Psychiatrische PraxisPub Date : 2026-03-01Epub Date: 2026-03-19DOI: 10.1055/a-2768-0066
Hannah Julia Scheibner, Annely Morgenstern, Martin Heinze, Yuriy Ignatyev, Bernhard Michalowsky, Moritz Platen, Sebastian von Peter, Volker Dahling
{"title":"[Quality control in geriatric psychiatry: development and applicability of documented quality indicators].","authors":"Hannah Julia Scheibner, Annely Morgenstern, Martin Heinze, Yuriy Ignatyev, Bernhard Michalowsky, Moritz Platen, Sebastian von Peter, Volker Dahling","doi":"10.1055/a-2768-0066","DOIUrl":"10.1055/a-2768-0066","url":null,"abstract":"<p><p>The development and suitability testing of quality indicators for geriatric psychiatry.The indicators were developed by a group of experts and evaluated in terms of significance, scientific validity and practicability (according to QUALIFY). After a field test, qualitative interviews were conducted with the evaluators.All 24 indicators originally developed were classified as significant, 18 of them as scientific. Of these, 9 (by experts) and 8 (by evaluators) were rated as practicable. Indicators on delirium prevention, age-specific groups and liberty-depriving measures were rated as non-scientific. In terms of practicability, indicators on the documentation of therapy services were often inadequate.The developed set provides a good basis for measuring process quality in geriatric psychiatry.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 2","pages":"64-72"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487155","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 : 2026-03-01Epub Date: 2026-03-19DOI: 10.1055/a-2773-2930
Ingmar Steinhart, Sebastian Link
{"title":"[Severely mentally ill living in their own home - participation in focus?!]","authors":"Ingmar Steinhart, Sebastian Link","doi":"10.1055/a-2773-2930","DOIUrl":"https://doi.org/10.1055/a-2773-2930","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 2","pages":"61-63"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487169","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 : 2026-03-01Epub Date: 2026-03-19DOI: 10.1055/a-2768-2149
Boris Jakov Entus, Nele Assmann, Catarina Newe, Eva Fassbinder, Hans Anton Huth, Stefan Borgwardt, Jan Philipp Klein
{"title":"[Associations between Changes in Psychological Flexibility and Changes in Mental Health: A Network Analysis].","authors":"Boris Jakov Entus, Nele Assmann, Catarina Newe, Eva Fassbinder, Hans Anton Huth, Stefan Borgwardt, Jan Philipp Klein","doi":"10.1055/a-2768-2149","DOIUrl":"10.1055/a-2768-2149","url":null,"abstract":"<p><p>Psychological flexibility is considered an important mechanism in promoting mental-health. This study used network analysis to examine associations between the six ACT flexibility processes and mental health-related quality of life.The study included 157 psychiatric patients. A baseline and a change-score network were estimated using the R package \"bootnet.\"The processes Values and Defusion showed high centrality in both networks; Defusion was also most strongly associated with mental health-related quality of life.The strong link between Defusion and mental health-related quality of life in both networks suggests that processes closely related to mental health at the beginning of treatment may also be relevant for change over time. Improving Defusion could help enhance mental health.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 2","pages":"73-79"},"PeriodicalIF":0.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487174","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-2731-7525
Heribert Kirchner, Sandra Mangiapane, Nik Hulsmans, Emil Hu, Frank-Gerald B Pajonk, Patrick Brzoska
{"title":"[Nonurgent psychiatric emergencies in German EDs: comparison of 2019 vs. 2022 in the context of the COVID-19 pandemic].","authors":"Heribert Kirchner, Sandra Mangiapane, Nik Hulsmans, Emil Hu, Frank-Gerald B Pajonk, Patrick Brzoska","doi":"10.1055/a-2731-7525","DOIUrl":"10.1055/a-2731-7525","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 1","pages":"27-34"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019427","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-2731-0788
Henrik Döbold, Holger Steinberg
{"title":"[The playwright Johannes Schlaf in Altscherbitz 1895-1897 Medical records, personal testimonies and stigma].","authors":"Henrik Döbold, Holger Steinberg","doi":"10.1055/a-2731-0788","DOIUrl":"10.1055/a-2731-0788","url":null,"abstract":"<p><p>The author and playwright Johannes Schlaf (1862-1941) is considered one of the most important representatives of the literary movement of \"naturalism.\" It is already known that Schlaf had to be treated in psychiatric institutions several times from 1892 to 1898 due to a mental illness. His medical records from the Altscherbitz Provincial Asylum for the Insane in Schkeuditz near Leipzig, where he spent a total of twelve months between 1895 and 1897, now made accessible here, provide new insight into the nature and extent of his illness, as well as into the inner workings of this institution, which was considered internationally exemplary at the time. After his release from Altscherbitz in 1898, a dispute erupted between Schlaf and the poet Arno Holz (1863-1929) over the authorship of a jointly written work. Holz publicly exposed Schlaf's \"mental illness\" in an attempt to discredit him. Schlaf, in turn, attempted to ward off this stigmatization by portraying his illness as a mere \"nervous crisis.\"</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 1","pages":"46-51"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019473","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-2753-3825
Nina Coenen, Simon Heister, Georg Schomerus, Sven Speerforck
{"title":"[Self-stigma as a barrier to help-seeking: Suicide attempt in a patient with pedoteleiophilia, depression and developmental disorder].","authors":"Nina Coenen, Simon Heister, Georg Schomerus, Sven Speerforck","doi":"10.1055/a-2753-3825","DOIUrl":"10.1055/a-2753-3825","url":null,"abstract":"<p><p>A 48-year-old man sought professional help following a suicide attempt very belatedly and severely injured. High shame associated with undiagnosed developmental disorder and pedoteleiophilia initially aggravated suicidality and impeded contact to the help system. Over the course of treatment, a strong therapeutic relationship was established, enabling referral to outpatient psychiatric care and the Dunkelfeld therapy and support project for individuals with pedophilic tendencies.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 1","pages":"35-37"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019458","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-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":"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":0.9,"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":"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":0.9,"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}