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Psychiatrische Praxis最新文献

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[Forensic psychiatry § 63 StGB patients in Mecklenburg-Western Pomerania - Findings from a pilot study in preparation of an annual survey in forensic mental health services]. [法医精神病学§梅克伦堡-西波美拉尼亚的63名StGB患者——为准备法医精神卫生服务年度调查而进行的试点研究的结果]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-06-02 DOI: 10.1055/a-2567-6808
Katja Köppen, Peggy Walde, Birgit Völlm
{"title":"[Forensic psychiatry § 63 StGB patients in Mecklenburg-Western Pomerania - Findings from a pilot study in preparation of an annual survey in forensic mental health services].","authors":"Katja Köppen, Peggy Walde, Birgit Völlm","doi":"10.1055/a-2567-6808","DOIUrl":"https://doi.org/10.1055/a-2567-6808","url":null,"abstract":"<p><p>In order to ensure the feasibility of a nationwide annual survey of patients in forensic psychiatry, a pilot study was conducted to collect data from the entire § 63 StGB patient population of Mecklenburg-Western Pomerania. Staff of the participating hospitals completed an online questionnaire on biographical, clinical and legal data that were analyzed descriptively. The data collection process was monitored and critically reviewed.Data on 145 patients (mean age 42 years) was collected. Schizophrenia was most frequently diagnosed, about half of the patients had a comorbid substance use disorder. Length of stay was longer compared to the German average. Notable is the low proportion of evidence-based treatment programs.The pilot showed that a nationwide survey of forensic-psychiatric patients is feasible and challenges can be overcome. The focus should be on therapies offered and their impact on otcomes.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Homicides in non-forensic psychiatric clinics, seen from the perspective of a federal state]. [从联邦州的角度看，非法医精神病诊所的杀人案]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-06-02 DOI: 10.1055/a-2567-7188
Anke Bramesfeld, Gesa Schirrmacher
{"title":"[Homicides in non-forensic psychiatric clinics, seen from the perspective of a federal state].","authors":"Anke Bramesfeld, Gesa Schirrmacher","doi":"10.1055/a-2567-7188","DOIUrl":"https://doi.org/10.1055/a-2567-7188","url":null,"abstract":"<p><p>Homicides in psychiatric clinics are rare, however recurring incidents; using administrative data, homicides for the years 2016 to 2024 in psychiatric clinics in Lower Saxony were analysed. 8 completed and 5 attempted homicides were reported. All incidents occurred in adult psychiatry, and all but one took place in closed acute care units. In the majority of cases, the offender entered the victim's patient room. Some victims were in a fragile somatic or mental state. The majority of offenders were voluntarily or under legal guardianship hospitalized. Conclusions: Homicides in psychiatric clinics are not typically committed by patients considered acutely dangerous to others. Therefore, acute care units need to place a stronger emphasis on victim protection: Patient room doors should be lockable from the outside to prevent unauthorized access. Patients with fragile somatic and mental health conditions needing higher care should be better protected.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Predictors and Frequency of Coercive Measures in Adult Psychiatry: A Four-Year Retrospective Analysis]. [成人精神病学强制措施的预测因素和频率：四年回顾性分析]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-05-27 DOI: 10.1055/a-2574-7902
Julian Meier, Thomas Maier
{"title":"[Predictors and Frequency of Coercive Measures in Adult Psychiatry: A Four-Year Retrospective Analysis].","authors":"Julian Meier, Thomas Maier","doi":"10.1055/a-2574-7902","DOIUrl":"https://doi.org/10.1055/a-2574-7902","url":null,"abstract":"<p><p>Examine sociodemographic and clinical characteristics of individuals hospitalized under involuntary admission (FU) experiencing coercive measures (FM).Retrospective analysis of anonymized routine data from 14.856 inpatient cases in adult psychiatry from a larger Swiss canton. The study included sociodemographic and clinical characteristics.Over the four-year observation period, 29.9% of the 14'856 inpatient admissions occurred under FU, predominantly affecting older adults, individuals with lower education, and those from socially disadvantaged backgrounds. Organic mental disorders and schizophrenia exhibited the highest FU rates. Additional FM, such as seclusion, were used in 38.3% of FU cases. The FU rate increased significantly over the observation period, reaching 33% by 2023.FU and FM disproportionately affect individuals with severe mental illness, high symptom burden, distinct sociodemographic risk factors.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Preventing railway suicides in Switzerland]. [防止瑞士铁路自杀事件]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-05-27 DOI: 10.1055/a-2592-6053
Urs Hepp, Stephan Kupferschmid, Niklaus Stulz
