Steinert Tilman, Hirsch Sophie
Klinik für Psychiatrie und Psychotherapie I, der Universität Ulm (Weissenau), Ulm, Deutschland.
Zentren für Psychiatrie Südwürttemberg, Weingartshofer Str. 2, 88214, Ravensburg, Deutschland.
Nervenarzt. 2023 Jul;94(7):614-618. doi: 10.1007/s00115-023-01461-z. Epub 2023 Mar 20.
The German S3 guidelines on prevention of coercion: prevention and therapy of aggressive behavior in adults (2018) are cross-sectional guidelines that in addition to medical scientific evidence also touch to a great extent on questions of ethics and law as well as organizational structures of the healthcare system. Accordingly, in addition to the research on evidence, the consensus process also had a strong weighting in the development of the recommendations. The appropriate participation of experts from various fields and their representation in the consensus group was therefore of central importance. Particularly important is the implementation into clinical practice by means of the recommendations for implementation of the German Association for Psychiatry, Psychotherapy and Psychosomatics (DGPPN) for psychiatric wards, psychiatric clinics, and care regions. For psychiatric wards, the recommendations are being evaluated with a multicenter randomized controlled trial (RCT), the PreVCo study.
德国关于预防强制行为的S3指南:成人攻击行为的预防与治疗(2018年)是横断面指南,除了医学科学证据外,还在很大程度上涉及伦理和法律问题以及医疗保健系统的组织结构。因此,除了证据研究外,共识过程在建议的制定中也具有重要权重。因此,各领域专家的适当参与及其在共识小组中的代表性至关重要。特别重要的是,通过德国精神病学、心理治疗与身心医学协会(DGPPN)针对精神科病房、精神科诊所和护理区域的实施建议,将其应用于临床实践。对于精神科病房,这些建议正在通过一项多中心随机对照试验(RCT)即PreVCo研究进行评估。