Psychiatrische Praxis最新文献

Sports club work is low-threshold and reaches around 60% of young people. The aim was to evaluate the training program "Mentally fit in sports clubs" run by the association "Irrsinnig Menschlich e.V.". Trainers are educated about mental health crises.In a pre-post survey (N=181), the importance of the topic of mental health, attitudes and experiences with mental crises were investigated.48% of the trainers (51.9% female, age 32) were concerned about the mental health of their trainees and 73.3% rated the topic of "mental health" as important. Their own experience of a mental health crisis influenced their own attitudes (β=- 0,24).The training was able to reach a heterogeneous group in a short time, informing, sensitizing and motivating them to deal with mental health crises. Trainers can play an important role in health promotion.

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.

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.

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.

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.

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.

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.

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.