Zusammenfassung
Im Abschnitt Maßnahmen und Therapie werden alle relevanten Informationen zum Vorgehen beim Erstkontakt, zur psychotherapeutischen und psychopharamkologischen Krisenintervention, zur Bedeutung psychosozialer Unterstützung sowie zur Deeskalation, zum Management und zur Prävention aggressiven Verhaltens vorgestellt.
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Literatur
Archer, J. (2006). Testosterone and human aggression: An evaluation of the challenge hypothesis. Neuroscience and Biobehavioral Reviews, 30(3), 319–345. https://doi.org/10.1016/j.neubiorev.2004.12.007.
Barak, Y., Mazeh, D., Plopski, I., & Baruch, Y. (2006). Intramuscular ziprasidone treatment of acute psychotic agitation in elderly patients with schizophrenia. American Journal of Geriatric Psychiatry, 14(7), 629–633. https://doi.org/10.1097/01.JGP.0000216325.42721.99.
Benkert, O., & Hippius, H. (2015). Kompendium der Psychiatrischen Pharmakotherapie (10. Auflage). Heidelberg: Springer.
Bowers, L., Allan, T., Simpson, A., Jones, J., Van Der Merwe, M., & Jeffery, D. (2009). Identifying key factors associated with aggression on acute inpatient psychiatric wards. Issues in Mental Health Nursing, 30(4), 260–271. https://doi.org/10.1080/01612840802710829.
Citrome, L., Volavka, J., Czobor, P., Brook, S., Loebel, A., & Mandel, F. S. (2006). Efficacy of ziprasidone against hostility in schizophrenia: Post hoc analysis of randomized, open-label study data. Journal of Clinical Psychiatry, 67(4), 638–642.
Crefeld, W. (2007). Psychosoziale Krisendienste in Deutschland. Blätter der Wohlfahrtspflege 154(4), 123–126. https://doi.org/10.5771/0340-8574-2007-4-123.
Dack, C., Ross, J., Papadopoulos, C., Stewart, D., & Bowers, L. (2013). A review and meta-analysis of the patient factors associated with psychiatric in-patient aggression. Acta Psychiatrica Scandinavica, 127(4), 255–268. https://doi.org/10.1111/acps.12053.
De Hert, M., Dirix, N., Demunter, H., & Correll, C. U. (2011). Prevalence and correlates of seclusion and restraint use in children and adolescents: A systematic review. European Child and Adolescent Psychiatry, 20(5), 221–230. https://doi.org/10.1007/s00787-011-0160-x.
Di Salvo, T. G., & O’Gara, P. T. (1995). Torsade de pointes caused by high-dose intravenous haloperidol in cardiac patients. Clinical Cardiology, 18(5), 285–290.
Fulwiler, C., Eckstine, J., & Kalsy, S. (2005). Impulsive-aggressive traits, serotonin function, and alcohol-enhanced aggression. Journal of Clinical Pharmacology, 45(1), 94–100. https://doi.org/10.1177/0091270004270457.
Gibson, R. C., Fenton, M., Coutinho, E. S., & Campbell, C. (2004). Zuclopenthixol acetate for acute schizophrenia and similar serious mental illnesses. Cochrane Database of Systematic Reviews, 3, CD000525. https://doi.org/10.1002/14651858.CD000525.pub2.
Hovens, J. E., Dries, P. J., Melman, C. T., Wapenaar, R. J., & Loonen, A. J. (2005). Oral risperidone with lorazepam versus oral zuclopenthixol with lorazepam in the treatment of acute psychosis in emergency psychiatry: A prospective, comparative, open-label study. Journal of Psychopharmacology, 19(1), 51–57. https://doi.org/10.1177/0269881105048897.
Huf, G., Coutinho, E. S. F., Adams, C. E., & TREC-SAVE Collaborative Group (2012). Physical restraints versus seclusion room for management of people with acute aggression or agitation due to psychotic illness (TREC-SAVE): A randomized trial. Psychological Medicine, 42(11), 2265–2273. https://doi.org/10.1017/S0033291712000372.
