[DIVI recommendation: basic psychological care on the intensive care unit after severe injury and multiple trauma : A DIVI recommendation of the trauma and psychological care structures sections].

Abstract

Undetected and untreated mental disorders following severe trauma can significantly affect the healing and recovery of severely injured patients. After polytrauma every patient should be screened for psychological stress in the intensive care unit. The screening should be conducted early, after the patient has been awake, oriented, sufficiently attentive and not (no longer) delirious for 48 h. The Freiburg Screening Questionnaire (FSQ) should be used for the screening. No psychological specialist is required for this. The screening should be documented in the discharge report. In cases of abnormal screening results (red) a psychological specialists should be involved early in the patient's treatment. A psychopharmacological treatment is not recommended for acute psychological stress.