Zwick Tamar, Sharp Christopher, Severn Daniel, Simpson Scott A
Psychiatric Emergency Services, Denver Health and Hospitals, Denver, USA.
Psychiatry, Atlanta Veterans Affairs Medical Center, Atlanta, USA.
Cureus. 2021 Jun 15;13(6):e15670. doi: 10.7759/cureus.15670. eCollection 2021 Jun.
Malingering is the intentional fabrication of symptoms for material gain. Malingering among frequent utilizers and patients with psychiatric symptoms is suspected to be common in emergency settings but difficult to detect and manage. We present a case report of a 50-year-old man feigning psychosis and suicidality in order to obtain shelter. Strategies to identify malingered psychiatric symptoms are presented. Understanding how malingering is adaptational can help clinicians begin to manage these patients and symptoms in a compassionate manner that preserves healthcare resources, improves patient care, and reduces the risk of burnout for clinicians.
诈病是指为了获取物质利益而故意编造症状。在急诊环境中，频繁就诊者和有精神症状的患者中疑似诈病的情况很常见，但难以察觉和处理。我们报告一例50岁男性为获得庇护而假装精神病和自杀倾向的病例。文中还介绍了识别伪装精神症状的策略。了解诈病如何具有适应性，有助于临床医生开始以富有同情心的方式管理这些患者及其症状，从而保护医疗资源、改善患者护理并降低临床医生职业倦怠的风险。
