Práticas possíveis de equipes de saúde para abordar violência autoprovocada entre adolescentes e jovens em um território de alta vulnerabilidade social

Abstract

The main objective of this dissertation is to analyze the practices of health teams in cases of self-inflicted violence among adolescents. The starting point of the discussion is the work developed at a Municipal Health Center, located in a highly socially vulnerable territory in Rio de Janeiro, narrated by the author's memoirs, as a professional at the Family Health Support Center. The narratives have a specific time frame - February 2017 to January 2019 - and demonstrate during this period important changes in the work process of health teams in relation to these cases, triggered by the increase in the number of adolescents with this demand. The first section of this study is about the methodology used, which is related to Landi (2018) from the choice for a writing that would allow approximation with the concerns that the theme of self-provoked violence triggered. Within this section, the context in which these memories are inserted is addressed, when talking about the precarious context of the Unified Health System. The second section is intended for considerations on the field of Primary Care, Mental Health and the theme of suicide, looking for articles , documents and manuals that address this issue. It is noticed that there is an incipient literature, especially for cases of self-inflicted violence among adolescents and the prevalence of a look focused on mental disorders and less, on a conception of health anchored in social determinants. The third and fourth sections already concern the narratives themselves, seeking to make explicit the daily life and work process, the territory, the cases and the devices of the health and intersectoral network. It’s noticed that there was a predominance of female and black adolescents. In addition, other forms of violence are added to the cases, making them complex situations. The relevance of Primary Care for the reception, notification, sharing and monitoring of cases is highlighted.