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精神科急症

Psychiatric Emergencies.

作者信息

Wheat Santina, Dschida Dorothy, Talen Mary R

机构信息

Northwestern McGaw Family Medicine Residency Program, Erie Family Heath Center, 2750 West North Avenue, Chicago, IL 60647, USA.

Northwestern McGaw Family Medicine Residency Program, Erie Family Heath Center, 2750 West North Avenue, Chicago, IL 60647, USA.

出版信息

Prim Care. 2016 Jun;43(2):341-54. doi: 10.1016/j.pop.2016.01.009.

Abstract

Psychiatric emergencies are acute disturbances in thought, behavior, mood, or social relationship that require immediate intervention as defined by the patient, family, or social unit to save the patient and/or others from imminent danger. Ensuring the safety of the patient, surrounding persons, and the medical team is the first step of evaluation. Treatment focuses on stabilization of the patient, then on specific symptoms and ultimately the cause of symptoms. There are important legal considerations, particularly regarding involuntary admissions. It is important to debrief with the patient, surrounding family, and the health care team to ensure a continued therapeutic alliance and the emotional health of all involved.

摘要

精神科急症是指思维、行为、情绪或社会关系方面的急性紊乱,根据患者、家庭或社会单位的定义,需要立即进行干预,以保护患者和/或他人免受迫在眉睫的危险。确保患者、周围人员和医疗团队的安全是评估的第一步。治疗重点在于使患者稳定下来,然后针对具体症状,最终针对症状的根源。存在一些重要的法律考量因素,尤其是在非自愿住院方面。与患者、周围的家人以及医疗团队进行汇报总结很重要,以确保持续的治疗联盟以及所有相关人员的情绪健康。

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