Suicid predstavlja značajan problem u savremenom društvu, često opterećen brojnim predrasudama koje doprinose stigmatizaciji i otežavaju preventivne aktivnosti. Iako se smatra da su psihijatri i psiholozi ključni u prevenciji, uloga zdravstvenih radnika u primarnoj zdravstvenoj zaštiti je vrlo važna, s obzirom na njihovu dostupnost i prvi kontakt sa pacijentima. Cilj ovog istraživanja bio je ispitivanje stavova, uverenja i nivoa informisanosti zdravstvenih radnika (medicinskih sestara, lekara opšte prakse i specijalista) o suicidu, kao i identifikovanje obrazovnih i profesionalnih razlika koje utiču na formiranje ovih stavova. Istraživanje je sprovedeno tokom maja 2023. godine u dva doma zdravlja u Vojvodini i u njemu je učestvovalo 216 zdravstvenih radnika. Primenjen je upitnik, konstruisan na osnovu IKAB modela, koji obuhvata tri celine: društvena uverenja o suicidu, činjenične tvrdnje i lične stavove. Rezultati ukazuju da među ispitanicima postoje brojne predrasude u vezi sa suicidalnim ponašanjem, ali i da su medicinske sestre pokazale najmanji stepen netačnih uverenja. Značajne razlike u stavovima primećene su u odnosu na profesionalni status, pri čemu lekari opšte prakse češće izražavaju rigidnije stavove. Ukupna informisanost o suicidu bila je nezadovoljavajuća, posebno u segmentu činjeničnih znanja. Rezultati ovog istraživanja su ukazali na neophodnost dodatne edukacije zdravstvenih radnika, bez obzira na profesionalni profil, kako bi se umanjile predrasude i poboljšala efikasnost u prepoznavanju i reagovanju na suicidalne rizike. Ovi nalazi mogu da pomognu u kreiranju edukativnih i preventivnih programa usmerenih na smanjenje stigme i unapređenje podrške osobama u suicidnoj krizi.
Conceptualization, I.J. All authors have read and agreed to the published version of the manuscript.
References
Ajdacic-Gross, V., Wang, J., Bopp, M., Eich, D., Rössler, W., & Gutzwiller, F. (2003). Are seasonalities in suicide dependent on suicide methods? A reappraisal. Social Science Medicine, 57(7), 1173–1181.
Altinanahtar, A., & Sari, N. (2012). Determinants of Suicidal Ideation and Behavior, Economic Theories of Suicidal Behavior and the Economics of Prevention. New York: Nova Science Publishers, Inc.
Bahamón, M. J., Javela, J. J., Ortega Bechara, A., Cabezas-Corcione, A., & Cudris-Torres, L. (2024). Attitudinal Beliefs About Suicidal Behavior and Attitudes Towards Suicide Attempts in Colombian Healthcare Professionals. Healthcare, 12(1), 2169.
Bailey, S., Yocum, F., & Russell, G. (2015). Auditory Processing Learning Disability, Suicidal Ideation, and Transformational Faith. Journal of Research on Christian Education, 24(1), 3–24.
Biro, M. (1982). Samoubistvo- psihologija i psihopatologija. Beograd: Nolit.
Boukouvalas, E., El-Den, S., Murphy, A. L., Salvador-Carulla, L., & O’Reilly, C. L. (2020). Exploring health care professionals’ knowledge of, attitudes towards, and confidence in caring for people at risk of suicide: a systematic review. Archives of Suicide Research, 24(2), 1–31.
Burton, B. A. (2021). Nursing Majors’ Attitudes Toward Suicide and Mental Health Training. Walden Dissertations and Doctoral Studies, 10481.
Čanković, D., Čanković, S., Ukropina, S., Nićiforović Šurković, O., Harhaji, S. i R., & I. (2013). Stavovi adolescenata o samoubistvu. Medicinski Pregled, 66(5–6), 240–244.
Chiang, H. H., Lin, S. Y., & Lee, L. T. (2023). Effects of suicide prevention education on nursing students’ knowledge, attitudes, and confidence in Taiwan. BMC Medical Education, 23(1), 1–9.
Congdon, P. (2012). Latent variable model for suicide risk in relation to social capital and socio-economic status. Social Psychiatry and Psychiatric Epidemiology, 47, 1205–1219.
Crosby, A. E., Ortega, L., & Stevens, M. R. (2011). Suicides--United States, 1999-2007. MMWR: Morbidity & Mortality Weekly Report, 60, 56.
Čukić, D. i A., & B. (2004). Neke sudskomedicinske karakteristike samoubistva u Crnoj Gori za period od 1999-2004. Godine. Expertus Forensic, 3.
Ćurković, M., Makarić, P., Bljakčori, A., Mesarić, J. i B., & P. (2023). Pokušaj samoubojstva i samoubojstvo kao pokazatelj kvalitete i sigurnosti bolničkog sustava skrbi za psihičko zdravlje. Liječnički Vjesnik, 145(11–12), 355–361.
Dazzi, T., Gribble, R., Wessely, S., & Fear, N. T. (2014). Does asking about suicide and related behaviours induce suicidal ideation? What is the evidence? Psychological Medicine, 44(16), 3361–3363.
Dedić, G. (2014). Gender differences in suicide in Serbia within the period 2006–2010. Vojnosanitetski Pregled, 71(3), 265–270.
Faria, J. S., Marcon, S. R., Nespollo, A. M., Santos, H. G. B. D., Espinosa, M. M., Oliveira, K. K. B., & Lima, J. G. D. S. (2022). Attitudes of health professionals towards suicidal behavior: an intervention study. Revista de Saude Publica, 56, 1–17.
Frankl, V. (2019). Zašto se niste ubili. Beograd: Kontrast izdavaštvo.
Gould, M. S., Marrocco, F. A., Kleinman, M., Thomas, J. G., Mostkoff, K., Cote, J., & Davies, M. (2005). Evaluating iatrogenic risk of youth suicide screening programs: a randomized controlled trial. Jama, 293(13), 1635–1643.
Huang, K. C., Jeang, S. R., Hsieh, H. L., Chen, J. W., Yi, C. H., Chiang, Y. C., & Wu, H. P. (2023). Survey of knowledge, self-efficacy, and attitudes toward suicide prevention among nursing staff. BMC Medical Education, 23(1), 692.
Isometsä, E. T., & Lönnqvist, J. K. (1998). Suicide attempts preceding completed suicide. The British Journal of Psychiatry, 173(6), 531–535.
Jandial, R., Subramanian, K., Kumar, S., Subramanian, E., Balasundaram, S., & Subramanian, E. (2024). Literacy and Attitude Toward Suicide Among Doctors and Nurses: A Cross-Sectional Comparative Study. Cureus, 16(7), 64032.
Jing, Z., Li, J., Fu, P. P., Wang, Y., Yuan, Y., Zhao, D., Hao, W., Yu, C., & Zhou, C. (2021). Physical multimorbidity and lifetime suicidal ideation and plans among rural older adults: the mediating role of psychological distress. BMC Psychiatry, 21, 1–10.
Jovčić, I. (2023). Stavovi i stereotipi zdravstvenih radnika o uzrocima i elementima suicida. Master rad. Nezavisni Univerzitet Banja Luka, Banja Luka, BiH.
Kadioglu, H., Unver, V., & Kadioglu, S. (2023). Evaluation of emergency department staff’s attitudes toward suicide attempt patients and related factors. Archives of Psychiatric Nursing, 41, 113–120.
Kapamadžija, B., Šovljanski, B., & M. (1990). Osnovi medicinske suicidologije. Zagreb: Medicinska knjiga.