{"title":"[Preventing railway suicides in Switzerland].","authors":"Urs Hepp, Stephan Kupferschmid, Niklaus Stulz","doi":"10.1055/a-2592-6053","DOIUrl":"https://doi.org/10.1055/a-2592-6053","url":null,"abstract":"<p><p>To investigate the development of railway suicides over time in Switzerland and the possible effect of the Swiss Federal Railways (SBB) prevention program.Descriptive-statistical secondary analyses of the Swiss cause of death statistics for the period 1969-2023. The annual incidence rates of railway suicides and all other suicide methods were analysed by age groups (<30, 30-64,>64 years) and sex.Railway suicides followed the general decreasing trend until the early 2000s, reaching a turning point in 2004. For around 10 years, the rate of rail suicides increased until 2013, while the general suicide rate continued to show a downward trend. In 2013, the SBB implemented a multimodal suicide prevention program. From 2014, the rate of railway suicides fell again during the most recent decade.The start of the prevention measures correlates with the decrease in railway suicides, which suggests the effectiveness of the measures.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[An overall concept for the psychotherapeutic treatment of residents of retirement homes with traumatic life experiences - A qualitative pilot study]. [具有创伤性生活经历的养老院居民心理治疗的总体概念-定性试点研究]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-05-23 DOI: 10.1055/a-2578-1289
Julia Majewski, Sarah Niemann, Heiner Vogel
{"title":"[An overall concept for the psychotherapeutic treatment of residents of retirement homes with traumatic life experiences - A qualitative pilot study].","authors":"Julia Majewski, Sarah Niemann, Heiner Vogel","doi":"10.1055/a-2578-1289","DOIUrl":"https://doi.org/10.1055/a-2578-1289","url":null,"abstract":"<p><p>This pilot study examines obstacles, facilitating factors, and indicators of change in implementing a psychotherapeutic care model for elderly residents with traumatic experiences in a senior care facility.Three qualitative focus group interviews were conducted with various staff groups (nurses, management, social care) from the facility and analyzed using qualitative content analysis.Key factors facilitating the model's success included improved interdisciplinary communication and professional and emotional support among team members. Main obstacles were communication challenges within the team and biases from family members. Several indications pointed to psychological improvements among residents.The newly developed treatment concept was successfully implemented in an initial model facility. Findings highlight the crucial role of nursing staff involvement in the psychotherapeutic care of residents in senior care settings.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Mental health promotion in associations for children and youth]. [促进儿童和青年协会的心理健康]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-05-23 DOI: 10.1055/a-2567-7038
Maria Koschig, Michéle Müller, Julia Röhrig, Steffi G Riedel-Heller, Ines Conrad
{"title":"[Mental health promotion in associations for children and youth].","authors":"Maria Koschig, Michéle Müller, Julia Röhrig, Steffi G Riedel-Heller, Ines Conrad","doi":"10.1055/a-2567-7038","DOIUrl":"https://doi.org/10.1055/a-2567-7038","url":null,"abstract":"<p><p>Sports club work is low-threshold and reaches around 60% of young people. The aim was to evaluate the training program \"Mentally fit in sports clubs\" run by the association \"Irrsinnig Menschlich e.V.\". Trainers are educated about mental health crises.In a pre-post survey (N=181), the importance of the topic of mental health, attitudes and experiences with mental crises were investigated.48% of the trainers (51.9% female, age 32) were concerned about the mental health of their trainees and 73.3% rated the topic of \"mental health\" as important. Their own experience of a mental health crisis influenced their own attitudes (β=- 0,24).The training was able to reach a heterogeneous group in a short time, informing, sensitizing and motivating them to deal with mental health crises. Trainers can play an important role in health promotion.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Rapid Assessment of Future Pandemic Effects in Individuals with Severe Mental Illness: Can Ongoing Population-Representative Cohorts Contribute?] 对严重精神疾病患者未来流行病影响的快速评估：持续的具有人口代表性的队列是否有贡献？］
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-05-01 Epub Date: 2025-01-09 DOI: 10.1055/a-2500-2379
Felix G Wittmann, Melanie Luppa, Anna Höhn, Natalia Wege, Leonie Ascone, Luzie Lohse, René Hurlemann, Eva Meisenzahl, Martin Lambert, Malek Bajbouj, Marie von Lilienfeld-Toal, Steffi G Riedel-Heller
{"title":"[Rapid Assessment of Future Pandemic Effects in Individuals with Severe Mental Illness: Can Ongoing Population-Representative Cohorts Contribute?]","authors":"Felix G Wittmann, Melanie Luppa, Anna Höhn, Natalia Wege, Leonie Ascone, Luzie Lohse, René Hurlemann, Eva Meisenzahl, Martin Lambert, Malek Bajbouj, Marie von Lilienfeld-Toal, Steffi G Riedel-Heller","doi":"10.1055/a-2500-2379","DOIUrl":"10.1055/a-2500-2379","url":null,"abstract":"<p><p>To provide an overview of ongoing cohorts including severely mentally ill patients to study collateral effects of pandemics.Systematic literature search.None of the ongoing German health cohorts includes people with severe mental illness (SMI). Four cohorts include individuals with severe depressive and anxiety symptoms.German population-representative cohorts do not make a significant contribution to the rapid detection of future pandemic effects in individuals with SMI. Care-based patient cohorts seem better suitable for generating insights into the protection of this vulnerable group under pandemic conditions.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"226-230"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Safety-relevant components of inpatient equivalent home treatment - An investigation from the perspective of users]. [住院等效家庭治疗的安全相关组成部分-从使用者角度的调查]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-05-01 Epub Date: 2025-01-20 DOI: 10.1055/a-2506-7112
