Supprian T
Universitäts-Nervenklinik, Homburg/Saar.
MMW Fortschr Med. 2002 Sep 12;144(37):35-8, 40.
Psychological comorbidity is patients with systemic diseases is common and clinically relevant: mental disturbances can complicate the course of treatment of such diseases, and may aggravate somatic morbidity. The duration of hospital stay may be increased and thus has a negative economic impact. In the last resort, mortality is also increased by the appreciably elevated risk of suicide among patients with severe somatic illnesses. The evaluation of psychiatric problems in patients hospitalized for the treatment of internal illnesses is undertaken mainly by a consultant specialist. In addition to the diagnostic categorization of the psychological disorder presenting, and recommendations for treatment, an evaluation of potential suicidal intent is of central importance.
患有全身性疾病的患者常伴有心理共病，且具有临床相关性：精神障碍会使此类疾病的治疗过程复杂化，并可能加重躯体疾病。住院时间可能会延长，从而产生负面的经济影响。在极端情况下，患有严重躯体疾病的患者自杀风险显著升高，这也会增加死亡率。对因内科疾病住院治疗的患者进行精神问题评估主要由专科顾问医生负责。除了对所呈现的心理障碍进行诊断分类以及提出治疗建议外，对潜在自杀意图的评估至关重要。
