Betzler Felix, Brandt Ariadne, Heinz Andreas, Walter Henrik
Klinik für Psychiatrie und Psychotherapie, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Deutschland.
Nervenarzt. 2022 May;93(5):442-449. doi: 10.1007/s00115-021-01181-2. Epub 2021 Sep 7.
The intention to minimize coercive measures requires a comprehensive understanding of the influencing factors. The aim of the present work was to examine the association between substance use and the use of coercive measures.
All coercive measures carried out on acute psychiatric wards of the Charité Campus Mitte in 2019 were examined, with a particular focus on the association with substance use disorders.
In 106 cases (92 patients) out of a total of 1232 cases (1131 patients), coercive measures were used, mainly admissions according to PsychKG (94) and BGB (21), more rarely isolation (23) or mechanical restraint (18). Acute intoxication was present in approximately one third of cases with coercive measures and a history of substance use disorder in two thirds, most often with alcohol and/or cannabis. In contrast, 9% of 1232 treatment cases presented with acute intoxication and 36% with substance use disorders in general.
The present work delivers empirical data confirming the clinically known association between intoxication and the use of coercive measures.
尽量减少强制措施的意图需要对影响因素有全面的了解。本研究的目的是探讨物质使用与强制措施使用之间的关联。
对2019年在夏里特中央校区急性精神科病房实施的所有强制措施进行了检查，特别关注与物质使用障碍的关联。
在总共1232例（1131名患者）病例中，有106例（92名患者）使用了强制措施，主要是根据《精神科诊断与治疗指南》（PsychKG）收治（94例）和依据《德国民法典》（BGB）收治（21例），较少采用隔离（23例）或机械约束（18例）。在约三分之一采取强制措施的病例中存在急性中毒情况，三分之二有物质使用障碍史，最常见的是酒精和/或大麻。相比之下，在1232例治疗病例中，9%出现急性中毒，36%总体上存在物质使用障碍。
本研究提供了实证数据，证实了临床上已知的中毒与强制措施使用之间的关联。
