{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T18:06:47Z","timestamp":1773166007001,"version":"3.50.1"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T00:00:00Z","timestamp":1750204800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T00:00:00Z","timestamp":1750204800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"DOI":"10.13039\/100017590","name":"Universit\u00e4tsklinikum Essen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100017590","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Nervenarzt"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:sec>\n            <jats:title>Hintergrund<\/jats:title>\n            <jats:p>Gesundheitliche Probleme beim Konsum psychoaktiver Substanzen sind ein h\u00e4ufiger Anlass f\u00fcr die Anforderung eines psychiatrischen Konsils.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ziel der Arbeit<\/jats:title>\n            <jats:p>Darstellung somatischer und psychischer Komplikationen des akuten und chronischen Konsums verschiedener Drogen (au\u00dfer Alkohol und Benzodiazepinen) sowie des Vorgehens bei Konsilien.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Material<\/jats:title>\n            <jats:p>Narrative Literatur\u00fcbersicht.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Schwerwiegende akute somatische wie auch psychische Komplikationen bei Drogenkonsum k\u00f6nnen auch bei sporadischem Konsum auftreten. Diagnostisch sind der sporadische Drogenkonsum, der sch\u00e4dliche Konsum und die Abh\u00e4ngigkeit abzugrenzen. Je nach Einzelfall sind Abstinenzempfehlung, Safer-use-Empfehlungen und motivierende Interventionen zur Aufnahme anschlie\u00dfender Hilfen vorzunehmen. Hierf\u00fcr ist eine pr\u00e4zise Kenntnis der lokalen Hilfen f\u00fcr Drogenkonsumenten notwendig. Die medikament\u00f6se Linderung von Entzugsbeschwerden erfolgt symptomatisch. Bei der Entzugsbehandlung sind potenzielle Komplikationen zu ber\u00fccksichtigen, z.\u202fB. Entzugsdelir bei GABAergen Drogen. Bei Personen mit Opioidabh\u00e4ngigkeit ist eine bestehende Substitutionsbehandlung in aller Regel fortzusetzen bzw. eine solche Behandlung zu initiieren.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Diskussion<\/jats:title>\n            <jats:p>Aufgaben des Konsiliars sind die kollegiale Unterst\u00fctzung bei erschwerter Diagnostik sowie die Hilfe bei der Erarbeitung einer differenzierten Behandlungsempfehlung. Das suchtpsychiatrische Konsil sollte dabei nicht nur beim Management akuter klinischer Probleme Hilfe bieten, sondern f\u00fcr Betroffene auch die M\u00f6glichkeiten weiterer Hilfen und Behandlungen aufzeigen.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00115-025-01831-9","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T03:09:19Z","timestamp":1750216159000},"page":"336-341","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Drogenbezogene Probleme im psychiatrischen Konsildienst","Drug-related problems in psychiatric consultation services"],"prefix":"10.1007","volume":"96","author":[{"given":"Norbert","family":"Scherbaum","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Udo","family":"Bonnet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"1831_CR1","unstructured":"B\u00c4K (2023) Richtlinie Richtlinie der Bundes\u00e4rztekammer zur Durchf\u00fchrung der substitutionsgest\u00fctzten Behandlung Opioidabh\u00e4ngiger. https:\/\/www.bundesaerztekammer.de\/fileadmin\/user_upload\/BAEK\/Themen\/Public_Health\/Richtlinien\/Richtlinie-BAEK-Substitution_16.02.2023.pdf. 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