Jenny Ziegenhagen, Lena Göppert, Rosa Glück, Sebastian von Peter
{"title":"[Safety-relevant components of inpatient equivalent home treatment - An investigation from the perspective of users].","authors":"Jenny Ziegenhagen, Lena Göppert, Rosa Glück, Sebastian von Peter","doi":"10.1055/a-2506-7112","DOIUrl":"10.1055/a-2506-7112","url":null,"abstract":"<p><p>Our article explores the issue of safety during psychiatric treatment from the service user's point of view. This manuscript is part of the AktiV study and was written by authors with lived experience of psychiatric treatment.55 interviews with users of inpatient equivalent home treatment (=IEHT) were evaluated with the thematic analysis. The guiding question was how the safety needs of users in IEHT can be met, including in comparison to inpatient treatment.The topic of safety is the basis for support in crises for users. The attitude of the staff and their relationship with the users play a significant role in this.IEHT offers more options for safe treatment compared to the inpatient treatment context. The absence of coercion and violence is necessary for users to be safe during psychiatric treatment.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"196-205"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[DemStepCare: Risk-stratified support for outpatient dementia care - Evaluation from the perspective of relatives]. [DemStepCare：门诊痴呆护理的风险分层支持-从亲属角度进行评估]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-05-01 Epub Date: 2025-03-14 DOI: 10.1055/a-2515-9576
Fabian Klein, Julia Möllerherm, Katharina Geschke, Andreas Fellgiebel, Julian Wangler, Michael Schulz, Michael Jansky, Klaus-Thomas Kronmüller, Michael Löhr
{"title":"[DemStepCare: Risk-stratified support for outpatient dementia care - Evaluation from the perspective of relatives].","authors":"Fabian Klein, Julia Möllerherm, Katharina Geschke, Andreas Fellgiebel, Julian Wangler, Michael Schulz, Michael Jansky, Klaus-Thomas Kronmüller, Michael Löhr","doi":"10.1055/a-2515-9576","DOIUrl":"10.1055/a-2515-9576","url":null,"abstract":"<p><p>Dementia care has several shortcomings: lack of guideline based early diagnoses and interventions concerning effective outpatient crisis intervention, regional multiprofessional networking and care givers support. To meet these challenges, the DemStepCare project is composed of a need-driven, staged treatment approach. GPs and case managers direct a regional dementia care network to provide counseling, case management, out-patient crisis intervention and care givers support. Qualitative survey results of the care giver perspective show positive aspects and further potential for improvement of the care services.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"188-195"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Equal partnerships in psychiatry - therapeutic relationships from the perspective of people diagnosed with schizophrenia, experts with psychiatric experience and relatives]. [精神病学中的平等伙伴关系——从精神分裂症患者、有精神病学经验的专家和亲属的角度看治疗关系]。
IF 1.1 4区 医学
Psychiatrische Praxis Pub Date : 2025-05-01 Epub Date: 2025-03-14 DOI: 10.1055/a-2535-2121
Paul Nickel, Maja Stiawa, Moritz Eric Wigand
{"title":"[Equal partnerships in psychiatry - therapeutic relationships from the perspective of people diagnosed with schizophrenia, experts with psychiatric experience and relatives].","authors":"Paul Nickel, Maja Stiawa, Moritz Eric Wigand","doi":"10.1055/a-2535-2121","DOIUrl":"10.1055/a-2535-2121","url":null,"abstract":"<p><p>To enhance the understanding of patient needs regarding the therapeutic relationship in the treatment of schizophrenia.We conducted semi-structured interviews (n=31) with people diagnosed with schizophrenia or schizoaffective disorder, their relatives, peer support workers, and experts by experience, followed by qualitative content analysis.Central needs regarding the therapeutic relationship include professionals adopting an approachable and authentic attitude, demonstrating an appreciative attitude where patients feel taken seriously, and collaboratively developing realistic perspectives on life.Structural conditions should enable and promote a respectful relationship between patients and professionals. Disclosure of own crisis experiences by professionals can further contribute to building a trusting relationship.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"214-220"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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