[Clinical Crisis Intervention in the Somatic Setting: A Scoping Review]

Patients, relatives and staff ('second victims') often experience stressful events in the clinical setting, such as deaths, serious diagnoses or acts of violence, which can lead to stress and crises. The aim of the scoping review was to identify the existing literature on psychosocial support services in somatic clinics and associated differences, e. g. in the target group(s).Comprehensive database searches and hand searches were conducted (including CINAHL, BASE, MEDLINE via PubMed, Springer Medizin). Only English- and German-language articles dealing with psychosocial support services in somatic medicine were included.A total of 68 publications were included. The results showed a heterogeneity and complexity of psychosocial support services as well as an increased discussion of psychosocial stress in everyday clinical practice. Psychosocial support services were reported to contribute to psychological and emotional relief, improve mental health and increase patient safety. Furthermore, the implementation of comprehensive peer support programmes was demonstrated to engender annual savings in excess of €1.5 billion within the healthcare system.