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2.
Artigo em Inglês | MEDLINE | ID: mdl-33493652

RESUMO

BACKGROUND: Preliminary evidence suggests that the COVID-19 pandemic has had a negative impact on children's mental health. Given these problems can have significant impacts throughout the lifespan, preventing the negative repercussions of COVID-19 on children's mental health is essential. Philosophy for children (P4C) and mindfulness-based interventions (MBIs) show promise in this regard. OBJECTIVE: The goal of the present study was to compare the impact of online MBI and P4C interventions on mental health, within the context of the COVID-19 pandemic. We used a randomized cluster trial to assess and compare the impact of both interventions on elementary school students' (N = 37) anxiety and inattention symptoms as well as on their basic psychological need satisfaction (BPN). RESULTS: ANCOVAs revealed a significant effect of the P4C intervention on mental health difficulties, controlling for baseline levels. Participants in the P4C group showed lower scores on the measured symptoms at post-test than participants in the MBI group. Significant effects of the MBI on levels of BPN were also found. Participants in the MBI intervention reported greater BPN satisfaction at post-test than participants in the P4C intervention. CONCLUSION: Results from this study suggest that, in the current context of the COVID-19 pandemic, a P4C intervention centered around COVID-19 related themes may be helpful to reduce mental health difficulties, that a MBI may be useful to satisfy BPN, and that both interventions were easy to offer online to elementary school students. Future work including a larger sample size and follow-up measures is warranted. PUBLIC SIGNIFICANCE: Practice: Philosophy for children (P4C) and mindfulness-based interventions (MBIs) can be used to foster mental health in elementary school students, in the current COVID-19 context. Policy: As we do not anticipate that facilitators will be allowed in schools during the 2020-2021 school year and that children will, most likely, be attending school in the current COVID-19 context, policymakers who want to implement psychological support measures in elementary schools should consider an online modality, which has shown in this study to work well, be feasible, and yield positive results on youth mental health.


Assuntos
/psicologia , Saúde Mental/educação , Atenção Plena/métodos , Instituições Acadêmicas , Estudantes/psicologia , Pensamento , Criança , Pré-Escolar , Análise por Conglomerados , Feminino , Humanos , Masculino , Saúde Mental/tendências , Atenção Plena/tendências , Instituições Acadêmicas/tendências , Pensamento/fisiologia
4.
PLoS One ; 15(12): e0244573, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33382781

RESUMO

PURPOSE: Mental health literacy (MHL) is key for mental health development, particularly in low-and-middle-income countries (LMIC) where mental health resources are limited. MHL development can be thought of as occurring at two levels: the individual person level (via direct contact, with specifically-targeted individuals), and the public health level (via indirect contact through public media, targeting the general public). Each approach has advantages and disadvantages. METHODS: The present mixed methods study assessed the status of and best approaches for development of mental health literacy in the Southeast Asian LMIC Vietnam. Because there has been relatively little discussion of MHL development at the public health level, this assessment focused on the public health level, although not exclusively. Because mental health professionals generally have the most in-depth understanding of their mental health system, study participants were 82 Vietnamese mental health professionals who completed a quantitative survey, with 48 participating in focus groups. RESULTS: Most of the professionals viewed MHL in Vietnam as low or very low, and that it was difficult or very difficult for the general public to find effective mental health services. Main barriers underlying these problems and more generally for developing MHL in Vietnam identified in the focus groups were: (a) misinformation in the media regarding mental health and mental illness; (b) lack of licensure for non-medical mental health professionals (e.g., psychologists; social workers); (c) lack of interest in mental health from upper-level leadership. CONCLUSIONS: To the best of our knowledge, this is the first study assessing professionals' perceptions regarding mental health literacy at both the public health and individual-person levels. Although sampling was restricted to Vietnamese professionals, results may provide initial preliminary guidance for other LMIC considering mental health literacy development at multiple levels.


