Kaess Michael, Ghinea Denisa, Fischer-Waldschmidt Gloria, Resch Franz
Klinik für Kinder- und Jugendpsychiatrie Zentrum für Psychosoziale Medizin Universitätsklinikum Heidelberg Blumenstraße 8 69115 Heidelberg Deutschland Klinik für Kinder- und Jugendpsychiatrie.
Universitätsklinik für Kinder- und Jugendpsychiatrie Universitäre Psychiatrische Dienste Universität Bern Blumenstraße 8 69115 Heidelberg Schweiz UPD Bern.
Prax Kinderpsychol Kinderpsychiatr. 2017 Jul;66(6):404-422. doi: 10.13109/prkk.2017.66.6.404.
The Outpatient Clinic for Adolescent Risk-taking and Self-harm behaviors (AtR!Sk) - A Pioneering Approach of Outpatient Early Detection and Intervention of Borderline Personality Disorder Self-harm and risk-taking behaviors are frequently occurring problems in adolescents' everyday life and commonly challenge the present child and adolescent health-care system. Those behaviors are typical features of borderline-personality disorder (BPD), a severe mental disorder that is associated with immense psychological strain, increased risk of mortality and poor psychosocial functioning. Despite controversy in the past, recent evidence shows that BPD is a valid and reliable diagnosis in adolescence. Consequently, specified and effective intervention programs for this age group are necessary. Instead, present health-care services for children and adolescents in Germany are usually characterized by long waiting periods for specialized outpatient treatments and unnecessary expanses of unnecessary long inpatient stays. Alternatively, and in order to prevent serious long-term consequences, new concepts - integrated in an ambulatory setting and close to patients' daily routines - should focus on early detection and treatment of adolescents at-risk presenting with borderline personality features. The specialist outpatient clinic AtR!Sk at the University Hospital Heidelberg ensures a low-threshold initial contact service, comprehensive and accurate diagnosis of BPD features, and rapidly "tailored" therapy for young people presenting with any types of risk-taking and self-harm behavior. AtR!Sk - as a pioneering approach in south Germany - provides evidence-based early detection and intervention for adolescent BPD.
青少年冒险与自我伤害行为门诊（AtR!Sk）——一种门诊早期发现和干预边缘型人格障碍的开创性方法 自我伤害和冒险行为是青少年日常生活中经常出现的问题，通常对当前的儿童和青少年医疗保健系统构成挑战。这些行为是边缘型人格障碍（BPD）的典型特征，BPD是一种严重的精神障碍，与巨大的心理压力、死亡率增加和心理社会功能不良有关。尽管过去存在争议，但最近的证据表明BPD在青少年中是一种有效且可靠的诊断。因此，针对这个年龄组的特定且有效的干预计划是必要的。相反，德国目前针对儿童和青少年的医疗保健服务通常具有专科门诊治疗等待时间长以及不必要的长时间住院费用高昂的特点。另外，为了防止严重的长期后果，融入门诊环境并贴近患者日常生活的新概念应侧重于对具有边缘型人格特征的高危青少年进行早期发现和治疗。海德堡大学医院的专科门诊AtR!Sk确保了低门槛的初次接触服务、对BPD特征的全面准确诊断以及为表现出任何类型冒险和自我伤害行为的年轻人迅速“量身定制”治疗方案。AtR!Sk作为德国南部的一种开创性方法，为青少年BPD提供了基于证据的早期发现和干预。
