Autoagresiones en adolescentes atendidos en un hospital de alta complejidad: Serie de casos clínicos / Self-injurious behavior in adolescents seen at a tertiary-level hospital: A case series

Dentro de los daños intencionales en adolescentes, las autoagresiones se han convertido en los últimos años en un tema de interés clínico, social y público, en constante investigación. Una conducta autolesiva es toda conducta autodeliberada destinada a producir daño físico directo en el cuerpo, sin la intención de provocar la muerte. Objetivos: Describir los casos de pacientes con autoagresiones que fueron atendidos por el equipo de adolescencia (clínica pediátrica y salud mental) en el Hospital Garrahan desde el año 2015 al 2017. Diseño observacional, descriptivo y retrospectivo. Se incluyeron todos los adolescentes que fueron evaluados en conjunto por el servicio de adolescencia y salud mental. Resultados: Se atendieron 17 casos, rango de edad 12 a 16 años, 14 mujeres. Los motivos de consulta fueron variados, el principal mecanismo de autoagresión elegido fue cortes superficiales en antebrazo y piernas. La mayoría presentó como factor de riesgo principal conflictos familiares, coincidiendo con la bibliografía revisada. Un abordaje integral por personal capacitado en un servicio amigable es necesario para no perder la oportunidad de pesquisar estas situaciones. Así, mediante un trabajo interdisciplinario disminuir los riesgos que conllevan estas conductas (AU)

Within intentional harm in adolescents, over the last years selfinjury has become an issue of clinical, social, and public interest in ongoing research. Self-injurious behavior is all deliberate behavior aimed at producing direct physical harm to the body, without the intention to cause death. Objectives: To describe cases of patients with self-injurious behavior seen by the adolescents team (pediatrics and mental health) at Garrahan Hospital between 2015 and 2017. A retrospective, observational, descriptive study was conducted. All adolescents seen together by the Departments of Adolescence and Mental Health were included in the study. Results: 17 patients were evaluated, with ages ranging from 12 to 16 years; 14 were girls. Main complaints were varied. The main mechanism of self-injury were superficial cuts on the forearms and legs. The main risk factor in the majority of patients were family conflicts, as reported in the literature. A comprehensive approach by trained personnel from a friendly team is necessary so as not to lose the opportunity to screen this type of situations. An interdisciplinary approach may reduce the risks associated with these behaviors (AU)

[Social representations about occupational risk in the perspective of the health worker]. / Representações sociais sobre o risco ocupacional na perspectiva do trabalhador da saúde.

We aimed to identify the meanings constructed about occupational risk by health workers through the structural approach to social representation. 220 health professionals from a public hospital in Natal, Rio Grande do Norte, Brazil, participated in this research. The technique of free evocation of words was used and data were examined through an articulated analysis of frequency average and evocation order Results shows that central systems have different compositions in three groups: disease and death for doctors, perforating and danger for nurses and contamination, disease, infection and danger for dentists. The complexity of bond among work and risk suggests that strategies and alternatives of actions might be operationalized with integration of different professional categories and fields of knowledge towards a common objective starting from an interdisciplinary space and expanding the awareness level of these professionals concerning to consequences of their practices to health.