 mental health warrants were validated for a total of 248 individuals; the proportion corresponding to immigrants was 26.9%. Of these, 42.9% are from Cape Verde, the most frequent foreigner origin in the municipality of Amadora. The mean age in this group is lower than that found in the group of nonimmigrants ([42,04 (±15,63) and 45,96 (±16,12), respectively), with the male immigrants being the youngest of all the individuals studied. In both cases, most of the orders referred to males (64.8% of immigrants and 62.3% of nonimmigrants) with a diagnosis of Schizophrenia (38.5% and 41.3%) followed by diagnosis Of Bipolar Disorder (14.2% and 21.0%). There were no statistically significant associations between Immigrant variable and independent variables. About 1 in 4 individuals had a recurrence of involuntary admission. The number of individuals with three or more involuntary admission was higher in immigrants (14.8%; 7.5% in non-immigrants). Conclusion: this study intends to be a starting point for obtaining a base of knowledge related to the proposed theme, a topic that has not yet been deeply studied in Portugal and which may constitute bridges for future research in this field.
Descrição
Palavras-chave
Imigração Mandado de Condução Saúde Pública Immigration Mental Health Warrant Public Health