Janssen Cilag GmbH (2010). Fachinformation Haloperidol. Neuss.
Jordan, W., Heinemann, A., & Marx, A. (2016). Notfallpsychiatrie und psychotherapeutische Krisenintervention. Stuttgart: Thieme.
Karger, B., Fracasso, T., & Pfeiffer, H. (2008). Fatalities related to medical restraint devices-asphyxia is a common finding. Forensic Science International, 178(2–3), 178–184. https://doi.org/10.1016/j.forsciint.2008.03.016.
Krakowski, M. I., Czobor, P., Citrome, L., Bark, N., & Cooper, T. B. (2006). Atypical antipsychotic agents in the treatment of violent patients with schizophrenia and schizoaffective disorder. Archives of General Psychiatry, 63(6), 622–629. https://doi.org/10.1001/archpsyc.63.6.622.
Kumar, A., & Strech, D. (2005). Zuclopenthixol dihydrochloride for schizophrenia. Cochrane Database of Systematic Reviews, 4, CD005474. https://doi.org/10.1002/14651858.CD005474.
Luiz, T. (2008). Der psychosoziale Notfall. Notfall- und Rettungsmedizin, 11(8), 547–551. https://doi.org/10.1007/s10049-008-1106-9.
Luiz, T., Schmitt, T. K., & Madler, C. (2002). Der Notarzt als Manager sozialer Krisen. Notfall- und Rettungsmedizin, 5, 505–511.
Mohsenian, C., Verhoff, M. A., Riße, M., Heinemann, A., & Püschel, K. (2003). Todesfälle im Zusammenhang mit mechanischer Fixierung in Pflegeinstitutionen. Zeitschrift für Gerontologie und Geriatrie, 36(4), 266–273. https://doi.org/10.1007/s00391-003-0112-2.
Morissette, P., Hreiche, R., & Turgeon, J. (2005). Drug-induced long QT syndrome and torsade de pointes. Canadian Journal of Cardiology, 21(10), 857–864.
Neu, P. (2011). Akutpsychiatrie. Das Notfall-Manual (2. Aufl.). Stuttgart: Schattauer.
Nijman, H., & Palmstierna, T. (2002). Measuring aggression with the staff observation aggression scale – revised. Acta Psychiatrica Scandinavica, Supplementum(412), 101–102. https://doi.org/10.1034/j.1600-0447.106.s412.21.x.
Nouvion, S. O., Cherek, D. R., Lane, S. D., Tcheremissine, O. V., & Lieving, L. M. (2007). Human proactive aggression: Association with personality disorders and psychopathy. Aggressive Behavior, 33(6), 552–562. https://doi.org/10.1002/ab.20220.
O’Brien, J. M., Rockwood, R. P., & Suh, K. I. (1999). Haloperidol-induced torsade de pointes. Annals of Pharmacotherapy, 33(10), 1046–1050.
Pajonk, F. G., & D’Amelio, R. (2016). Agitation und Aggression – Eine Herausforderung in der Notfallmedizin. Notfall- und Rettungsmedizin, 19(3), 163–171. https://doi.org/10.1007/s10049-016-0142-0.
Pajonk, F. G., & Fleiter, B. (2003). Psychopharmakotherapie im Notarztdienst. Der Anaesthesist, 52(7), 577–585. https://doi.org/10.1007/s00101-003-0549-0.
Pajonk, F. G., Stöwer, S., Kinn, M., & Fleiter, B. (2006). Psychopharmakotherapie in der Notfallmedizin. Notfall- und Rettungsmedizin, 9, 393–402. https://doi.org/10.1007/s10049-006-0831-1.
Papadopoulos, C., Ross, J., Stewart, D., Dack, C., James, K., & Bowers, L. (2012). The antecedents of violence and aggression within psychiatric in-patient settings. Acta Psychiatrica Scandinavica, 125(6), 425–439. https://doi.org/10.1111/j.1600-0447.2012.01827.x.
