Die psychiatrische Intensivstation an einer Klinik der Supramaximalversorgung - Analyse der Behandlungsvariablen aus der Therapie psychiatrischer und komorbider somatischer Erkrankungen

BACKGROUND AND METHOD All 873 medical files of psychiatric inpatients treated over a 5 year period at a psychiatric intensive care unit were analysed in regard to characteristics of the patient group, outcome and predictors for the length of stay. RESULTS AND CONCLUSIONS Patients with psychiatric emergency syndromes and patients with comorbid psychiatric and somatic disorders were treated on the described unit. Somatic comorbidities have a considerable effect on the course of treatment for patients with psychiatric disorders. They have to receive stationary treatment for a shorter period (2.4 weeks) but often need further stationary, e.g. rehabilitative treatment. The utilization of this specific unit (110%) and the above average length of stay (63 days) point to an increasing need in inpatient treatment capacities for patients with psychiatric and somatic comorbidities. In future a growing together of somatic medicine and psychiatry in Germany is worthwhile. The evaluation of the treatment situation and aspects of cost effectiveness are yet to come.