Types of Coercive Practices, Disability and Days in Crisis in People With Suicide Attempts in Latin American.

Abstract

The present study aimed to identify the types of coercive practices in healthcare services and to analyze their relationship with psychosocial disability and days in crisis among individuals with suicide attempts in Colombia. A mixed-methods design was adopted. The quantitative component consisted of an analytical cross-sectional study with a stratified sample of 622 individuals, using validated instruments to assess depressive symptoms, resilience, subjective well-being, loneliness, continuity of care and psychosocial disability. The qualitative component involved 30 semi-structured interviews, analyzed using reflexive thematic analysis. Multivariate analysis explained 45.1% of the variance in days in crisis. Coercive practices were significantly associated with higher levels of psychosocial disability, more severe depressive symptoms, and lower scores in resilience and subjective well-being (p <.001). Qualitative findings revealed perceptions of dehumanizing treatment, normalization of coercion by health personnel and disruption of the therapeutic relationship. Coercive practices represent a risk factor for psychosocial recovery.