Heino Jarkko, Lindholm Lars, Reesev Monika, Koivukangas Antti, Kampman Olli, Leinonen Esa
Duodecim. 2013;129(8):873-80.
Pharmacological therapy is often inevitable in psychiatric emergency situations, but does not suffice alone. The onset or exacerbation of a psychiatric illness and acute life crisis may require immediate initiation of psychotropic medication. Evidence-based knowledge of the application of psychotropic medication in emergency call situations is very scarce, because randomization, blinding and placebo control of drug treatments in these situations are ethically very problematic. This is why psychiatric emergency call units have established treatment practices that are based on long-term clinical experience and well-tried routines.
在精神科紧急情况下，药物治疗往往不可避免，但仅靠药物治疗是不够的。精神疾病的发作或加重以及急性生活危机可能需要立即开始使用精神药物。关于在紧急呼叫情况下应用精神药物的循证知识非常匮乏，因为在这些情况下对药物治疗进行随机分组、设盲和安慰剂对照在伦理上存在很大问题。这就是为什么精神科紧急呼叫部门建立了基于长期临床经验和久经考验的常规做法的治疗方案。
