Gühne Uta, Becker Thomas, Salize Hans-Joachim, Riedel-Heller Steffi G
Universität Leipzig, Institut für Sozialmedizin, Arbeitsmedizin und Public Health.
Klinik für Psychiatrie und Psychotherapie II der Universität Ulm, Bezirkskrankenhaus Günzburg.
Psychiatr Prax. 2015 Nov;42(8):415-23. doi: 10.1055/s-0035-1552715. Epub 2015 Nov 5.
Severe and chronic mental illness (SMI) is associated with complex care needs. Mental health care planning requires exact estimates of the number of SMI patients.
Systematic search for conceptual and epidemiological work on SMI prevalence (age group 18 - 65 years) in Medline, Embase and PsycInfo.
To date there is no international consensus on the definition of severe mental illness, however, there are a number of international studies allowing an estimate for Germany. The number of those affected with a severe mental illness based on the present findings is estimated at 1% to 2% of adults between 18 and 65 years. This means, that in Germany, about 500,000 to 1 million people are in need for complex mental health care interventions.
The numbers estimated may serve as a first orientation in the field. Further research on SMI prevalence is urgently needed in order to inform a more precise mental health care planning process for people with SMI in Germany.
严重慢性精神疾病（SMI）与复杂的护理需求相关。精神卫生保健规划需要准确估计SMI患者的数量。
在Medline、Embase和PsycInfo中系统检索关于SMI患病率（年龄组18 - 65岁）的概念性和流行病学研究。
迄今为止，对于严重精神疾病的定义尚无国际共识，然而，有多项国际研究可用于估算德国的情况。根据目前的研究结果，18至65岁成年人中患有严重精神疾病的人数估计为1%至2%。这意味着，在德国，约有50万至100万人需要复杂的精神卫生保健干预措施。
所估计的数字可作为该领域的初步指导。迫切需要对SMI患病率进行进一步研究，以便为德国SMI患者制定更精确的精神卫生保健规划流程提供依据。
