[Psychiatric consultant care in a general hospital in association with inpatient crisis intervention].
This study examined the psychiatric care given at a general hospital associated with a clinical crisis-intervention ward in Munich. The correlations between frequency of suicide attempts, psychiatric crisis and the transfer of patients (treated by attending physicians) to a crisis-intervention ward of particular interest. Of the total 6,004 patients in the general hospital, 227 (130 female, 97 male) were psychogenetic reactions (36.6%) or alcohol-, medicine-, and drug-dependent cases (26.8%). The average patient age in acute crisis was significantly lower than that of other patients. Suicide syndrome was found in 91 cases; 23 patients were transferred to the crisis-intervention ward within 24 h and 7 after 24 h. There were significantly more women than men. The configuration-frequency analysis indicated three significant types: (1) "crisis-patients" (N = 18) with suicide syndrome, psychiatric crisis patients who were moved to the crisis-intervention ward within 24 h; (2) typical "non-crisis patients" (N = 111) without positive indication of these three variables; and (3) a group of 48 patients who, in spite of an acute crisis and suicide syndrome, were not transferred to the crisis-intervention ward. In the follow-up study 1 year later, another group of patients (N = 23), which had refused admission to the crisis-intervention ward, confirmed the high-risk expectation when compared with the patients who were admitted.
D000275:Adjustment Disorders / Q000628:therapy; D000293:Adolescent; D000328:Adult; D000368:Aged; D003134:Commitment of Persons with Psychiatric Disorders; D003419:Crisis Intervention; D005260:Female; D005500:Follow-Up Studies; D005860:Germany, West; D006769:Hospitals, General; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D011567:Psychiatric Department, Hospital; D011602:Psychophysiologic Disorders / Q000628:therapy; D011618:Psychotic Disorders / Q000628:therapy; D012017:Referral and Consultation; D012803:Sick Role; D019966:Substance-Related Disorders / Q000628:therapy; D000092864:Suicide Prevention
Konsiliarisch-psychiatrische Versorgung eines Allgemeinkrankenhauses im Zusammenhang mit stationärer Krisenintervention.