Subscribe to RSS
DOI: 10.1055/s-2004-818372
Behandlung von Parasuiziden in Großbritannien: Psychosoziale Untersuchung statt Hospitalisierung
Treatment of Parasuicide in Great Britain: Psychosocial Assessment instead of HospitalisationPublication History
Publication Date:
15 March 2004 (online)
Zusammenfassung
Während psychiatrische Hospitalisierung in Deutschland bei Suizidalität üblich ist, wird dies in Großbritannien eher selten angewandt. Legt man Prinzipien der Evidence-based Medicine zugrunde, lassen sich keine Belege finden, dass Hospitalisierung bei Suizidalität oder nach Parasuiziden von Nutzen ist. Es gibt allerdings Hinweise, dass konsiliarpsychiatrische psychosoziale Untersuchungen sowie einige psychotherapeutische Maßnahmen Erfolg bei der Parasuizidbehandlung versprechen können.
Abstract
Whilst in Germany hospitalisation is normal treatment for patients with suicidal ideation, this is rather uncommon in Great Britain. Applying evidence-based medicine there is no evidence to suggest that hospitalisation after parasuicides is a useful treatment. There is, however, growing evidence for the efficacy of psychosocial assessment and certain psychotherapeutic interventions post parasuicide.
Schlüsselwörter
Parasuizid - Behandlung - psychosoziale Untersuchung - Großbritannien
Key words
Parasuicide - treatment - psychosocial assessment - Great Britain
Literatur
- 1 Hawton K, Fagg J, Simkin S, Bale E, Bond A. Attempted suicide in Oxford 1995. Oxford: University Department of Psychiatry, Oxford University Press 1996
- 2 Kerkhof A JFM. et al .New Oxford Textbook of Psychiatry. Oxford University Press 2001: 1040-1041
- 3 Hawton K, Fagg J. Suicide and other causes of death following attempted suicide. Br J Psychiatry. 1988; 152 359-366
-
4 http://www.doh.gov.uk/nsf/mentalhealth.htm.
- 5 Lepping P. Operational Policy Number D6, Deliberate self-harm. Arrowe Park Wirral Hospital NHS Trust 2003, Audit 2002
-
6 http://www.3.who.int/whosis/menu.cfm.
-
7 The Royal College of Psychiatrists .The General Hospital Management of Adult DSH, Council Report CR32, http://www.rcpsych.ac.uk/publications/index.htm. 5
- 8 Isacsson G, Rich C. Management of patients who deliberately harm themselves. British Medical Journal. 2001; 322 213-215
- 9 Hawton K. et al . Deliberate self-harm: systematic review of efficacy of psychosocial and pharmacological treatments in preventing repetition. British Medical Journal. 1998; 317 441-447
- 10 Hirsch S R, Walsh C, Draper R. Parasuicide: A review of treatment interventions. J Affec Dis. 1982; 4 (4) 229-311
- 11 Evans M O, Morgan H G, Hayward A. et al . Crisis telephone consultation for deliberate self-harm patients: effects on repetition. Br J Psychiatry. 1999; 175 23-27
- 12 Waterhouse J, Platt S. General Hospital admission in the management of parasuicide: A randomised controlled trial. Br J Psychiatry. 1990; 156 236-242
- 13 Guthrie E, Kapur N, Mackway-Jones K. Randomised controlled trial of brief psychological intervention after deliberate self poisoning. British Medical Journal 2001 323: 135
- 14 Kapur N, House A, Dodgson K. et al . Effect of general hospital management on repeat episodes of deliberate self-poisoning: cohort study. British Medical Journal. 2002; 325 866-867
Dr. Peter Lepping
MB ChB, MRCPsych, MSc · Ellesmere Port & Neston Community Mental Health Team
85, Wellington Road
Ellesmere Port
Cheshire
CH65 0BY
Großbritannien
Email: lepping@onetel.net.uk