Resumo:
Suicide is a multidetermined phenomenon present in all age groups, cultural and social, and it is
configured in a highly complex theme, thus that requires increased attention in view of the range of
variables involved in the process. The suicide in adolescence has an epidemiological relevance of
deaths in this population, highlighting the importance of thinking about specificities of that moment,
stressed by several events in the social and subjective sphere and its expression in the psyche. The aim
of this study is to analyze the dimension of suicide among adolescents under psychoanalytical care in
the hospital setting, and specifically to analyze (1) the process of signification face the suicide attempt
in a context of hospitalization in an Intensive Care Unit; (2) the psychic mechanism of the subject
towards the other against the suicidal context, limiting the range of the act and the dimension of the
bond; (3) the institution's discursive logic in the face of the adolescent suicidal attempt and the
different demands addressed to the psychoanalyst and (4) to reflect the intervention strategies based on
the psychoanalytic clinic in the work with adolescents before the context of suicide. The act and its
consequences in the psychoanalytic clinic are prioritized, from the perspective of the subject's
relationship with the other, outlined by the action to the word, by the act to the signifier. There is an
almost direct relationship, in the psychiatric discourse, between the presence of a disorder and the
suicide attempts, with no discussion between other elements in a multifactorial field. This is a study of
a clinical case construction, according to the psychoanalytic perspective on the adolescent suicide
attempt admitted in the context of ICU hospitalization. Data analysis was supported by Freudo
Lacanian psychoanalysis. From the theoretical investigation of the clinical constructions of two cases,
it was possible to state that the dimension of the act can only be valued by the subject who positions
himself in front of his act, implicating himself in his speech. The cases under discussion point to a
singular plot that highlights the suicide attempt and its significance a posteriori, based on its own form
of inscription in the field of the Other. A practice in psychoanalysis inserted in an institution works
from a clinical-institutional device that bets on the word as a promoter of the subject's emergence.
Therefore, conducting an investigation in a context of adolescence suicide clinic can favor the
construction of interventions aimed to the promotion and care of these subjects.
