Psychiatrische PraxisPub Date : 2024-03-01Epub Date: 2023-10-09DOI: 10.1055/a-2171-4889
Rainer Papsdorf, Jon Genuneit, Lars Otto White, Daniel Matthias Radeloff
{"title":"[Suicides among children, adolescents, and young adults during the COVID-19 pandemic - An analysis of police data from three German federal states].","authors":"Rainer Papsdorf, Jon Genuneit, Lars Otto White, Daniel Matthias Radeloff","doi":"10.1055/a-2171-4889","DOIUrl":"10.1055/a-2171-4889","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 pandemic severely affected young people, resulting in increased psychological distress and rising prevalence rates for mental disorders. There is concern that completed suicides have increased in addition to the observed increase in suicide attempts.</p><p><strong>Method: </strong>The study is based on the police crime statistics (01/2017 to 12/2022) of three federal states in Germany, representing 13% of Germany's overall population. Suicide counts and rates for the child, teenage, adolescent, and young adult age groups were compared between the pre-pandemic and pandemic periods using chi-squared tests.</p><p><strong>Results: </strong>860 people under age 30 died from suicide. Suicide rates did not differ between the pre-pandemic and pandemic periods in any of the age groups studied.</p><p><strong>Conclusion: </strong>So far, there has been no discernible increase in suicides among young Germans. Ongoing suicide monitoring is recommended.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"79-83"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41183462","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 : 2024-03-01Epub Date: 2023-12-30DOI: 10.1055/a-2202-5699
Michael Konrad, Stefan Weinmann, Thomas Becker, Jürgen Armbruster, Uta Gühne
{"title":"[Outpatient Medical Rehabilitation Services: A New Socio-Law Perspective In Psychiatric Care].","authors":"Michael Konrad, Stefan Weinmann, Thomas Becker, Jürgen Armbruster, Uta Gühne","doi":"10.1055/a-2202-5699","DOIUrl":"10.1055/a-2202-5699","url":null,"abstract":"<p><p>The equality of mentally ill people with somatically ill people and the provision of community care were central topics of the Psychiatry-Enquête. With regard to medical rehabilitation services, this goal has not been implemented to date. The amendments to the Ninth Book of the Social Code (SGB IX) made by the Federal Participation Act (BTHG) again open up the possibility of making outreach medical rehabilitation services accessible to people with severe mental illnesses.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"104-109"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139074936","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 : 2024-03-01Epub Date: 2023-10-09DOI: 10.1055/a-2163-1448
Cora Spahn, Lena Spangenberg, Tobias Teismann, Thomas Forkmann, Antje Schönfelder, Dajana Schreiber, Laura Paashaus, Katarina Stengler, Heide Glaesmer
{"title":"[Utilization of Outpatient Psychotherapy and Outpatient Psychiatric Treatment by Men and Women after Inpatient Treatment due to Suicide Attempt or Acute Suicidal Crisis].","authors":"Cora Spahn, Lena Spangenberg, Tobias Teismann, Thomas Forkmann, Antje Schönfelder, Dajana Schreiber, Laura Paashaus, Katarina Stengler, Heide Glaesmer","doi":"10.1055/a-2163-1448","DOIUrl":"10.1055/a-2163-1448","url":null,"abstract":"<p><strong>Objective: </strong>The strongest predictor of suicide attempts is a previous suicide attempt. Individuals hospitalized for suicidal ideation and behavior face an increased risk of suicide following discharge. This study investigates the extent to which outpatient treatment services are utilized the first 6 months after discharge and whether men and women differ in this regard.</p><p><strong>Method: </strong>The study examines data of 124 individuals (with suicide attempts (lifetime), 59.7% female) on the use of outpatient treatment services in the 6 months after inpatient treatment.</p><p><strong>Results: </strong>37.9% (N=47) of individuals reported not having used any treatment services at all. Men were significantly less likely to make use of the services.</p><p><strong>Conclusion: </strong>Members of a group with an increased risk of suicide, to a large extent, fail to make use of outpatient treatment services. Discharge management should increasingly focus on (gender-specific) barriers and pave the way for treatment in outpatient.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"99-103"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41183463","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 : 2024-03-01Epub Date: 2023-11-09DOI: 10.1055/a-2177-6113
Konstantinos Nikolaidis, Stefan Weinmann, Sophia Döring, Lasse Fischer, Martin Kleinschmidt, Jan Pfeiffer, Sari Multamäki, Felix Bühling-Schindowski, Jürgen Timm, Andreas Bechdolf
{"title":"[Inpatient Equivalent Home Treatment (IEHT) compared to inpatient psychiatric treatment: 12-month follow-up results of a retrospectively matched cohort study using propensity score].","authors":"Konstantinos Nikolaidis, Stefan Weinmann, Sophia Döring, Lasse Fischer, Martin Kleinschmidt, Jan Pfeiffer, Sari Multamäki, Felix Bühling-Schindowski, Jürgen Timm, Andreas Bechdolf","doi":"10.1055/a-2177-6113","DOIUrl":"10.1055/a-2177-6113","url":null,"abstract":"<p><strong>Aim of the study: </strong>Comparison of psychiatric services use in the 12-month follow-up period between Inpatient Equivalent Home Treatment (IEHT) and inpatient psychiatric treatment.</p><p><strong>Methods: </strong>In a retrospective 12-month follow-up study, 223 patients from the Inpatient Equivalent Home Treatment (IEHT) intervention group (IG) were compared to a matched inpatient control group (CG) on their utilization of psychiatric services.</p><p><strong>Results: </strong>The inpatient readmission rate in the IG was significantly 11% lower than in the CG. The number of treatment days in the IG was significantly lower than in the CG. In the IG, psychiatric services at the outpatient clinic were used significantly more often for the first time than in the CG.</p><p><strong>Conclusion: </strong>The present study suggests that IEHT is superior to inpatient treatment in terms of the risk of inpatient readmission and the duration of inpatient treatment days. An outpatient services use effect following IEHT is observed.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"92-98"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72015207","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 : 2024-03-01Epub Date: 2024-01-02DOI: 10.1055/a-2213-2184