Mirkovic, B., Laurent, C., Podlipski, M. A., Frebourg, T., Cohen, D., & Gerardin, P. (2016). Genetic association studies of suicidal behavior: a review of the past 10 years, progress, limitations, and future directions. Frontiers in Psychiatry, 7, 158.
Mullins, N., Kang, J., Campos, A. I., Coleman, J. R., Edwards, A. C., Galfalvy, H., & Leboyer, M. (2022). Dissecting the shared genetic architecture of suicide attempt, psychiatric disorders, and known risk factors. Biological Psychiatry, 91(3), 313–327.
Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30(1), 133.
Opalić, P. (2008). Psihijatrijska sociologija. Beograd: Zavod za udžbenike.
Oquendo, M. A., Sullivan, G. M., Sudol, K., Baca-Garcia, E., Stanley, B. H., Sublette, M. E., & Mann, J. J. (2014). Toward a biosignature for suicide. American Journal of Psychiatry, 171(12), 1259–1277.
Otsuka, K., Nakamura, H., Kudo, K., Endo, J., Sanjo, K., Fukumoto, K., Hoshi, K., Yagi, J., & Sakai, A. (2015). The characteristics of the suicide attempter according to the onset time of the suicidal ideation. Annals of General Psychiatry, 14, 1–12.
Pinfold, V., Thornicroft, G., Huxley, P., & Farmer, P. (2005). Active ingredients in anti-stigma programmes in mental health. International Review of Psychiatry, 17(2), 123–131.
Raunig-Berhó, M. J. (2016).
Robins, E., Murphy, G. E., Wilkinson Jr, R. H., Gassner, S., & Kayes, J. (1959). Some clinical considerations in the prevention of suicide based on a study of 134 successful suicides. American Journal of Public Health and the Nations Health, 49(7), 888–899.
Sahin-Bayindir, G., & Comez-Ikican, T. (2025). Attitudes of Emergency Department Staff Toward Individuals Who Have Attempted Suicide and Associated Factors. Journal of Psychosocial Nursing and Mental Health Services, 63(1), 39–46.
Sela, Y., & Levi-Belz, Y. (2024). Nurses’ Attitudes and Perceptions Regarding Suicidal Patients: A Quasi-Experimental Study of Depression Management Training. Healthcare, 12(3), 284.
Shneidman, E. S. (1996). The suicidal mind. Oxford: Oxford University Press.
Svetska, zdravstvena organizacija. (2000). Prevencija samoubistva: priručnik za službenike zatvora. Beograd: Institut za mentalno zdravlje.
Svetska, zdravstvena organizacija. (2005). Prevencija samoubistva: priručnik za zdravstvene radnike u primarnoj zdravstvenoj zaštiti. Beograd: Institut za mentalno zdravlje.
Troister, T., & Holden, R. R. (2010). Comparing psychache, depression, and hopelessness in their associations with suicidality: A test of Shneidman’s theory of suicide. Personality and Individual Differences, 49(7), 689–693. https://doi.org/10.1016/j.paid.2010.06.006
Wang, Y. J., Li, X., Ng, C. H., Xu, D. W., Hu, S., & Yuan, T. F. (2022). Risk factors for non-suicidal self-injury (NSSI) in adolescents: a meta-analysis. EClinicalMedicine, 46.
Woo, J. M., Okusaga, O., & Postolache, T. T. (2020). Seasonality of suicidal behavior. International Journal of Environmental Research and Public Health, 17(8), 2998.
Woods, M. A., Hampton, D., Okoli, C. T., Heath, J., & Moreland, G. (2024). Pilot study focused on knowledge, attitudes, and health access behaviors of psychiatric-mental health nurses regarding suicide prevention. Journal of the American Psychiatric Nurses Association, 30(5), 852–857.
Živanović, M., Vukčević Marković, M., Dimoski, J., & Gvozden, M. (2022). Mentalno zdravlje u Srbiji: Procena potreba, faktora rizika i barijera u dobijanju stručne podrške. Beograd: Psychosocial Innovation Network.
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