Amorim, Karla Patrícia CardosoDantas, Eder Samuel Oliveira2025-01-242025-01-242024-11-13DANTAS, Eder Samuel Oliveira. (Sobre)vivências e percursos terapêuticos em saúde de mulheres com ideação e tentativa de suicídio: gênero como categoria analítica. Orientadora: Dra. Karla Patrícia Cardoso Amorim. 2024. 207f. Tese (Doutorado em Saúde Coletiva) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2024.https://repositorio.ufrn.br/handle/123456789/61964Suicide is a significant global public health issue and is characterized as a complex and multifaceted human phenomenon. In Brazil, the rates of this problem continue to rise each year. Suicidal behavior can be divided into fatal (completed suicide) and non-fatal, which manifests as suicidal ideation and suicide attempts. Although men die more frequently from this cause, women are more exposed to suicidal ideation and attempts. Additionally, women seek health services more often, and as a result, they are more subject to the attitudes of health professionals, depending on management strategies to access comprehensive care. This study aims to understand the sociobiographical experiences and therapeutic pathways in healthcare of women with suicidal ideation and attempts from a gender perspective. It is a qualitative study with a hermeneutic and dialectic approach, based on Gadamer's hermeneutic philosophy and Habermas' dialectics as a contemporary interpretive art. The study was conducted within the Psychosocial Care Network (RAPS) in Natal, Rio Grande do Norte. Data collection took place between June 2022 and July 2024, using a triangulation perspective with multiple data sources: semi-structured interviews, medical records, field notes, and drawings. Data analysis was performed using hermeneutic and dialectic interpretation with the aid of NVivo® software (version 14). Ten women with suicidal ideation or attempts, four healthcare professionals, and three managers from the network participated in the research. The majority of participants are young, with 60% between 18 and 35 years old. Half identify as white and the other half as Black. Most are single (40%) and have completed high school (40%). Regarding religion, 50% are Catholic. The majority live with family members (70%) and 40% have a family income of up to one minimum wage. The healthcare professionals include nurses, a psychiatrist, and a social worker, working in various Psychosocial Care Network services. The managers work at the central level of the Municipal Health Department and at the Psychosocial Care Centers, with backgrounds in psychology and nursing. The study explored various factors impacting the sociobiographical experiences of the women, such as gender stereotypes, socioeconomic vulnerability, mental health stigmatization, and intimate partner violence. Non-suicidal selfharm appears as an emotional relief mechanism. These women sought various services within the Psychosocial Care Network, including Psychosocial Care Centers, Primary Health Units, Urgent Care Units, and Psychiatric Hospitals. Healthcare professionals' perceptions of female suicidal behavior directly influence their attitudes, and building relationships is an effective care strategy. In conclusion, the study highlights that despite challenges faced by the Psychosocial Care Network, such as lack of infrastructure and human resources, the network has the potential to provide compassionate, comprehensive care to vulnerable women. The research also emphasizes the need for policies that incorporate gender aspects into psychosocial care strategies.Acesso AbertoComportamento suicidaSuicídioMulheresGênero e saúdeSistema Único de SaúdeServiços de saúde mentaldoctoralThesisCNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA