Internações psiquiátricas involuntárias no estado de São Paulo - Perfil de 64.685 casos
Data
2022-05-06
Autores
Guimarães, Christina Fornazari Ubiali 
Orientadores
Laranjeira, Ronaldo Ramos
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: Exploramos os padrões de internação e as características clínicas e individuais de uma grande coorte de pacientes submetidos à internação psiquiátrica involuntária no Brasil (n=64.685). Métodos: Foram coletados dados do Ministério Público do Estado de São Paulo sobre todas as internações psiquiátricas involuntárias reportadas na cidade de São Paulo entre janeiro de 2003 e fevereiro de 2020. A taxa anual de internações psiquiátricas involuntárias foi calculada e foram produzidas estatísticas descritivas de suas características. Resultados: As internações psiquiátricas involuntárias aumentaram de 5,8 para 25,5 por 100.000 habitantes, com um aumento de oito vezes no primeiro período de 10 anos (2003-2013). A maioria das internações ocorreu em instituições públicas (86,6%), envolveu transtornos psicóticos no diagnóstico primário (26,1%), envolveu mais de um diagnóstico (83,7%) e durou menos de 7 dias (52,4%). A maioria dos pacientes tinha entre 18 e 39 anos e era solteira, sendo a reinternação relativamente comum (13%). Apesar de o motivo da internação estar ausente em muitas das notificações (44%), o risco de dano a si ou a terceiros foi o mais comum (68,5%). Conclusão: Esta é uma das maiores coortes de registros de internação psiquiátrica involuntária já explorada. Os achados se baseiam em evidências internacionais existentes sobre internações psiquiátricas involuntárias e mostram tendências recentes nas taxas de internação na maior cidade do Brasil.
Objective: We explored hospitalization patterns and the clinical and individual characteristics of a large cohort of patients who underwent involuntary psychiatric hospitalization in Brazil (n=64,685). Methods: Data were collected from the District Attorney’s Office of the State of São Paulo (Ministério Público do Estado de São Paulo) on all involuntary psychiatric hospitalizations in the city of São Paulo between January 2003 and February 2020. The annual involuntary psychiatric hospitalization rate was calculated and descriptive statistics of the characteristics were produced. Results: Involuntary psychiatric hospitalizations increased from 5.8 to 25.5 per 100,000 population, with an eightfolder increase in the first 10year period (20032013). The majority of admissions were to public institutions (86.6%), involved a psychotic disorder in the primary diagnosis (26.1%), involved more than one diagnosis (83.7%), and lasted less than 7 days (52.4%). The majority of the patients were aged 18 to 39 years and were single, and readmission was relatively common (13%). Although the reason for admission was missing in many reports (44%), the risk of harm to self or others was the most common (68.5%). Conclusion: This is one of the largest cohorts of involuntary psychiatric hospitalization records ever explored. These findings build upon existing international evidence about involuntary psychiatric hospitalizations and show recent trends in admission rates in the largest city in Brazil.
Objective: We explored hospitalization patterns and the clinical and individual characteristics of a large cohort of patients who underwent involuntary psychiatric hospitalization in Brazil (n=64,685). Methods: Data were collected from the District Attorney’s Office of the State of São Paulo (Ministério Público do Estado de São Paulo) on all involuntary psychiatric hospitalizations in the city of São Paulo between January 2003 and February 2020. The annual involuntary psychiatric hospitalization rate was calculated and descriptive statistics of the characteristics were produced. Results: Involuntary psychiatric hospitalizations increased from 5.8 to 25.5 per 100,000 population, with an eightfolder increase in the first 10year period (20032013). The majority of admissions were to public institutions (86.6%), involved a psychotic disorder in the primary diagnosis (26.1%), involved more than one diagnosis (83.7%), and lasted less than 7 days (52.4%). The majority of the patients were aged 18 to 39 years and were single, and readmission was relatively common (13%). Although the reason for admission was missing in many reports (44%), the risk of harm to self or others was the most common (68.5%). Conclusion: This is one of the largest cohorts of involuntary psychiatric hospitalization records ever explored. These findings build upon existing international evidence about involuntary psychiatric hospitalizations and show recent trends in admission rates in the largest city in Brazil.
Descrição
Citação
GUIMARÃES, C.F.U. Internações psiquiátricas involuntárias no estado de São Paulo - Perfil de 64.685 casos. São Paulo, 2022. 38 f. Dissertação (Mestrado em Psiquiatria e Psicologia médica) - Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP). São Paulo, 2022.