[Incidence of coercive measures as an indicator of quality in psychiatric hospitals. Problems of data recording and processing, preliminary results of a benchmarking study].


OBJECTIVE:The clinical practice concerning the use of coercive measures in psychiatry should be compared. METHOD:A common documentation of physical restraint, seclusion, and medication by coercion was introduced among 10 hospitals. RESULTS:8.4 % of cases treated within the first 6 months of 2004 were exposed to coercive measures with the highest percentage among patients with psychoorganic disorders (32.1 %). The incidence of coercive measures varied highly between different diagnostic groups and hospitals. DISCUSSION:The processing of the large multi-site data sets yields considerable technical problems. Data interpretation should consider confounding factors such as case mix and hospital structure characteristics.


Psychiatr Prax


Psychiatrische Praxis


Martin V,Kuster W,Baur M,Bohnet U,Hermelink G,Knopp M,Kronstorfer R,Martinez-Funk B,Roser M,Voigtländer W,Brandecker R,Steinert T




Has Abstract


2007-01-01 00:00:00












  • [Acute water intoxication as a complication of therapy refractory schizophrenia].

    abstract::A patient with chronic paranoid schizophrenia with delusions of infestation and of grandeur type, developed polydipsia in the course of his illness which ended up in acute life-threatening water intoxication. Apart from somatic causes like SIADH, which are discussed in literature, water-intoxication could psychodynami...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Frei A,Kolb C

    更新日期:1998-01-01 00:00:00

  • [Architecture and design of mental health institutions].

    abstract:BACKGROUND:The physical environment of mental health institutions is regarded as a therapeutic agent within the treatment. There is only little scientific evidence on the consequences of architecture and design on psychiatric patients available. METHODS:A systematic review was conducted on studies from adult mental he...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审


    authors: Richter D,Hoffmann H

    更新日期:2014-04-01 00:00:00

  • [Discharge letters addressed to patients--confidence enhancement and psychoeducation].

    abstract:OBJECTIVE:There are only some reports about discharge letters addressed to patients. By a case report benefits and potential of letters to patients should be shown. METHOD:The presented case report describes the hospital stay of a 19 year old patient suffering from schizophrenia. RESULTS:The case report indicates tha...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Spiessl H,Rothbauer J,Cording C

    更新日期:2006-09-01 00:00:00

  • [Reform of psychiatry in Spain].

    abstract::Since the 1980's psychiatric care in Spain changed considerably (Reforma psiquiátrica española). In the course of this reform, many positive results were achieved. An extensive community network of mental health centres was build up which resulted in the majority of psychiatric patients being integrated in the Spanish...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Pedrosa Gil F,Luderer HJ

    更新日期:2000-11-01 00:00:00

  • [Non-cognitive symptom profiles in dementia--experience from psychiatric services and memory clinics].

    abstract:OBJECTIVE:To assess the non-cognitive symptoms in 153 consecutive dementia patients admitted to our psychiatric ward or seen at the gerontopsychiatric ambulance and Memory Clinic. METHODS:We used the Global Deterioration Scale, the Hachinski Ischaemia Score, the Hamilton Psychiatric Rating Scale for Depression, and th...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Rainer M,Mucke HA,Masching A,Haushofer M

    更新日期:1999-03-01 00:00:00

  • [Suicide in schizophrenic patients].

    abstract::Based on retrospective investigation using hospital records of 44 schizophrenic patients of a rehabilitation department, who committed suicide between 1966 and 1986, the paper discusses demographic and psychological features of schizophrenic suicide in comparison with international literature. Subjects who committed s...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Resch F,Strobl R

    更新日期:1989-07-01 00:00:00

  • [Evaluation of a residential care and supported housing program in the regional association of Westphalia-Lippe].

    abstract:OBJECTIVE:During the deinstitutionalisation of psychiatric care in Germany, new psychiatric care approaches have been developed, which have been rarely scientifically evaluated. This study aims at evaluating the residential care and supported housing program of a public service in Westphalia, Northwestern Germany. MET...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Richter D

    更新日期:2010-04-01 00:00:00

  • [Working with a family systems therapy approach as part of the routine treatment on acute psychiatric wards: sustained effects on team members' workload].

    abstract:OBJECTIVE:Assessing long-term effects of a family systems therapy approach (systems therapy methods in acute psychiatry, SYMPA) on occupational stress and interdisciplinary cooperation of team members in three German psychiatric hospitals. METHODS:Pre-post-follow-up survey using the Maslach Burnout Inventory (MBI) and...

    journal_title:Psychiatrische Praxis

    pub_type: 评论,杂志文章


    authors: Haun MW,Kordy H,Ochs M,Schweitzer J,Zwack J

    更新日期:2012-11-01 00:00:00

  • [Suicidal tendency of epilepsy patients].

    abstract::Epileptic and diabetic patients with suicidal tendency are compared in a retrospective study, both types of patients being characterized by chronic disease and social handicaps. Both these groups are predominantly preoccupied with self-intoxication by tranquilisers and/or alcohol, whereas in the group of epileptics ex...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Möller A,Backmund H

