Psychiatrische PraxisPub Date : 2025-07-01Epub Date: 2025-05-27DOI: 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":"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":"283-287"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","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}
{"title":"[Geriatric psychiatric home visits as counseling via video (GerHaRD digital) - Evaluation of feasibility].","authors":"Barbara Höft, Tillmann Supprian, Ralf Schwitters, Nina Wingert, Ioanna Kapsimali, Sandra Verhülsdonk","doi":"10.1055/a-2531-2146","DOIUrl":"10.1055/a-2531-2146","url":null,"abstract":"<p><p>The applicability of video calls in counseling people with dementia and their caregivers in a home setting was examined.First-time enquirers for advice in a Dementia Network were offered an online appointment (video call) with the caregiver in the presence of the person with dementia (PWD) by a psychiatrist and a social worker from a Geriatric Psychiatry Outpatient Clinic. Socio-demographic data, an assessment of current symptoms and the current burden on relatives were collected and subsequently evaluated by the BZ.The 24 inquiries resulted in 9 video calls. Selected results, e. g. the caregivers burden and the evaluation by the users, are reported.The Caregivers seeking advice and, with them, the PWD use the format like a face-to-face meeting. Advantages include the simultaneous involvement of several family members in a conference call or overcoming the immobility of the PWD due to illness.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"288-292"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043743","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":"[Delinquent despite aftercare? - An explorative analysis of the recidivism of former forensic patients acc. to Sect. 63 of the German legal code in specialized outpatient treatment].","authors":"Jan Querengässer, Adelheid Bezzel","doi":"10.1055/a-2623-8446","DOIUrl":"https://doi.org/10.1055/a-2623-8446","url":null,"abstract":"<p><p>To analyze the recidivism of forensic psychiatric patients in outpatient aftercare. The study investigated the type and the time until recidivism, as well as the correlation between personal risk factors and the rate of recidivism.Descriptive evaluation of the distribution of offense types basing on catamnestic data from 122 persons from a Bavarian forensic aftercare outpatient clinic. Survival time analyses used the Kaplan-Meier method, in which known risk factors were included as potential predictors.In the mean observation period of 34 months, 86% showed no new delinquency. Property and drug-related offenses dominated. Only gender, marital status and (as a statistical trend) the main offense showed differential relations with the rate of recidivism.Recidivism in this group is rare. Known risk factors appear to be of little use in predicting reoffending; dynamic aspects should be considered.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529351","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 : 2025-05-01Epub Date: 2025-01-09DOI: 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}
Psychiatrische PraxisPub Date : 2025-05-01Epub Date: 2025-01-20DOI: 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}
Psychiatrische PraxisPub Date : 2025-05-01Epub Date: 2025-03-14DOI: 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}
Psychiatrische PraxisPub Date : 2025-05-01Epub Date: 2025-03-14DOI: 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}
Psychiatrische PraxisPub Date : 2025-05-01Epub Date: 2025-04-22DOI: 10.1055/a-2586-5313
Paul Nickel, Maja Stiawa, Moritz Eric Wigand
{"title":"[Correction: 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-2586-5313","DOIUrl":"10.1055/a-2586-5313","url":null,"abstract":"","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":"144027545","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 : 2025-05-01Epub Date: 2025-03-11DOI: 10.1055/a-2526-2491
Julia Junghans, Markus Zenger, Elmar Brähler, Yve Stöbel-Richter, Franziska Emmerich, Lisa Irmscher, Ernst Peter Richter, Hendrik Berth
{"title":"[COVID-19-related fears and their connection to physical and mental health - Results of a population-based longitudinal study].","authors":"Julia Junghans, Markus Zenger, Elmar Brähler, Yve Stöbel-Richter, Franziska Emmerich, Lisa Irmscher, Ernst Peter Richter, Hendrik Berth","doi":"10.1055/a-2526-2491","DOIUrl":"10.1055/a-2526-2491","url":null,"abstract":"<p><p>During the COVID-19 pandemic, there was an increase in health-related anxiety and stress levels. The extent of COVID-19-specific anxiety and correlations with well-being are being investigated.In 2021, N=321 participants in the Saxon Longitudinal Study were asked about COVID-19-specific fears, life satisfaction and physical and mental well-being using a questionnaire.N=109 people (34.6%) reported pronounced COVID-19-specific fears. Correlations between COVID-19-specific fears and psychological well-being, physical well-being, life satisfaction and perceived state of health were determined. In summary, people with strong COVID-19-specific fears were significantly more stressed.COVID-19-specific fears can be associated with physical and psychological complaints. It is important to identify vulnerable population groups.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"221-225"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606076","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 : 2025-05-01Epub Date: 2025-03-04DOI: 10.1055/a-2531-5867
Bilal Najar, Katharina Fehr, Josefine Schmüdderich, Andre Henkel, Georg Juckel
{"title":"[Hypochondriacal fears and corona fears among medical students compared to doctors].","authors":"Bilal Najar, Katharina Fehr, Josefine Schmüdderich, Andre Henkel, Georg Juckel","doi":"10.1055/a-2531-5867","DOIUrl":"10.1055/a-2531-5867","url":null,"abstract":"<p><p>Hypochondriacal fears among medical students were already investigated before the COVID pandemic. Studies on these fears under pandemic conditions and a possible influence of specific fear of illness have not yet been conducted.We asked medical students at two points in time about symptoms of hypochondria and corona anxiety. Doctors served as the comparison group. Hypochondria was assessed using the two MSD scales, corona anxiety using a separate questionnaire.Medical students exhibited significantly more hypochondriacal anxiety at both time points. At the second time point, 35.5% of students and 25.5% of doctors reported fear of contracting the virus.The time of the study did not appear to have any influence on the prevalence of the fears investigated. The influences of the measured anxiety prevalence were shown in the fact that medical students look to their professional careers with concern.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"206-213"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557822","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}