Psychiatrische Praxis最新文献

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.

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.

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.

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.

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.

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.

The objective is the development and pilot testing of a evaluation system designed to facilitate the objective and systematic comparison of interaction databases, Especially in the psychiatric context.The study examined medication plans of 104 psychiatric patients. The medication was checked for interactions in twelve databases. A newly developed evaluation system with 11 criteria and a scoring system was used for evaluation.The number of interactions detected differs significantly between the databases. No database achieved the maximum number of points. Paid databases scored better on average (6.4±2,5 points) than free ones (1.5±2,4 points, p=0,009). The best results were achieved by ifap and PGXperts.Psychotropic substances have a high potential for interactions. Using multiple databases is recommended, combined with clinical experience and interdisciplinary collaboration.

Supporting those affected by mental illnesses in their lifestyle and participation in the sense of user empowerment.Creation of two websites with regional offers and an online forum. Two surveys were carried out from 2019 to 2021 using self-developed questionnaires and a test phase.A total of 123 participants participated (53% male) with daily Internet use of up to two hours (37.5%). 29.3% rated the preventive care plan as helpful, 81.8% agreed to social legal support, 66.2% found new offers via the map with search function, 60.1% rated the online forum as useful and 59.2% agreed that the online forum provided a type of communication that would not otherwise be possible.The websites make it possible to reduce information gaps. This can promote participation and create social integration in the region.