Caroline Märtens, Britta Stapel, Ivo Heitland, Jan Zeidler, Kai G Kahl, Jona T Stahmeyer
{"title":"[Differences in the utilization of specific healthcare services among persons with a diagnosis of depression - which impact has the socioeconomic status?]","authors":"Caroline Märtens, Britta Stapel, Ivo Heitland, Jan Zeidler, Kai G Kahl, Jona T Stahmeyer","doi":"10.1055/a-2694-6249","DOIUrl":"https://doi.org/10.1055/a-2694-6249","url":null,"abstract":"<p><p>Differences in the use of mental health services among people diagnosed with depression were examined depending on socio-economic status (employment, education, income).A cross-sectional study was conducted using routine data from statutory health insurance. 122.191 insured persons of working age with a depression diagnosis in 2018 were examined. Differences in the use of mental health services were assessed using descriptive statistics and logistic regression models.Patients receiving social assistance due to long-term unemployment showed a significantly lower rate of use of psychotherapeutic services compared to employed persons, whereas individuals with short-term unemployment had a significantly higher utilisation rate for mental health services.Access to and barriers to psychotherapeutic services should be more widely discussed and considered for depressed patients in long-term unemployment.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245130","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}
{"title":"[When Suicidal Thoughts Persist - Experiences of Outpatient Psychiatry and Psychotherapy Professionals with (Persistent) Suicidal Ideation].","authors":"Inken Höller, Tobias Teismann, Lena Spangenberg","doi":"10.1055/a-2704-9263","DOIUrl":"https://doi.org/10.1055/a-2704-9263","url":null,"abstract":"<p><p>This study explored how outpatient mental health professionals experience and treat patients with persistent suicidal ideation (PSG).From Nov 2024 to Apr 2025, 207 professionals (M=39.5; 82.1% female) completed an online survey on prevalence, attitudes, and treatment strategies.86.5% had worked with PSG patients; estimated 12-month prevalence was 14.4%. Affective disorders (43%) were the most common diagnosis. Main interventions included crisis plans (68.1%) and skills training (55.1%). Risk assessments were routine for 77.8%; 43% reported hospital admissions due to increasing risk. Only 10.6% addressed the functionality of PSG in therapy.PSG is frequent in outpatient care but is rarely addressed in depth. Further training and research are needed.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245093","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}
Jose Marie Koussemou, Peter Brieger, Johannes Hamann, Tilman Steinert
{"title":"[Retrospective analysis of aggressive assaults and coercive measures in hospitalised refugee patients].","authors":"Jose Marie Koussemou, Peter Brieger, Johannes Hamann, Tilman Steinert","doi":"10.1055/a-2694-7638","DOIUrl":"https://doi.org/10.1055/a-2694-7638","url":null,"abstract":"<p><p>To investigate the occurrence of aggressive behaviour and coercive measures during in-patient treatment of refugee patients.Retrospective analysis of admissions to the Isar-Amper-Klinikum Region Munich in the years 2018 and 2019. Refugee patients were identified by health insurance status.N=21,947 patients were admitted, of whom N=555 were refugees. Aggressive behaviour was significantly more common among refugees. After adjusting for age, gender, and diagnosis in a regression model, refugees did not have an increased risk. However, they were significantly more likely to be restrained or secluded. Many refugee patients had significant language problems.Aggressive behaviour among refugee patients is more likely to be due to their sociodemographic characteristics than to their refugee status. Language barriers could contribute to the high rates of coercive measures.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245121","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}
Psychiatrische PraxisPub Date : 2025-09-01Epub Date: 2025-06-02DOI: 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":"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":"336-341"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12440610/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Psychiatrische PraxisPub Date : 2025-09-01Epub Date: 2025-09-16DOI: 10.1055/a-2654-7849
{"title":"Schwerpunktbildung nach der Facharztweiterbildung Psychiatrie-Psychotherapie – Kontra.","authors":"","doi":"10.1055/a-2654-7849","DOIUrl":"https://doi.org/10.1055/a-2654-7849","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"52 6","pages":"306-307"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076004","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}
Psychiatrische PraxisPub Date : 2025-09-01Epub Date: 2025-09-16DOI: 10.1055/a-2654-8819
Euphrosyne Gouzoulis-Mayfrank
{"title":"Schwerpunktbildung nach der Facharztweiterbildung Psychiatrie und Psychotherapie – Pro.","authors":"Euphrosyne Gouzoulis-Mayfrank","doi":"10.1055/a-2654-8819","DOIUrl":"https://doi.org/10.1055/a-2654-8819","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"52 6","pages":"304-305"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076078","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}
Psychiatrische PraxisPub Date : 2025-09-01Epub Date: 2025-05-23DOI: 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":"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":"308-313"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","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}
{"title":"[Between the mission of healing and repression - The role of medicine and psychiatric care an the Hohenschönhausen prison: A reconstruction from memories].","authors":"Felicitas Söhner, Kathleen Haack, Tilman Wickert, Ekkehardt Kumbier","doi":"10.1055/a-2642-6174","DOIUrl":"10.1055/a-2642-6174","url":null,"abstract":"<p><p>Investigating the role of psychiatry in the context of the remand prison Berlin-HSH, as an instrument of state repression. The aim is to analyse the intertwining of medical care and political control using testimonies.Qualitative analysis of guided interviews with former political prisoners, treating doctors and a lawyer to capture individual perspectives on medical care and psychological support in the MfS detention centres.There are different perceptions: Doctors reported comprehensive initial examinations, while former inmates described deficits and a routine process without systematic recording of mental health aspects. Mental stress was often ignored and only treated with medication in emergencies in the event of acute breakdowns.The study highlights that medical care in the MfS remand prisons was inadequate and perhaps unintentional. The care system was more focused on control and surveillance than on welfare.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"342-349"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660017","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}
Psychiatrische PraxisPub Date : 2025-09-01Epub Date: 2025-09-16DOI: 10.1055/a-2657-9858
Andreas Bechdolf, Christoph U Correll, Peter J Uhlhaas
{"title":"[Integrated Youth Mental Health Services - New hope for young people experiencing mental health crises].","authors":"Andreas Bechdolf, Christoph U Correll, Peter J Uhlhaas","doi":"10.1055/a-2657-9858","DOIUrl":"https://doi.org/10.1055/a-2657-9858","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"52 6","pages":"301-303"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076017","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}
Psychiatrische PraxisPub Date : 2025-09-01Epub Date: 2025-06-30DOI: 10.1055/a-2591-1044
Tobias Luck, Rachel Holzknecht
{"title":"[Provision of a German translation of the Inappropriate and Excessive Guilt Scale for the assessment of proneness to inappropriate and excessive feelings of guilt in children and adolescents].","authors":"Tobias Luck, Rachel Holzknecht","doi":"10.1055/a-2591-1044","DOIUrl":"10.1055/a-2591-1044","url":null,"abstract":"<p><p>To provide a German-language translation of the Inappropriate and Excessive Guilt Scale (IEGS) for assessing proneness to inappropriate and excessive feelings of guilt in children and adolescents (7-16 years).Implementation of a multi-stage translation process according to established international criteria with two certified translators, including a standardized evaluation by interviewing N=10 children and adolescents.After revision of four of the 24 items, the translation of the IEGS was found to be generally well understood by the target group; however, younger children required more support in completing it.The German translation of the IEGS may be suitable for use in practice. The next step required for this is the provision of specific norm values, especially for the assessment of corresponding feelings of guilt in the context of depressive disorders.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"324-331"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529352","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}