Assuntos
Letramento em Saúde/estatística & dados numéricos , Serviços de Saúde Mental/estatística & dados numéricos , Saúde Mental/educação , Adulto , Países em Desenvolvimento , Feminino , Grupos Focais , Pessoal de Saúde , Política de Saúde , Humanos , Masculino , Fatores de Risco , Inquéritos e Questionários , Vietnã
9.
Glob Health Action ; 13(1): 1715325, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32041498

RESUMO

Less than 1% of biomedical research papers originate in Africa. Locally relevant mental health research, including synthesis of existing evidence, is essential for developing interventions and strengthening health systems, but institutions may lack the capacity to deliver training on systematic reviewing for publication in international journals. This paper describes the development and implementation of a training-of-trainers (ToT) course on systematic reviewing. The ToT prepared junior faculty ('trainers') from universities in Ethiopia, Malawi, and Zimbabwe to lead a five-day systematic reviewing workshop. Using an evaluation framework based on implementation science outcomes, the feasibility of the ToT was assessed by tracking the number of workshops the trainers subsequently conducted and the number of trainers and trainees who participated; acceptability was assessed through post-workshop surveys on trainee perspectives; impact was evaluated through trainee scores on a 15-item multiple choice test on systematic reviewing concepts; and sustainability was assessed based on whether the workshop was integrated into university curricula. Twelve trainers (86% of those trained) facilitated a total of seven workshops in their home countries (total 103 trainees). The first workshop run in each country was evaluated, and there was a significant improvement in mean knowledge scores between pre- and post-tests among trainees (MD= 3.07, t= 5.90, 95% CI 2.02-4.11). In two of the three countries, there are efforts to integrate the systematic review workshop into university curricula. The cost of the workshop led by the international trainer was $1480 per participant, whereas the trainer-led workshops cost approximately $240 per participant. Overall, ToT is relatively new to research capacity building, although it has been used widely in clinical settings. Our findings suggest ToT is a promising, low-cost way to develop both technical skills of individuals and the pedagogical capacity of universities, and to promote sustainability of research capacity building programs that often have time-limited grant funding.


Assuntos
Pesquisa Biomédica/educação , Pesquisa Biomédica/métodos , Fortalecimento Institucional , Educação Médica/organização & administração , Saúde Mental/educação , Pesquisadores/educação , Revisões Sistemáticas como Assunto , Adulto , Currículo , Etiópia , Feminino , Humanos , Malaui , Masculino , Pessoa de Meia-Idade , Zimbábue
10.
Artigo em Inglês | MEDLINE | ID: mdl-32012888

RESUMO

As part of a suite of early intervention training and support services, Mates in Construction (MATES) provide two general awareness programs to promote mental health and suicide awareness and encourage help-offering and help-seeking in construction workers. General awareness training (GAT) is a one-hour session delivered to all construction workers on large to medium worksites, while MATES awareness training (MAT) maintains similar content but is of shorter duration and delivered informally to small workplaces. This study aimed to compare the effectiveness of the two programs using a before, after and follow-up design. Construction workers undertaking MAT or GAT training completed a short survey before and after their training and again at follow-up. Linear mixed-effect modelling indicated that GAT and MAT training provided similar results in improving suicide awareness and help-seeking intentions. Some variables showed a significant increase from pre-intervention to the three-month follow-up, indicating the long-term impact of some aspects of the training. The findings demonstrating the effectiveness of MAT training have important implications for MATES, as the training can be delivered to much smaller workplaces, making the program more widely available to the construction industry.


Assuntos
Saúde Mental/educação , Suicídio/prevenção & controle , Adulto , Indústria da Construção , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Comportamento de Busca de Ajuda , Humanos , Intenção , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Local de Trabalho/psicologia , Adulto Jovem
11.
J Med Internet Res ; 22(1): e15592, 2020 01 06.
Artigo em Inglês | MEDLINE | ID: mdl-31904578

