Stübner Susanne, Yundina Elena, Mußmann Lisa, Korbmacher Julie, Brieger Peter, Steinböck Herbert
Klinik für Forensische Psychiatrie, Bezirksklinikum Ansbach.
Klinik für Forensische Psychiatrie und Psychotherapie, kbo-Isar-Amper-Klinikum München Ost.
Psychiatr Prax. 2022 Jul;49(5):255-261. doi: 10.1055/a-1540-5186. Epub 2021 Aug 30.
The psychopharmacological application practice in forensic and general psychiatry should be investigated comparatively.The 2014-2019 Pharmaco-Epidemiology and Vigilance (Pharmako-EpiVig) surveys of the Bavarian Institute for Data, Analysis and Quality Assurance (BIDAQ) from forensic psychiatry (n = 4,590) and general psychiatry (n = 5,136) of the Isar-Amper-Klinikum Munich East were evaluated.Mean age and diagnosis distribution of the patient clientele differed, as did substance selection and dosage, which was almost consistently higher in forensic psychiatry. In schizophrenic forensic patients, clozapine was given most frequently. In both specialties, the frequent use of valproate was striking.The results could be interpreted as an indication that forensic patients have more severe and refractory illnesses, and that in clinical practice overall a symptom-related anti-aggressive treatment seems to be significant.
应比较研究法医精神病学和普通精神病学中的精神药理应用实践。对慕尼黑东伊萨尔 - 安珀临床医院法医精神病学（n = 4590）和普通精神病学（n = 5136）的巴伐利亚数据、分析和质量保证研究所（BIDAQ）2014 - 2019年药物流行病学和警戒（Pharmako - EpiVig）调查进行了评估。患者群体的平均年龄和诊断分布不同，药物选择和剂量也不同，法医精神病学中的剂量几乎一直更高。在患有精神分裂症的法医患者中，氯氮平的使用最为频繁。在这两个专业中，丙戊酸盐的频繁使用都很显著。这些结果可以解释为表明法医患者患有更严重和难治的疾病，并且在临床实践中总体上与症状相关的抗攻击治疗似乎很重要。
