Auswirkungen der Versorgung psychiatrischer Notfälle auf die Arzt-Patienten-Beziehung in der Akutpsychiatrie: eine prospektiv-bizentrische Patientenbefragung

Zusammenfassung

Ziel der Studie

Ziel der Studie war es, Auswirkungen der prähospitalen Versorgung psychiatrischer Notfälle auf die Arzt-Patienten-Beziehung in der Akutpsychiatrie zu untersuchen.

Methodik

Durchführung einer fragebogenbasierten Umfrage an 135 psychiatrischen Notfallpatienten (2023–2024) an einer Universitätsklinik und einem Bezirkskrankenhaus.

Ergebnisse

Die negative Bewertung des Rettungsdienstfachpersonals hat die Arzt-Patienten-Beziehung in der Akutpsychiatrie negativ beeinflusst (β = 1,75, p = 0,003). Notärztliche Gewalt-/Zwangsanwendung kann o. g. Arzt-Patienten-Beziehung verschlechtern (β = 4,65, p = 0,016). Vergleichbare Maßnahmen durch Rettungsdienstfachpersonal zeigten einen schwächeren Effekt (p = 0,006) als die der Notärzte (p < 0,001).

Schlussfolgerung

Empfinden psychiatrische Notfallpatienten die prähospitalen Maßnahmen als Zwang oder Gewalt, dann verschlechtert sich die Arzt-Patienten-Beziehung in der Akutpsychiatrie. Notärztliche Maßnahmen haben dabei den größeren Einfluss.

Abstract

Objective

Aim of the study was to investigate the impact of prehospital care for psychiatric emergencies on doctor–patient relationship in acute psychiatry.

Methods

A questionnaire-based survey was conducted among 135 psychiatric emergency patients at a university hospital and a district hospital between 2023–2024.

Results

Negative perception of emergency medical services personnel had a negative impact on the doctor-patient relationship in acute psychiatry (β = 1.75, p = 0.003). Use of force/coercion by emergency physicians can further deteriorate the doctor–patient relationship (β = 4.65, p = 0.016). Comparable measures taken by emergency medical services personnel had a weaker effect (p = 0.006) than those taken by emergency physicians (p < 0.001).

Conclusion

If psychiatric emergency patients perceive prehospital measures as coercive or violent, the doctor–patient relationship in acute psychiatry deteriorates. In this regard, emergency medical measures have a greater impact.

Schlüsselwörter

Notfallmedizin - psychiatrischer Notfall - psychiatrische Erkrankung - Notfalltherapie

Keywords

emergency medicine - psychiatric emergency - psychiatric disorder - emergency therapy

Publication History

Received: 28 April 2025

Accepted after revision: 17 October 2025

Article published online:
24 November 2025

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