RESUMO

BACKGROUND: The rapid increase in mental health disorders has prompted a call for greater focus on mental health promotion and primary prevention. Web- and mobile app-based interventions present a scalable opportunity. Little is known about the influence of human support on the outcomes of these interventions. OBJECTIVE: This study aimed to compare the influence of 3 modes of human support on the outcomes (ie, mental health, vitality, depression, anxiety, stress, life satisfaction, and flourishing) of a 10-week, Web- and mobile app-based, lifestyle-focused mental health promotion intervention among a healthy adult cohort. METHODS: Participants were recruited voluntarily using a combination of online and offline advertising. They were randomized, unblinded into 3 groups differentiated by human support mode: Group 1 (n=201): standard-fully automated emails (S); Group 2 (n=202): standard plus personalized SMS (S+pSMS); and Group 3 (n=202): standard plus weekly videoconferencing support (S+VCS), hosted by 1 trained facilitator. Participants accessed the intervention, including the questionnaire, on a Web-based learning management system or through a mobile app. The questionnaire, administered at pre- and postintervention, contained self-reported measures of mental well-being, including the "mental health" and "vitality" subscales from the Short Form Health Survey-36, Depression Anxiety and Stress Scale-21, Diener Satisfaction With Life Scale (SWLS), and Diener Flourishing Scale. RESULTS: Of 605 potential participants, 458 (S: n=157, S+pSMS: n=163, and S+VCS: n=138) entered the study by completing registration and the preintervention questionnaire. At post intervention, 320 out of 458 participants (69.9%; S: n=103, S+pSMS: n=114, and S+VCS: n=103) completed the questionnaire. Significant within-group improvements were recorded from pre- to postintervention in all groups and in every outcome measure (P≤.001). No significant between-group differences were observed for outcomes in any measure: mental health (P=.77), vitality (P=.65), depression (P=.93), anxiety (P=.25), stress (P.57), SWLS (P=.65), and Flourishing Scale (P=.99). Adherence was not significantly different between groups for mean videos watched (P=.42) and practical activity engagement (P=.71). Participation in videoconference support sessions (VCSSs) was low; 37 out of 103 (35.9%) participants did not attend any VCSSs, and only 19 out of 103 (18.4%) attended 7 or more out of 10 sessions. Stratification within the S+VCS group revealed that those who attended 7 or more VCSSs experienced significantly greater improvements in the domains of mental health (P=.006; d=0.71), vitality (P=.005; d=0.73), depression (P=.04; d=0.54), and life satisfaction (P=.046; d=0.50) compared with participants who attended less than 7. CONCLUSIONS: A Web- and mobile app-based mental health promotion intervention enhanced domains of mental well-being among a healthy cohort, irrespective of human support. Low attendance at VCSSs hindered the ability to make meaningful between-group comparisons. Supplementing the intervention with VCSSs might improve outcomes when attendance is optimized. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry (ANZCTR): 12619001009101; http://www.anzctr.org.au/ACTRN12619001009101.aspx.


Assuntos
Correio Eletrônico/normas , Promoção da Saúde/métodos , Saúde Mental/educação , Aplicativos Móveis/normas , Comunicação por Videoconferência/normas , Adulto , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
12.
Health Policy Plan ; 35(2): 186-198, 2020 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-31794027

RESUMO

To address the rise in mental health conditions in Tunisia, a training based on the Mental Health Gap Action Programme (mhGAP) Intervention Guide (IG) was offered to primary care physicians (PCPs) working in the Greater Tunis area. Non-specialists (such as PCPs)' training is an internationally supported way to target untreated mental health symptoms. We aimed to evaluate the programme's impact on PCPs' mental health knowledge, attitudes, self-efficacy and self-reported practice, immediately following and 18 months after training. We conducted an exploratory trial with a combination of designs: a pretest-posttest control group design and a one-group pretest-posttest design were used to assess the training's short-term impact; and a repeated measures design was used to assess the training's long-term impact. The former relied on a delayed-intervention strategy: participants assigned to the control group (Group 2) received the training after the intervention group (Group 1). The intervention consisted of a weekly mhGAP-based training session (totalling 6 weeks), comprising lectures, discussions, role plays and a support session offered by trainers. Data were collected at baseline, following Group 1's training, following Group 2's training and 18 months after training. Descriptive, bivariate and ANOVA analyses were conducted. Overall, 112 PCPs were randomized to either Group 1 (n = 52) or Group 2 (n = 60). The training had a statistically significant short-term impact on mental health knowledge, attitudes and self-efficacy scores but not on self-reported practice. When comparing pre-training results and results 18 months after training, these changes were maintained. PCPs reported a decrease in referral rates to specialized services 18 months after training in comparison to pre-training. The mhGAP-based training might be useful to increase mental health knowledge and self-efficacy, and decrease reported referral rates and negative mental health attitudes among PCPs in Tunisia and other low- and middle-income countries. Future studies should examine relationships among these outcome variables.


