Psychiatrische PraxisPub Date : 2026-01-01Epub Date: 2026-01-21DOI: 10.1055/a-2737-6041
Isabel Dominique Hoelscher, Markus Witzmann, Gabriele Christine Koller, Oliver Pogarell
{"title":"[Medical and Vocational Rehabilitation for People with Mental Illness: Effects on Resilience, Self-Stigma, and Quality of Life. A Scoping Review].","authors":"Isabel Dominique Hoelscher, Markus Witzmann, Gabriele Christine Koller, Oliver Pogarell","doi":"10.1055/a-2737-6041","DOIUrl":"10.1055/a-2737-6041","url":null,"abstract":"<p><p>This scoping review examines the effects of medical and vocational psychiatric rehabilitation on resilience, self-stigmatization, and quality of life in adults.Scoping review following JBI guidelines with searches in PubMed, PubPsych, and REHABDATA, plus supplementary searches.From n=1.247 titles, n=38 studies were included, of which n=36 (94,74%) address vocational rehabilitation services and n=16 (42,11%) medical ones. Resilience is strengthened through relationship building and shared decision-making. Self-stigma is reduced through peer support and empowerment, while quality of life can improve through employment.Recovery-oriented approaches with individual goal setting show positive effects on all three dimensions and support the paradigm shift toward holistic life enhancement.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 1","pages":"8-15"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019337","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 : 2026-01-01Epub Date: 2026-01-21DOI: 10.1055/a-2740-4288
Dorothea Jäckel
{"title":"[Supported Education: A new path to educational and employment participation for young people with mental illness].","authors":"Dorothea Jäckel","doi":"10.1055/a-2740-4288","DOIUrl":"https://doi.org/10.1055/a-2740-4288","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 1","pages":"5-7"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019404","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 : 2026-01-01Epub Date: 2026-01-21DOI: 10.1055/a-2738-7461
Johann Buttler, Holger Steinberg
{"title":"[The sectorization of the psychiatric care in Leipzig: A social psychiatric reform project in the GDR].","authors":"Johann Buttler, Holger Steinberg","doi":"10.1055/a-2738-7461","DOIUrl":"https://doi.org/10.1055/a-2738-7461","url":null,"abstract":"<p><p>Prompted by the inhumane and insufficient care conditions, a reform movement began to emerge at the University Hospital Leipzig starting in the 1960s. In Germany as well as in Leipzig, psychiatric care was dominated by the imbalance between asylum and university psychiatry, characterized by hierarchy, a lack of cooperation, and separated areas of responsibility. In contrast, there existed an independent and poorly developed extramural care system. Starting in 1974, the Leipzig reform group reorganized the city's mental health care system based on the sector model, aiming to establish a community-based, low-barrier, and less hierarchical psychiatry. Sectorization meant introducing a territorial obligation to provide inpatient care and a reorganization of outpatient and inpatient structures. Although imperfect, the sectorization in Leipzig was an attempt to humanize psychiatric care and grant greater quality of life and self-determination to people with mental illnesses.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 1","pages":"38-45"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019447","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 : 2026-01-01Epub Date: 2026-01-21DOI: 10.1055/a-2741-8510
Lena Marie Hensel, Johannes Hamann, Pascal Schlechter, Peter Brieger, Hermann Spießl, Mariam Yunusah, Yekaterina Pashutina, Chiara Spielmann, Sarah Sophia Michna, Johanna Freund, Chaimae El Hammadi, Susanne Menzel, Marlene Stadler, Tobias Teismann
{"title":"[Suicidal Ideation and Behavior Scale - 7-day version: factor structure and psychometric properties].","authors":"Lena Marie Hensel, Johannes Hamann, Pascal Schlechter, Peter Brieger, Hermann Spießl, Mariam Yunusah, Yekaterina Pashutina, Chiara Spielmann, Sarah Sophia Michna, Johanna Freund, Chaimae El Hammadi, Susanne Menzel, Marlene Stadler, Tobias Teismann","doi":"10.1055/a-2741-8510","DOIUrl":"https://doi.org/10.1055/a-2741-8510","url":null,"abstract":"<p><p>Due to fluctuations in suicidal symptoms over time, assessments covering brief periods are essential. This study aims to validate a modified version of the Suicidal Ideation and Behavior Scale (SIBS), focusing on a one-week survey period (SIBS-7d).The SIBS-7d was tested on N=139 patients (41.7% female; age in years M=40.2, SD=15.8) with regard to its psychometric properties. Participants were interviewed within seven days of inpatient admission.A confirmatory factor analysis confirmed the expected one-dimensional structure. The internal consistency was excellent. There was a positive correlation with the Beck Scale for Suicidal Ideation.The findings indicate the suitability of the SIBS-7d for assessing acute suicidal ideation and behavior.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 1","pages":"16-20"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019496","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 : 2026-01-01Epub Date: 2026-01-21DOI: 10.1055/a-2752-4902
Larissa Herbiet, Johannes Jungbauer