Lene Scheuschner, Peggy Walde, Birgit Völlm
{"title":"[Predictors of Early Treatment Termination in Patients Detained under §64 StGB - A Literature Review].","authors":"Lene Scheuschner, Peggy Walde, Birgit Völlm","doi":"10.1055/a-2213-2184","DOIUrl":"10.1055/a-2213-2184","url":null,"abstract":"<p><strong>Background: </strong>The treatment of addicted offenders detained under § 64 of the German Criminal Code can be terminated prematurely. There is an extensive literature on predictors of such premature termination concerned with factors established before treatment.</p><p><strong>Objective: </strong>The aim of this paper is to present predictors of premature termination that become apparent during the course of therapy.</p><p><strong>Methods: </strong>We conducted a systematic literature search and included 16 publications.</p><p><strong>Results: </strong>Patients and therapists rated impulsivity/aggressiveness, substance use relapses and a lack of patient-therapist relationship as negative predictors. Both groups assessed as beneficial the presence of motivation and a positive social network.</p><p><strong>Conclusion: </strong>To prevent early treatment termination a positive patient-therapist relationship, motivation and working through incidents during therapy is essential.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"70-78"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139088137","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 : 2024-03-01Epub Date: 2023-10-09DOI: 10.1055/a-2165-8728
Daniel Nischk, Uwe Herwig, Simon Senner, Brigitte Rockstroh
{"title":"[Effectiveness and Cost-Effectiveness of Individual Placement and Support (Ips) in Germany - A Controlled Trials with Individuals with Psychosis].","authors":"Daniel Nischk, Uwe Herwig, Simon Senner, Brigitte Rockstroh","doi":"10.1055/a-2165-8728","DOIUrl":"10.1055/a-2165-8728","url":null,"abstract":"<p><strong>Objective: </strong>To establish the effectiveness of Individual Placement and Support (IPS) to integrate people with mental illness into the general labor market, controlled comparisons with usual rehabilitative practice in terms of employment rates and cost-effectiveness are needed.</p><p><strong>Methods: </strong>20 IPS participants with psychoses (primarily schizophrenia spectrum disorders) were compared with 20 controls who were offered usual rehabilitative practices in adjacent counties (rehabilitation as usual, RAU) over 18 months.</p><p><strong>Results: </strong>IPS was significantly superior to RAU on all job-related criteria with moderate to high effect sizes, with no differences in absenteeism, hospital days, or dropout rates. IPS was significantly superior to RAU on cost-effectiveness.</p><p><strong>Conclusion: </strong>This study provides evidence that IPS is an effective and cost-efficient addition to existing vocational rehabilitation services for people with psychoses.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"84-91"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41183460","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 : 2024-03-01Epub Date: 2024-03-05DOI: 10.1055/a-2206-4157
Thomas Bock, Gwen Schulz
{"title":"Eine ambulante Behandlungsweisung wäre hilfreich für die Behandlung und Deliktprävention bei Menschen mit Psychosen – Kontra.","authors":"Thomas Bock, Gwen Schulz","doi":"10.1055/a-2206-4157","DOIUrl":"10.1055/a-2206-4157","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 2","pages":"66-69"},"PeriodicalIF":2.2,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140185364","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 : 2024-01-01Epub Date: 2023-09-08DOI: 10.1055/a-2133-4084
Matthias Jäger, Florian Hotzy, Rafael Traber, Stéphane Morandi, Andres Ricardo Schneeberger, Manuela Spiess, Regula Ruflin, Anastasia Theodoridou
{"title":"[Cantonal Differences in The Implementation of Involuntary Admission in Switzerland].","authors":"Matthias Jäger, Florian Hotzy, Rafael Traber, Stéphane Morandi, Andres Ricardo Schneeberger, Manuela Spiess, Regula Ruflin, Anastasia Theodoridou","doi":"10.1055/a-2133-4084","DOIUrl":"10.1055/a-2133-4084","url":null,"abstract":"<p><strong>Objective: </strong>To examine sociodemographic and clinical characteristics of persons hospitalized in five psychiatric hospitals from regions with different structural characteristics compared with persons hospitalized voluntarily.</p><p><strong>Methods: </strong>Descriptive analyses of routine data on approximately 57000 cases of 33000 patients treated for a primary ICD-10 psychiatric diagnosis at one of the participating hospitals from 2016 to 2019.</p><p><strong>Results: </strong>Admission rates, length of stay, rates of further coercive measures, sociodemographic and clinical characteristics of the affected persons differ between the different regions.</p><p><strong>Conclusion: </strong>There are considerable regional differences between regulations and implementation of the admission procedures and the sample. Causal relationships between regional specifics and the results cannot be inferred.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"24-30"},"PeriodicalIF":2.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10789520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10187047","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 : 2024-01-01Epub Date: 2024-01-15DOI: 10.1055/a-2197-7384
Margrit Löbner, Steffi G Riedel-Heller
{"title":"[Mental Health at Work].","authors":"Margrit Löbner, Steffi G Riedel-Heller","doi":"10.1055/a-2197-7384","DOIUrl":"10.1055/a-2197-7384","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"51 1","pages":"5-8"},"PeriodicalIF":1.1,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472120","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}