Abstract
ABSTRACT Objective: to perform the content validation of the Nurses Global Assessment of Suicide Risk index for the Brazilian population served in primary care. Method: a methodological study of cultural adaptation and content evaluation of the NGASR index, original scale from the United Kingdom, carried out through the stages: evaluation of verbal comprehension by an experts committee (semantic, idiomatic, conceptual and cultural equivalence and content validity), back-translation and verification of clarity by means of a pre-test. The experts committee was composed of nine judges and the pre-test with 30 users of primary care services and 19 nurses. The Content Validation Index was calculated. Results: the final validated version is composed of 15 items that obtained a Content Validation Index greater than 0.78 by the experts committee and in the application of the pre-test with users and nurses. Conclusion: the instrument favors the performance of professional nurses in primary health care in the prevention of suicidal behavior by facilitating risk assessment and the adoption of relevant actions.
Highlights
In view of the above, this study aimed to carry out the cultural adaptation and content validation stage of the Nurses Global Assessment of Suicide Risk (NGASR) index for its use by professional nurses in the Brazilian primary health care services
Chart 1 – Nurses Global Assessment of Suicide Risk in its version adapted for the Portuguese population and final version for the Brazilian population
Individuals with depressive symptoms are more likely to have a positive screening for suicidal behavior, as pointed out in a study carried out in primary care in Chile, in which 69.9% of the sample referred to a previous depressive condition and 27.7% were under current treatment for depression
Summary
The epidemiological profile in Brazil presented by the Brazilian epidemiological bulletin, from 2011 to 2016, shows that 48,204 cases of attempted suicide were reported and that there were 55,649 deaths from 2011 to 2015, being considered the third cause of death in males and the eighth among women.[2]. This panorama, while revealing the magnitude and intensity of suicidal behavior in epidemiological terms, points to the necessary (re)organization of the health care services for the adoption of appropriate strategies for prevention and intervention. In Portugal and Northern Ireland, 72% and 85% of the individuals, respectively, came into contact with primary health care services in the last 12 months before attempted or consummated suicide.[4,5]
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