Minor psychiatric disorders among university students during the COVID-19 pandemic.

OBJECTIVE: To identify the prevalence and factors associated with the manifestation of Minor Psychiatric Disorders (MPD) among university students in southern Brazil during the COVID-19 pandemic. METHOD: Cross-sectional study, conducted in August and September 2020, with 464 university students. The Self-Reporting Questionnaire (SRQ-20) was used with a cut-off point ≥ 7, and associated factors were identified through crude and adjusted analyses using logistic regression. RESULTS: The prevalence of MPD was 76.5%. Factors positively associated with the outcome were female gender, job loss during the pandemic, use of psychoactive substances, and difficulties in following online classes. Being in social distancing for seven months or more was negatively associated with the outcome. CONCLUSION: High prevalence of MPD among the studied sample, as well as a relationship between this outcome and the consequences of the COVID-19 pandemic.

Minor psychiatric disorders among university students during the COVID-19 pandemic / Transtornos psiquiátricos menores en estudiantes universitarios durante la pandemia del COVID-19 / Transtornos psiquiátricos menores em estudantes universitários durante a pandemia da COVID-19

ABSTRACT Objective: To identify the prevalence and factors associated with the manifestation of Minor Psychiatric Disorders (MPD) among university students in southern Brazil during the COVID-19 pandemic. Method: Cross-sectional study, conducted in August and September 2020, with 464 university students. The Self-Reporting Questionnaire (SRQ-20) was used with a cut-off point ≥ 7, and associated factors were identified through crude and adjusted analyses using logistic regression. Results: The prevalence of MPD was 76.5%. Factors positively associated with the outcome were female gender, job loss during the pandemic, use of psychoactive substances, and difficulties in following online classes. Being in social distancing for seven months or more was negatively associated with the outcome. Conclusion: High prevalence of MPD among the studied sample, as well as a relationship between this outcome and the consequences of the COVID-19 pandemic.

RESUMEN Objetivo: Identificar la prevalencia y los factores asociados a la manifestación de trastornos psiquiátricos menores en estudiantes universitarios del sur de Brasil durante la pandemia del COVID-19. Método: Estudio realizado en 2020, con 464 alumnos vinculados a una disciplina optativa de Salud Mental. Para el resultado se utilizó el Self-Reporting Questionnaire (SRQ-20), con el punto de corte ≥ 7. La identificación de los factores asociados se realizó mediante regresión logística, precedida de selección de factores de confusión. Resultados: Prevalencia de trastornos psiquiátricos menores correspondiente al 76,5% entre los participantes. Factores asociados positivamente con este resultado: sexo femenino, la pérdida de empleo durante la pandemia, el consumo de sustancias psicoactivas y las dificultades para seguir las clases en línea. Estar socialmente distante durante siete meses o más se asoció negativamente con el resultado. Conclusión: Alta prevalencia de malestar emocional entre la muestra, así como una relación entre este resultado y la pandemia.

RESUMO Objetivo: Identificar a prevalência e os fatores associados à manifestação de Transtornos Psiquiátricos Menores (TPM) em estudantes universitários do Sul do Brasil durante a pandemia da COVID-19. Método: Estudo transversal, realizado nos meses de agosto e setembro de 2020, com 464 estudantes universitários. Foi utilizado o Self-Reporting Questionnaire (SRQ-20) com o ponto de corte ≥ 7, e identificados os fatores associados por meio de análises brutas e ajustadas com emprego de regressão logística. Resultados: A prevalência de TPM foi de 76,5%. Os fatores positivamente associados ao desfecho foram as pessoas do sexo feminino, perda de emprego durante a pandemia, uso de substâncias psicoativas e dificuldades para acompanhar as aulas on-line. Esteve negativamente associado ao desfecho, estar em distanciamento social por período igual ou superior a sete meses. Conclusão: O estudo sugere alta prevalência de TPM entre os universitários e a relação entre esse desfecho e os desdobramentos da pandemia da COVID-19.

Prevalence of ideation and attempted suicide among users of a psychosocial care center.

OBJECTIVE: This study aims at identifying and characterizing the prevalence of suicidal ideation and attempted suicide among users of a Psychosocial Care Center in the municipality of Pelotas (RS). METHOD: Transversal study, documentary based study in 389 active medical records. Data collection were carried out between September 2017 and May 2018. Data were digitated in the software Microsoft Excel and afterwards converted for the statistical Stata 11 Software. RESULTS: The prevalence of ideation and attempted suicide was 48,1% and 33,4%, respectively. Significant differences were observed in relation to hearing voices (p=<0,001) and history of violence (p=<0,001). Users who heard voices presented prevalence of suicidal ideation corresponding to 58,1%. Among those users who have reported suicidal ideation, the prevalence of attempt was 57,7%, while the users without report of ideation, the attempts were prevalent in 10,9% (p=<0.001). CONCLUSIONS: The users presented a significant prevalence of ideation and attempted suicide.

A alta dos usuários no centro de atenção psicossocial / The discharge of the users in the psychosocial care center

Objetivo: caracterizar a alta dos usuários no Centro de Atenção Psicossocial. Método: estudo documental com abordagem quantitativa com dados do livro de registro de alta dos usuários, de 2006 a 2016. Foram analisadas as variáveis sexo, motivo de alta e diagnóstico. Resultados: a amostra constituiu 1.772 altas, distribuídas sem grande disparidade entre o sexo feminino (50,9%) e masculino (46,1%). A alta clínica é o motivo prevalente (55,6%) nos 11 anos estudados e entre os três principais diagnósticos: transtorno afetivo bipolar (62,1%), episódios de depressão (59,2%) e esquizofrenia (58,3%). A esquizofrenia foi o diagnóstico prevalente entre os usuários (24,2%), seguida pelo transtorno afetivo bipolar (14,4%) e episódios depressivos (13,6%). Conclusão: o Centro de Atenção Psicossocial apresentou um percentual elevado de altas clínicas, garantindo o retorno dos usuários à vida cotidiana, especialmente entre os sujeitos com transtornos mentais graves e persistentes.(AU)

Objective: characterize the discharge process of the users from a Psychosocial Care Center. Method: documentary study with a quantitative approach with data from the discharge record of users, from 2006 to 2016. The variables gender, reason for discharge and diagnosis were analyzed. Results: the study sample consisted of 1,772 discharges, distributed without great disparity between female (50.9%) and male (46.1%). The clinical discharge had the high rate (55.6%) in the 11 years studied and among the three main diagnoses: bipolar affective disorder (62.1%), episodes of depression (59.2%) and schizophrenia (58.3%). Schizophrenia was the prevalent diagnosis among users (24.2%), after bipolar affective disorder (14.4%), followed by depressive episodes (13.6%). Conclusion: the Psychosocial Care Center presented a high percentage of clinical discharge, guaranteeing users' return to daily life, especially among subjects with severe and persistent mental disorders.(AU)