Pascual, J. C., Madre, M., Puigdemont, D., Oller, S., Corripio, I., Diaz, A., … Alvarez, E. (2006). A naturalistic study: 100 consecutive episodes of acute agitation in a psychiatric emergency department. Actas Espanolas Psiquiatria, 34(4), 239–44.
Poloczek, S., Schmitt, T. K., & Pajonk, F. G. (2001). Psychiatrische Notfälle und psychosoziale Krisen. Notfall- und Rettungsmedizin, 4(5), 352–358. https://doi.org/10.1007/s100490170046.
Putkonen, A., Kotilainen, I., Joyal, C. C., & Tiihonen, J. (2004). Comorbid personality disorders and substance use disorders of mentally ill homicide offenders: A structured clinical study on dual and triple diagnoses. Schizophrenia Bulletin, 30(1), 59–72.
Rechenmacher, J., Müller, G., Abderhalden, C., & Schulc, E. (2014). The diagnostic efficiency of the extended German Brøset violence checklist to assess the risk of violence. Journal of Nursing Measurement, 22(2), 201–212.
Schwerthöffer, D., Beuys, D., Hamann, J., Messer, T., & Pajonk, F. G. (2016). Versorgung psychiatrischer Notfälle in psychiatrischen Kliniken in Deutschland. Psychiatrische Praxis, 43(07), 367–373. https://doi.org/10.1055/s-0034-1387644.
Simpson, S. A., Joesch, J. M., West, I. I., & Pasic, J. (2014). Risk for physical restraint or seclusion in the psychiatric emergency service (PES). General Hospital Psychiatry, 36(1), 113–118. https://doi.org/10.1016/j.genhosppsych.2013.09.009.
Soyka, M., & Morhart-Klute, V. (2002). Aggression und Straffälligkeit durch Gewalt bei Schizophrenien. Deutsche Medizinische Wochenschrift, 127(33), 1708–1712. https://doi.org/10.1055/s-2002-33380.
Steinert, T. (2002). Gewalttätiges Verhalten von Patienten in Institutionen. Psychiatrische Praxis, 29(02), 61–67. https://doi.org/10.1055/s-2002-22038.
Steinert, T., & Kallert, T. W. (2006). Medikamentöse Zwangsbehandlung in der Psychiatrie. Psychiatrische Praxis, 33(4), 160–169. https://doi.org/10.1055/s-2005-867054.
TREC Collaborative Group (2003). Rapid tranquillisation for agitated patients in emergency psychiatric rooms: A randomised trial of midazolam versus haloperidol plus promethazine. BMJ, 327(7417), 708–713. https://doi.org/10.1136/bmj.327.7417.708.
van der Schaaf, P. S., Dusseldorp, E., Keuning, F. M., Janssen, W. A., & Noorthoorn, E. O. (2013). Impact of the Physical Environment of Psychiatric Wards on the Use of Seclusion. British Journal of Psychiatry, 202(2): 142-149. https://doi.org/10.1192/bjp.bp.112.118422.
Vieweg, W. V., Wood, M. A., Fernandez, A., Beatty-Brooks, M., Hasnain, M., & Pandurangi, A. K. (2009). Proarrhythmic risk with antipsychotic and antidepressant drugs: Implications in the elderly. Drugs and Aging, 26(12), 997–1012. https://doi.org/10.2165/11318880-000000000-00000.
Wagstaff, A. J., Easton, J., & Scott, L. J. (2005). Intramuscular olanzapine: A review of its use in the management of acute agitation. CNS Drugs, 19(2), 147–164. https://doi.org/10.2165/00023210-200519020-00005.
Wolf, A., Müller, M. J., & Pajonk, F. G. (2013). Psychopharmakotherapie im Notarztdienst. Medizinische Klinik – Intensivmedizin und Notfallmedizin, 108(8), 683–696. https://doi.org/10.1007/s00063-013-0318-z.
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Pajonk, FG., Messer, T., Berzewski, H. (2020). Maßnahmen und Therapie. In: Pajonk, FG., Messer, T., Berzewski, H. (eds) S2k-Leitlinie Notfallpsychiatrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61174-6_5
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