Zusammenfassung
Anliegen Untersuchung des psychiatrischen Konsildienstes einer Universitätsklinik. Methode Deskriptive Analyse des psychiatrischen Konsildienstes am Uniklinikum Erlangen im Jahr 2008. Ergebnisse 1 % somatischer Patienten werden psychiatrisch mitbetreut, ⅓ Übereinstimmung von Verdachts- und psychiatrischer Diagnose. Wenige Diagnosen dominieren, Suizidalität oft ausgeschlossen. Meist Antidepressiva und klassische Neuroleptika empfohlen. Schlussfolgerungen Interdisziplinäre Mitbetreuung durch den psychiatrischen Konsiliar ist ein zunehmend genutztes Instrument zur diagnostisch-therapeutischen Effizienzoptimierung.
Abstract
Objective Analysis of liaison psychiatry cases of a university hospital. Methods Descriptive analysis on the basis of all psychiatric consultations realized in the year 2008 at the university hospital of Erlangen. Results About 1 % of all patients with somatic diseases receive a psychiatric treatment by the liaison psychiatry at the same time. Suspected and final diagnosis of correspond in only one third of cases. The diagnoses are focused on only a few diseases. Suicidality is confirmed in a small number of cases. Most commonly a medicamentous treatment is recommended, above all antidepressant and typical neuroleptics. Conclusions The interdisciplinary treatment of patients with somatic diseases by the liaison psychiatry is an increasingly used instrument of other disciplines and serves to optimize the diagnostic and therapeutic efficiency of public health.
Schlüsselwörter
Liaison - psychiatrisches Konsil - Anpassungsstörung
Keywords
liasison - psychiatric consultation - adjustment disorder
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Sebastian Kreil
Universitätsklinikum Erlangen Psychiatrische und Psychotherapeutische Klinik
Schwabachanlage 6
91054 Erlangen
eMail: sebastian.kreil@uk-erlangen.de