    更新日期:1989-03-01 00:00:00

  • [Assessment-Based Home Treatment for People with Severe Psychotic Disorders].

    abstract:OBJECTIVE:Although there is growing evidence for clinical effectiveness of crisis resolution teams (also called Home Treatment Teams) for patients with severe psychotic disorders, a lot of studies suffer from poor model fidelity, which leads to an ignorance of specific effective factors. METHODS:Here we present the im...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Sturm D,Arends S,Henke T,Reichmann C,Janssen B,Görtz P

    更新日期:2016-09-01 00:00:00

  • [Rehabilitative elements for the treatment of patients with mental disorders: are they considered in the development of guidelines?].

    abstract:OBJECTIVE:In the context of the current discussion of integrating rehabilitative elements into the (acute) treatment of patients with mental disorders, it is investigated what rehabilitative elements actually are and whether these elements are considered in existing guidelines. METHODS/RESULTS:An expert-based consensu...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Watzke B,Büscher C,Koch U,Schulz H

    更新日期:2005-03-01 00:00:00

  • [Pain perception is not influenced by altered autonomic function in major depression].

    abstract:OBJECTIVE:Depression is a common comorbidity of chronic pain and chronic pain represents a common additional symptom of depressed patients. The physiological basis is unknown. METHODS:We investigated the possible interrelation between autonomic dysfunction and altered pain perception in unmedicated patients (U1), afte...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Bär KJ,Greiner W

    更新日期:2007-09-01 00:00:00

  • [Home treatment: systematic review and implementation in Germany].

    abstract:OBJECTIVE:To report about existing evidence of effectiveness of home treatment for severely mentally ill adults and implementation in Germany. METHODS:Systematic electronic and manual literature search. RESULTS:Compared to standard care, home treatment was equally or more efficacious with respect to general state of ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审


    authors: Gühne U,Weinmann S,Arnold K,Atav ES,Becker T,Riedel-Heller S

    更新日期:2011-04-01 00:00:00

  • [Cerebral seizures in neuroleptic therapy].

    abstract::Basing on a review of the literature and on own research, the authors examine the incidence rate of convulsions under neuroleptic treatment. In addition, the authors go into the neurophysiological and neuropharmacological mechanisms of the convulsive action of neuroleptics. An attempt is made to present information on...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Bartels M,Heimann H

    更新日期:1985-11-01 00:00:00

  • [Validity of the geriatric depression scale in nursing home residents: comparison of GDS-15, GDS-8, and GDS-4].

    abstract:OBJECTIVE:To assess and compare the validity of the German 15-item version and shortened versions of the Geriatric Depression Scale (GDS) for early detection of depression in nursing home residents with mild to moderate cognitive impairment (MMSE ≥ 15). METHODS:Data from 92 patients were analysed. The Structural Clini...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Allgaier AK,Kramer D,Mergl R,Fejtkova S,Hegerl U

    更新日期:2011-08-01 00:00:00

  • [Not quite the same: illness beliefs regarding burnout and depression among the general population].

    abstract:OBJECTIVE:This study examined illness beliefs of the lay public associated with the diagnostic labels burnout and depression. METHODS:Representative population survey in Germany 2011, using unlabelled case vignettes of a person suffering from depression. Following presentation of the vignette, respondents were asked o...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Bahlmann J,Schomerus G,Angermeyer MC

    更新日期:2015-11-01 00:00:00

  • ["If I were the department head in this case..."--interventional interview with patients and co-workers of a psychiatric department].

    abstract:OBJECTIVE:How can patients and staff participate in redesigning psychiatric procedures through survey research? METHODS:Using interviews with circular-hypothetical questioning, 58 patients and 30 staff members of a psychiatric department of a general hospital were interviewed about their preferences for change and con...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Scheidt P,Schweitzer J,Maischein L,Tebbe B,Hirschenberger N,Enssle M,Krause U,Voigtländer W

    更新日期:2001-05-01 00:00:00

  • [Balance of a therapeutic dwelling community -self-aid or care? (author's transl].

    abstract::A therapeutic dwelling community (TDC) which has been in existence for more than 3 years, is described in respect to its history of origin and development outside existing psychiatric institutions or facilities. After having been confronted with the unsatisfactory follow-up care of a group of relatively young, in most...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Engelke W,Haselbeck H

    更新日期:1980-05-01 00:00:00

  • [The connection between labor integration and prognosis of schizophrenic patients: an 8-year follow-up study].

    abstract::This study reflects the labour-situation of 67 DSM-III schizophrenic outpatients in an 8-year follow-up. About 50% of the patients had less than 20 hours of work a week on the average--most of them in work therapy or sheltered work-places. Many of them changed their location of work. Patients with an initially good pr...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Mönking HS,Buchkremer G,Hornung WP

    更新日期:1999-09-01 00:00:00

  • [Dimensions of Luck and Happiness in Psychiatric Nursing].

