Psychiatrische Notfälle im präklinischen Notarzt- und Rettungsdienst: eine Querschnitt-Vergleichsstudie zwischen den Jahren 2000 und 2010
Background: Psychiatric emergencies (PE) in preclinical emergency medical services are quite common (5 - 10 %) and cause problems for the non-psychiatric professional helpers. There is a lack of studies that inform us about quantitative and qualitative changes of PEs in preclinical emergency medicine in Germany. Methods: Therefore, we conducted a retrospective cross-sectional study of PE in preclinical emergency medical service based on the protocols of the emergency ambulance of the Section for Emergency Medicine at the University Hospital Ulm in 2000 and 2010. Results: Our study showed a significant increase in the PE of 8.8 % (n = 285, from a total of n = 3227) to 10.3 % (n = 454, from a total of n = 4425). In both years intoxications were the most common PE (2000: 44.4 %; 2010: 37.7 %), followed by suicide-related behavior (2000: 22.6 %; 2010: 17.2 %) and acute anxiety disorders (2000: 13 %; 2010: 23.1 %). These 3 entities accounted for about 80 % of all PE. Most PE occurred in evening (18 - 24h) in both years. Patients with PE were predominantly men, but the rate of women increased between 2000 and 2010. Discussion/Conclusion: This study provides preliminary data on current trends in PEs in preclinical emergency medicine in Germany and has implications for improving the existing medical care.
Subject HeadingsAlkoholvergiftung [GND]
Ärztlicher Notdienst [GND]
Alcohol intoxication [MeSH]
Emergency services, psychiatric [MeSH]
Mental disorders; Diagnosis [MeSH]