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Updated: Apr 13, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
[Crisis Cards for the Prevention of Compulsory Hospitalization]
Thekla Drack-Schönenberger1, Marco Bleiker1, Silke Lengler1
1Zürcher Impulsprogramm zur nachhaltigen Entwicklung der Psychiatrie (ZInEP), Psychiatrische Universitätsklinik Zürich, Schweiz.
Objective:
To assess early signs of mental-health crises, treatment-specific demands and individual coping strategies from the subjective patients' perspective, and to categorize these specifications on the patients' crisis cards.
Methods:
A sample of 108 psychiatric patients with severe mental disorders is currently taking part in an intervention programme targeting the reduction of compulsory re-admission to psychiatry. As part of the programme, patients fill in a crisis card. Data are analysed by a qualitative approach using content analysis.
Results:
A variety of early signs of a crisis was specified by the psychiatric patients, most often negative emotions/thoughts (48 %). Likewise, the analysis revealed a wide range of treatment-specific preferences and individual strategies to cope with mental-health crises.
Conclusions:
Drawing up a crisis card in collaboration with a patient and discussing its contents might be used as a treatment resource and be beneficial to increase the patient's empowerment. Essential for the long-term prevention of mental-health crises and relapses is the regular reflection of the contents of a patient's crisis card.
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