{"title":"[Working with relatives in psychiatric facilities - A survey of hospital social services in North Rhine-Westphalia, Germany].","authors":"Larissa Herbiet, Johannes Jungbauer","doi":"10.1055/a-2752-4902","DOIUrl":"https://doi.org/10.1055/a-2752-4902","url":null,"abstract":"<p><p>Survey on work with relatives in inpatient and day-care psychiatric hospitals in North Rhine-Westphalia, Germany.In an online study, N=95 clinical social workers were asked about support services and participation opportunities for relatives.From the respondents' point of view, work with relatives is widely established in psychiatric hospitals. However, there are numerous disruptive factors in the actual practical implementation, above all existing data protection regulations, organizational, personnel and structural obstacles.In order to improve work with relatives, the above-mentioned obstacles must be removed and binding internal hospital guidelines established.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 1","pages":"21-26"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019489","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 : 2025-11-01Epub Date: 2025-10-07DOI: 10.1055/a-2694-6249
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":"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":"416-423"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","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}
Psychiatrische PraxisPub Date : 2025-11-01Epub Date: 2025-10-07DOI: 10.1055/a-2704-9263
Inken Höller, Tobias Teismann, Lena Spangenberg
{"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":"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":"436-441"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","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}
Psychiatrische PraxisPub Date : 2025-11-01Epub Date: 2025-11-12DOI: 10.1055/a-2717-8226
Jens Bohlken, Karel Kostev
{"title":"[Heat and Mental Health: Discrepancy Between Expert Opinion and Documented Primary Care Diagnostics - Findings from 560 General and Pediatric Practices in Germany].","authors":"Jens Bohlken, Karel Kostev","doi":"10.1055/a-2717-8226","DOIUrl":"10.1055/a-2717-8226","url":null,"abstract":"<p><p>To explore whether heat-related increases in mental morbidity, as suggested in the literature, are also reflected in routine data from general and pediatric practices in Germany.We analyzed pseudonymized data from 440 general and 120 pediatric practic-es. Hot years (2015, 2018, 2019, 2022) were compared with cooler years (2016, 2017, 2023, 2024). Four diagnostic groups were assessed: heat-related illnesses (somatic), depression, anxiety, and stress/adaptation disorders. Group differences were tested with the Wilcoxon test.Heat-related illnesses were more frequent in hot years (GPs:+0.3 cas-es/practice/year; p<0.001). Mental health diagnoses were less frequent, e. g. depression (-13.8; p=0.001). This pattern was consistent in adults.Heat-related psychological distress may be underdocumented in primary care. Further studies with finer temporal resolution and adjustment are needed.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"52 8","pages":"451-455"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145506613","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 : 2025-11-01Epub Date: 2025-11-12DOI: 10.1055/a-2712-9615
Sarah Schlierenkamp, Sandra Werner, Pauline Schlesiger, Luisa Friedrich, Carina Abels, Klemens Höfer, Dieter Best, Barbara Lubisch, Gebhard Hentschel, Franziska Weigel, Dagmar Wieczorek, Ursula Marschall, Christa Schaff, Bettina Meisel, Helene Timmermann, Anja Neumann, Anke Walendzik, Jürgen Wasem, Silke Neusser
{"title":"[Treatment pathways in the outpatient care of patients with depression - An analysis of statutory health insurance claims data].","authors":"Sarah Schlierenkamp, Sandra Werner, Pauline Schlesiger, Luisa Friedrich, Carina Abels, Klemens Höfer, Dieter Best, Barbara Lubisch, Gebhard Hentschel, Franziska Weigel, Dagmar Wieczorek, Ursula Marschall, Christa Schaff, Bettina Meisel, Helene Timmermann, Anja Neumann, Anke Walendzik, Jürgen Wasem, Silke Neusser","doi":"10.1055/a-2712-9615","DOIUrl":"10.1055/a-2712-9615","url":null,"abstract":"<p><p>The psychotherapy Directive was reformed in 2017. The aim is to analyse the impact of the reform on treatment pathways.A pre-post comparison was conducted using statutory health insurance claims data. Patients with a first diagnosis of depression in Q1 2016 (pre-period) or Q1 2018 (post-period) were included. The observation period was one year.149,941 (pre-period) and 134,832 (post-period) patients were included. In the post-period, more services are used up to the start of directive-therapy than in the pre-period. The interval between first contact and first therapy service has increased by 16.9 days in the post-period.The time interval until the start of therapy has increased, but more psychotherapeutic services are being used. The reform means that more treatment pathways are available and that these have become more diversified.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"52 8","pages":"442-450"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145506673","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 : 2025-11-01Epub Date: 2025-11-21DOI: 10.1055/a-2748-8350
Jens Bohlken, Karel Kostev
{"title":"[Correction: Heat and Mental Health: Discrepancy Between Expert Opinion and Documented Primary Care Diagnostics - Findings from 560 General and Pediatric Practices in Germany].","authors":"Jens Bohlken, Karel Kostev","doi":"10.1055/a-2748-8350","DOIUrl":"https://doi.org/10.1055/a-2748-8350","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"52 8","pages":"e1"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574203","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}