Qualidade do sistema de informação e notificação de agravos de lesão autoprovocada na região do Caparaó capixaba: interfaces da prevenção do suicídio

Abstract

Introduction: Naturally complex and with a wide social impact, the suicidal spectrum includes fatal and non-fatal behaviors and a series of terminologies related to them. For the role of surveillance, the World Health Organization suggests that the use of the terms self-mutilation or attempted suicide are appropriated. In Brazil, the adopted system similarly uses the term self-inflicted injury for cases of voluntarily provoked violence against oneself, including suicide attempts. The definition is inserted as mandatory registration in the country since 2011, currently made by the Interpersonal/Self-inflicted Violence Form, inserted in the corresponding database in the Grievance Health Information and Notification System. Objective: to evaluate the quality of self-harm notifications from 2011 to 2019 in counties in the administrative region of Caparaó - Espirito Santo, regarding the duplicity, completeness and consistency of data. Methodology: this is a transversal study based on secondary data collected from the Municipal Health Departments. The sample was divided into two blocks: the General, composed of all cases of Violence, and the Injuries, with those classified as self-inflicted. The attribute quality classification and nonlinear Spearman correlation analysis were performed. The parameter adopted for classification of completeness was Romero and Cunha's, and for duplicity and consistency, Abath's and collaborators. Result: no duplication was detected in the system. The analysis identified that 37.50% of the completeness classifications between the counties were regular, bad or very bad for the period, while of the 17 variables analyzed for consistency, 09 showed some inconsistency in the investigated period, with 15.87% of these, classified like bad or regular. The correlation analysis showed that more than half of the variables analyzed for completeness showed an increase in incomplete fields with time, while among those that showed inconsistencies, 75% showed a correlation of inconsistency increase with time. Conclusion: the results of completeness and consistency are under the ideal considered by the Health Ministry , which states that for the quality of an information system, it is necessary to complete the form and coherence between the related fields, so that the total data can generate information capable of supporting effective prevention strategies, with greater resoluteness in the health system's responses to the grievance problem in question. With the results, it is expected to collaborate to emphasize the importance of investment and continuous improvement of the epidemiological surveillance system for the prevention of suicidal behavior, in addition to resulting in the production of this master's thesis and scientific articles, collaborating in the expansion of the debate with the community academic and general.