    abstract:OBJECTIVE:The purpose of this article is to discuss various aspects of the concepts of luck and happiness within the field of psychiatric nursing. METHODS:Personal factors, work characteristics and work environment were included and combined with case studies from a local hospital. RESULTS:Fortune and happiness of ps...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Hahn B,Nienaber A,Schulz M

    更新日期:2018-07-01 00:00:00

  • [Psychopathological syndromes according to the AMDP-system as the foundation for clinical case grouping in psychiatry].

    abstract:OBJECTIVE:Diagnoses-related clinical case grouping for an estimation of resource consumption for psychiatric inpatients analogue to the somatic medicine till now did not lead to sufficient prediction of costs. However, this is required when regarding increasing health costs from the economic perspective. METHOD:We inv...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Herwig U,Warnke I,Rössler W

    更新日期:2009-10-01 00:00:00

  • [Changes in the provision of psychiatric services at a psychiatric district hospital].

    abstract::Changes in the provision of psychiatric services within the last decennials are probably best understood if the impact of national socialism on clinical psychiatry is regarded. Many psychiatrists took part in the "Aktion T4" the organised killing of their patients, at least they did not resist campaigns directed to ki...

    journal_title:Psychiatrische Praxis

    pub_type: 历史文章,杂志文章


    authors: Schaub R

    更新日期:2004-11-01 00:00:00

  • [Suicide incidence and suicide methods in Saxony 1830-1990].

    abstract::One of the highest rates of suicide occur in German-speaking countries and particularly in Saxonia. There are grounds for the assumption that the fact has been caused by a careful recording of suicides in this country since 1829. The paper describes the development of rates of suicide and the changes of the suicidal m...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Müller E,Bach O

    更新日期:1994-09-01 00:00:00

  • [Admission of elderly patients in psychiatry: a study on the topic of "misplacement"].

    abstract::Misplacement of the old in psychiatry gains in special importance based on the absolute and relative increase of this population. 117 patients have been announced for admission to the psychogeriatric department of the Zwiefalten State Mental Hospital within six months. Admission of 47 patients did not happen mostly as...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Wagner H

    更新日期:1991-07-01 00:00:00

  • [The visit at home by a social worker of a psychiatric outpatient clinic].

    abstract:OBJECTIVE:The high rank of social work in context with psychiatric treatment of in-patients is generally accepted. The value of social work and here especially the visit at home by the social worker has hardly been examined up to now. METHOD:In the article first of all the method of visits at home is presented. Furthe...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Banger M,Wellnitz M,Gastpar M

    更新日期:2004-05-01 00:00:00

  • [A brief instrument for the assessment of childhood abuse and neglect: the childhood trauma screener (CTS)].

    abstract:OBJECTIVE:There is a lack of a psychometrically sound screening questionnaire that assesses important dimensions of traumatic experiences during childhood and adolescence in a time-efficient way. Based on the German version of the "Childhood Trauma Questionnaire" (CTQ, 28 items) we developed a five-item self-report chi...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Grabe HJ,Schulz A,Schmidt CO,Appel K,Driessen M,Wingenfeld K,Barnow S,Spitzer C,John U,Berger K,Wersching H,Freyberger HJ

    更新日期:2012-04-01 00:00:00

  • [2 class psychiatry].

    abstract::Community care and sectorisation, specialisation and differentiation, integration of psychiatric and other medical services, crises intervention and emergency psychiatry--and patient's choice--are basic issues of the organisation of psychiatric services. They are discussed and evaluated in respect of the Region of Man...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章


    authors: Häfner H,Rössler W,Häfner-Ranabauer W

    更新日期:1996-03-01 00:00:00

  • [Psychosocial interventions for high-risk family members with mental health problems--concepts and results].

    abstract:OBJECTIVE:Systematic review of psychosocial interventions for high-risk family members with mental health problems in highly developed industrialized countries. METHODS:Systematic search in electronic databases as well as manual search for intervention studies. RESULTS:Interventions were effective in significantly re...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审


    authors: Stiawa M,Kilian R,Becker T

    更新日期:2014-09-01 00:00:00

  • [Treatment of delirium tremens--a comparison between clomethiazole and clorazepate with reference to effectiveness and rate of side effects].

    abstract::In an open clinical trial patients with full-developed delirium tremens were treated either by controlled infusion of clomethiazol (n = 21) or by intravenous injections of clorazepate (n = 20). Acute symptomatic quickly decreased after a few days and medication could be reduced. By adding haloperidol a further stabili...

    journal_title:Psychiatrische Praxis

    pub_type: 临床试验,杂志文章


    authors: Caspari D,Wappler M,Bellaire W

    更新日期:1992-01-01 00:00:00

  • [The expanded suicide attempt in depressive patients and its sequelae. The forensic and therapeutic considerations in 3 case reports].

    abstract::Despite of the frequency of depressive disorders among the population, forensic aspects of depression are rare and usually focussed on suicidal behaviour, especially the so-called homicide-suicide (homicide followed by suicide). Today therapeutic strategies are seen in the first stage of dealing with depressed homicid...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审


    authors: Wolfersdorf M,Frank U,Jokusch U,König F,Leibfarth M

    更新日期:1997-11-01 00:00:00