Assuntos
Fortalecimento Institucional , Conhecimentos, Atitudes e Prática em Saúde , Saúde Mental/educação , Médicos de Atenção Primária/educação , Ensino , Países em Desenvolvimento , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atenção Primária à Saúde , Tunísia
13.
Depress Anxiety ; 37(1): 90-98, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31622522

RESUMO

In the United States alone, about 10 million persons are newly bereaved each year. Most do not require professional intervention or treatment, but many can benefit from targeted support. However, a significant minority of bereaved persons experience intense, prolonged and disabling grief symptoms associated with considerable morbidity and mortality (aka, "Complicated Grief"). Individuals with Complicated Grief require more formal interventions. In this article, we describe a compassionate and evidence-based approach to bereavement-care that can be provided in varied mental health settings. For individuals struggling with acute grief, clinicians can help by providing recognition and acceptance of the grief, eliciting and compassionately listening to their narratives of their relationship with the deceased and the death, and regularly "checking in" regarding their grief experiences. For bereaved persons who are experiencing Complicated Grief, we recommend an evidence-based approach to bereavement-care, complicated grief therapy (CGT), that involves helping the individual accept and cope with the loss while simultaneously assisting them with adaptation to life without the deceased. We describe ways of implementing CGT's seven core themes: (1) understanding and accepting grief, (2) managing painful emotions, (3) planning for a meaningful future, (4) strengthening ongoing relationships, (5) telling the story of the death, (6) learning to live with reminders, and (7) establishing an enduring connection with memories of the person who died. This work can be done in a variety of settings, taking into consideration the needs of the patient, the limitations of the setting, and the skills and experiences of each clinician.


Assuntos
Luto , Prática Clínica Baseada em Evidências/métodos , Pesar , Saúde Mental/educação , Psicologia/educação , Adaptação Psicológica , Depressão/diagnóstico , Depressão/psicologia , Depressão/terapia , Humanos
14.
Public Health Nurs ; 37(1): 130-134, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31667910

RESUMO

BACKGROUND: This manuscript describes an innovative approach to public health nursing education. Health care delivery is radically shifting to non-acute, community-based settings, warranting a new-thinking graduate who is comfortable responding to societal trends in health and wellness. Graduates must confidently work to address social determinants of health to improve health outcomes and advance health equity. AIMS: We propose a unique pedagogy designed to prepare baccalaureate nursing students to work effectively in the community setting by developing seminars that address pressing, relevant public health initiatives. MATERIALS & METHODS: We describe our experience integrating community-based Naloxone, Stop the Bleed, and Mental Health First Aid training to the curriculum. We outline a session designed to inform future health care providers about provision of care to suspected victims of human trafficking. RESULTS: As a novice program, we have not formally evaluated the described pedagogy for specific outcome measures. DISCUSSION: We include guidance for implementing a similar program and plans for future evaluation of this unique public health nursing pedagogy. CONCLUSIONS: We are confident that future iterations of this pedagogy will continue to foster robust public health nursing skills among BSN students.


Assuntos
Assistência à Saúde/métodos , Bacharelado em Enfermagem/métodos , Enfermagem em Saúde Pública/educação , Estudantes de Enfermagem , Currículo , Hemorragia/enfermagem , Tráfico de Pessoas , Humanos , Saúde Mental/educação , Naloxona , Saúde Pública/educação
15.
Health Promot Int ; 35(1): 132-139, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-30715280

