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[Psychiatric emergencies].

F Schneider1,2, S Weber-Papen3

  • 1Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Uniklinik RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland. fschneider@ukaachen.de.

Der Nervenarzt
|June 18, 2017
PubMed
Summary
This summary is machine-generated.

Psychiatric emergencies require prompt diagnosis and management. Benzodiazepines and antipsychotics are key pharmacotherapies when non-pharmacological interventions fail.

Keywords:
Acute agitationDeliriumDrug-induced emergenciesStuporSuicidality

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Area of Science:

  • Emergency Medicine
  • Psychiatry
  • Clinical Pharmacology

Background:

  • Psychiatric emergencies pose frequent interdisciplinary challenges.
  • Diagnosis and management are complicated by patient acuity and limited compliance.
  • Common emergencies include agitation, suicidality, delirium, stupor, and drug-induced states.

Purpose of the Study:

  • To outline the diagnostic and management principles for psychiatric emergencies.
  • To identify effective non-pharmacological and pharmacological interventions.

Main Methods:

  • Review of clinical diagnostic criteria for psychiatric emergencies.
  • Analysis of management strategies, including "talking down" and pharmacotherapy.
  • Evaluation of first-line pharmacologic agents.

Main Results:

  • Non-pharmacological approaches like empathetic communication can be sufficient.
  • Pharmacotherapy is indicated when initial interventions are inadequate.
  • Benzodiazepines and antipsychotic drugs are primary pharmacologic choices.

Conclusions:

  • Effective management of psychiatric emergencies requires a multidisciplinary approach.
  • Timely and appropriate interventions, including pharmacotherapy, are crucial for patient stabilization.
  • Understanding the nuances of acute psychiatric states guides treatment selection.