Campailla G
Minerva Med. 1977 Mar 31;68(16):1017-25.
Any form of intervention carried out with various means that cannot be put off may be described as urgent. The differences between urgency in psychiatry and in general medicine are recalled. A distinction is drawn between real psychiatric, real pseudopsychiatric, and psychiatric pseudourgency due to pathomimesis. The first category includes cases of anxiety crisis, suicidal tendency, widespread pathological depression, and mental confusion, the second those in which the main psychotic symptom masks a somatic disease, and the third cases brought into being by the patient because his ambient, family or precarious economic position offer no other solution to his problem than the mimicking of a disease and its dramatisation to the point of an emergency. General hospital should deal with psychiatric urgency in cooperation with psychiatric divisions or clinic, since resort may have to be made to resuscitation centres, toxicological laboratories, intensive cares departments, cardiology departments, etc. Emergency patients can be handled at the out-patient level, or by means of a short period of hospitalisation.
任何以各种无法拖延的方式进行的干预都可被描述为紧急情况。本文回顾了精神病学中的紧急情况与普通医学中的紧急情况之间的差异。区分了真正的精神病性紧急情况、真正的假性精神病性紧急情况以及因症状模仿导致的精神病性假紧急情况。第一类包括焦虑症发作、自杀倾向、广泛的病理性抑郁和精神错乱的病例，第二类是主要精神病性症状掩盖躯体疾病的情况，第三类是患者因周围环境、家庭或不稳定的经济状况，除了模仿疾病并将其演变成紧急情况外，没有其他解决问题的办法而造成的病例。综合医院应与精神科或诊所合作处理精神病学紧急情况，因为可能需要求助于复苏中心、毒理学实验室、重症监护病房、心脏病科等。急诊患者可以在门诊处理，也可以通过短期住院治疗。