RESUMO

Education programmes in mental health literacy can address stigma and misunderstanding of mental health. This study investigated self-rated differences in knowledge, attitudes and confidence around mental health issues following participation in a bespoke Mental Health First Aid (MHFA) training course for the Armed Forces. The mixed methods approach comprised quantitative surveys and qualitative interviews. A survey, administered immediately post-training (n = 602) and again at 10-months post-attendance (n = 120), asked participants to rate their knowledge, attitudes and confidence around mental health issues pre- and post-training. Quantitative findings revealed a significant increase in knowledge, positive attitudes and confidence from the post-training survey which was sustained at 10-months follow-up.Semi-structured telephone interviews (n = 13) were conducted at follow-up, 6-months post-attendance. Qualitative findings revealed that participation facilitated an 'ambassador' type role for participants. This study is the first to have investigated the effect of MHFA in an Armed Forces community. Findings show participants perceived the training to increase knowledge regarding mental health and to enhance confidence and aptitude for identifying and supporting people with mental health problems. Results suggest that such an intervention can provide support for personnel, veterans and their families, regarding mental health in Armed Forces communities.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Saúde Mental/educação , Militares/educação , Militares/psicologia , Família , Feminino , Letramento em Saúde , Humanos , Masculino , Transtornos Mentais/psicologia , Estigma Social , Inquéritos e Questionários , Reino Unido , Veteranos
16.
Eur Child Adolesc Psychiatry ; 29(1): 29-39, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31227911

RESUMO

There is very limited information available on child and adolescent psychiatry (CAP) training in the Southeast European (SEE) region. The objective of this study was to fill in this gap by presenting descriptive data on CAP training and national mental health services for children and adolescent in 11 SEE countries. On the initiative of World Psychiatric Association-CAP section, national CAP association boards from each SEE country allocated one member to the Consortium on Academic Child and Adolescent Psychiatry in SEE (CACAP SEE) in 2018. Using an internally distributed questionnaire, CACAP SEE members provided information on the CAP training structure and mental health care. Ten out of eleven SEE countries recognized CAP as a separate specialty. Duration of training did not differ much between the SEE countries. Other components were more variable (availability of rotations, overseas electives, and inclusion of psychotherapy). Ten countries were familiar with the CAP requirements of the European Union of Medical Specialists (UEMS-CAP) and five provided the training in accordance with it. Nine countries had less than 36 board-certified child and adolescent psychiatrists practicing in the country. The number of general psychiatrists treating children and adolescents with mental disorders was higher than the number of CAP specialists in five of the countries. Although CAP was recognized as a separate specialty in the vast majority of SEE countries, there was a substantial variation among them in available CAP training. In most of the countries, there is a considerable lack of CAP specialists for several reasons, including loss of trained specialists to other countries.


Assuntos
Psiquiatria do Adolescente/educação , Psiquiatria Infantil/educação , Educação Médica/métodos , Saúde Mental/educação , Adolescente , Adulto , Criança , Europa (Continente) , Feminino , Humanos , Masculino , Adulto Jovem
17.
J Ment Health ; 29(2): 217-224, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31070064

RESUMO

Background: Postnatal depression affects between 6 and 13% of new parents, but only a small proportion of individuals who meet diagnostic criteria receive optimal treatment. One reason for this is poor mental health literacy of postnatal depression.Aims: Studies have examined mental health literacy of maternal postnatal depression, but there are no similar studies of paternal postnatal depression, which we sought to rectify.Methods: A sample of 406 British adults was presented with vignettes describing cases of either maternal or paternal postnatal depression. Based on the vignettes, participants were asked to report if they thought anything was wrong with the targets and, if so, to describe what they thought was wrong. Participants also rated the targets on a range of attitudinal dimensions.Results: Participants were more likely to indicate that something was wrong when the target was female (97.0%) compared to male (75.9%). Of those who believed something was wrong, 90.1% of participants correctly described the female target as experiencing postnatal depression, but only 46.3% did so for the male target. Participants also held more positive attitudes toward the female target than the male target.Conclusions: There is a gender binary in symptom recognition of postnatal depression, which highlights the need for greater awareness of paternal postnatal depression.


