title: [Waiting for Asylum: Psychiatric Diagnosis in Bavarian Admission Center].
abstract: BACKGROUND
  In 2014, 15% of about 140,000 asylum seekers were distributed to Bavaria. The Bavarian State Ministry of Labour and Social Affairs, Family and Integration promoted a project under which, first, the frequency and nature of psychiatric diagnoses among asylum seekers in the ZAE Zirndorf should be examined and, secondly, recommendations on psychiatric-psychological care of asylum seekers should be carried out.
  
  
  METHODS
  A total 283 asylum seekers were examined. The sample was composed of 2 sample groups: self-referrals and a randomized group. A structured diagnostic interview and several self- and external assessment scales were used (MINI, BSI, MADRS, WHO-5, ETI, PSQI).
  
  
  RESULTS
  In 180 (63,6%) asylum seekers, one or more psychiatric diagnoses were made. The most common diagnosis was posttraumatic stress disorder (F43,1) followed by depressive, recurrent depressive episodes (F32, F33), adjustment disorder (F43,2) and chronic insomnia (51,0 F). Suicidal thoughts were explored in 26% of self-referrals and only in 6% in the random sample.
  
  
  CONCLUSIONS
  We recommend a low-threshold psychiatric emergency care for asylum seekers in the central refugee reception facility. This should not be done on voluntary basis, but must be regulated by law. For comprehensive care by national healthcare physicians, the social welfare law on asylum seekers (1993) must be revised.
authors.affiliation: Universitätsklinik für Psychiatrie und Psychotherapie, PMU Klinikum Nürnberg.
authors.forename: K
authors.initials: K
authors.lastname: Richter
authors.affiliation: Universitätsklinik für Psychiatrie und Psychotherapie, PMU Klinikum Nürnberg.
authors.forename: H
authors.initials: H
authors.lastname: Lehfeld
authors.affiliation: Universitätsklinik für Psychiatrie und Psychotherapie, PMU Klinikum Nürnberg.
authors.forename: G
authors.initials: G
authors.lastname: Niklewski
mesh_terms: D000293:Adolescent; D000328:Adult; D000369:Aged, 80 and over; D003144:Communication Barriers; D003863:Depression / Q000175:diagnosis* / Q000523:psychology*; D054242:Emigrants and Immigrants / Q000331:legislation & jurisprudence / Q000523:psychology / Q000706:statistics & numerical data; D005104:Expert Testimony / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D008875:Middle Aged; D012036:Refugees / Q000331:legislation & jurisprudence / Q000523:psychology / Q000706:statistics & numerical data*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology; D055815:Young Adult