[Psychiatric Emergencies in Psychiatric Hospitals in Germany].
Objective:Psychiatric hospitals are confronted with high rates of psychiatric emergencies. There are, however, only few investigations that focus on psychiatric emergency care in German psychiatric hospitals, their supply structures and diagnostic and treatment standards. The aim of the survey was a systematic acquisition of the diagnostic and therapeutic approach in treating psychiatric emergencies in German psychiatric hospitals.Methods:We conducted a survey in psychiatric hospitals throughout Germany. The questionnaire consisted of questions concerning the structures of supply and diagnostic and therapeutic standards treating psychiatric emergencies.Results:42 % of all admissions to German psychiatric hospitals were emergency admissions. More than 60 % of the patients in psychiatric emergency ambulances had to receive inpatient treatment. As standard procedures for medical clearing in psychiatric emergencies physical examination, measurement of heart rate and blood pressure and conducting certain laboratory tests and breath alcohol were named. The most common psychopharmacological agents for emergency situations were diazepam, lorazepam, haloperidol and zuclopenthixol.Conclusion:Diagnosing and treating psychiatric emergencies need more standardisation. More specific data is required to generate diagnostic and therapeutic standards.
Klinik und Poliklinik für Psychiatrie und Psychotherapie der TU-München.
Dirk
D
Schwerthöffer
Privat-Nerven-Klinik Dr. med. Kurt Fontheim, Liebenburg.
David
D
Beuys
Klinik und Poliklinik für Psychiatrie und Psychotherapie der TU-München.
Johannes
J
Hamann
Danuvius Klinik, Fachklinik für Psychische Erkrankungen, Pfaffenhofen.
Thomas
T
Messer
Privat-Nerven-Klinik Dr. med. Kurt Fontheim, Liebenburg.
Frank-Gerald
FG
Pajonk
D000328:Adult; D000374:Aggression / Q000523:psychology; D014150:Antipsychotic Agents / Q000627:therapeutic use; D003419:Crisis Intervention / Q000592:standards / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003955:Diagnostic Tests, Routine / Q000592:standards / Q000706:statistics & numerical data; D004363:Drug Utilization / Q000706:statistics & numerical data; D004637:Emergency Services, Psychiatric / Q000592:standards* / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany; D019983:Guideline Adherence; D019538:Health Care Surveys / Q000706:statistics & numerical data; D006778:Hospitals, Psychiatric / Q000592:standards* / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data; D011613:Psychotherapy / Q000592:standards / Q000706:statistics & numerical data; D011619:Psychotropic Drugs / Q000627:therapeutic use; D014600:Utilization Review / Q000706:statistics & numerical data
D014150:Antipsychotic Agents; D011619:Psychotropic Drugs