Assuntos
Depressão Pós-Parto/prevenção & controle , Depressão Pós-Parto/psicologia , Letramento em Saúde , Saúde Mental/educação , Adolescente , Adulto , Idoso , Depressão Pós-Parto/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reino Unido , Adulto Jovem
18.
Poiésis (En línea) ; 39(Jul.-Dic.): 168-186, 2020.
Artigo em Espanhol | LILACS | ID: biblio-1139968

RESUMO

El texto esboza de una manera reflexiva el lugar de los factores protectores que son vitales para el trabajo de los profesionales en el contexto psicosocial; surgen, entonces, algunas de las herramientas encausadas al apoyo sistemático que desde el bienestar individual será vital pensarlo y actuarlo en pro de una mejor calidad de vida en lo profesional y personal. Dentro de los hallazgos se viabiliza la importancia del autocuidado, cuidado de sí y lo paradojal del estar bien para que otros estén bien, y el encuentro terapéutico como alternativa para privilegiar la palabra, el discurso, el apoyo a otros que apoyan y la formación institucional y gremial que se traduce en apuestas políticas y gremiales hacia el cuidar a quien se dispone profesionalmente a cuidar a otros. ¡Vaya tarea la que se propone!


The text outlines a reflection concerning the place of protective factors that are vital for the work of professionals in the psychosocial context; Then some of the tools for systematic support emerge that, from the individual well-being, will be vital to think about and act on it in favor of a better professional and personal quality of life. Among the findings are the importance of self-care, self-care and the paradox of being well so that others are well, the therapeutic encounter as an alternative to privilege the word and the speech, the support to others who support and the institutional and union training; which translates into political and union bets towards caring for those who are professionally willing to take care of others. What a challenging task!


Assuntos
Humanos , Esgotamento Profissional/prevenção & controle , Psicologia/ética , Psicoterapia , Autocuidado/psicologia , Saúde Mental/educação
20.
J Am Geriatr Soc ; 68(11): 2643-2649, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33460044

RESUMO

BACKGROUND/OBJECTIVES: Despite high prevalence of behavioral health (BH) manifestations among nursing home (NH) residents, availability of BH services in this care setting is often inadequate. Our objective was to examine associations between availability of BH services and the presence of severe depression, suicidal ideation (SI), and severe aggressive behaviors (ABs) among NH residents. DESIGN: Cross-sectional. SETTING/PARTICIPANTS: This study used 2017 survey data about BH service availability obtained from 1,051 NHs. The Minimum Data Set (MDS) was used to identify long-stay residents in these facilities (N = 101,238) and the prevalence of BH manifestations. Descriptive statistics and multivariable logistic regressions were used. MEASUREMENTS: We constructed measures of three severe BH manifestations based on the MDS: presence of depression, SI, and ABs. Three independent measures of service availability based on survey items asked about degrees of inadequate (1) staff BH education, (2) coordination/collaboration between facility/community providers, and (3) facility infrastructure (ie, ability to make referrals/transport residents to services). RESULTS: Odds of severe depression were 21% higher (odds ratio [OR] = 1.21; P < .001) when NHs reported inadequate BH staff education. Residents with SI had 13% higher odds (OR = 1.13; P = .027) of living in NHs that reported inadequate coordination between facility and community providers. Severe ABs were 10% more likely among residents in NHs reporting inadequate facility infrastructure (OR = 1.10; P = .002) and 7% more likely in facilities with self-reported inadequate coordination between facility/community providers (OR = 1.07; P = .019). Several facility-level factors (eg, staffing, training, turnover) were also statistically significantly associated with these severe BH manifestations. CONCLUSION: Residents in NHs reporting inadequate BH services were more likely to experience adverse severe BH manifestations even after controlling for individual and facility-level risk factors. Higher nurse staffing and more staff psychiatric training were associated with lower prevalence of severe BH manifestations. Policy changes and modifications to Medicaid NH reimbursements may be warranted to better incentivize NHs to improve provision of BH services.


Assuntos
Agressão/psicologia , Depressão/epidemiologia , Instituição de Longa Permanência para Idosos/normas , Serviços de Saúde Mental/provisão & distribução , Casas de Saúde/normas , Ideação Suicida , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Instituição de Longa Permanência para Idosos/estatística & dados numéricos , Humanos , Masculino , Saúde Mental/educação , Casas de Saúde/estatística & dados numéricos , Inquéritos e Questionários
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