{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:40:56Z","timestamp":1785523256448,"version":"3.56.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Klinikum rechts der Isar der Technischen Universit\u00e4t M\u00fcnchen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Nervenarzt"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Die Behandlung von Patienten, die f\u00fcr den Fall, dass sie nicht station\u00e4r aufgenommen bzw. station\u00e4r entlassen werden, Suizidalit\u00e4t angeben, wirft klinische, juristische und ethische Fragen auf.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodik<\/jats:title>\n                    <jats:p>Ethische Diskussion anhand eines Fallbeispiels und praktische Handlungsempfehlungen anhand klinischer, ethischer und juristischer Aspekte mit selektiver Literaturrecherche.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse und Schlussfolgerungen<\/jats:title>\n                    <jats:p>Suizidale \u00c4u\u00dferungen k\u00f6nnen bei Patienten auch instrumentelle Anteile haben. Suizidalit\u00e4t mit instrumentellen Anteilen (SmiA) kann mit Handlungsimpulsen verkn\u00fcpft sein. Auch wenn eine Risikoeinsch\u00e4tzung bei SmiA nicht sicher gelingen kann, existieren klinische Anhaltspunkte zur Einsch\u00e4tzung instrumenteller Anteile von Suizidalit\u00e4t. Eine differenzierte ethische Einzelfallanalyse kann die klinische Perspektive bei der Behandlung von Patienten mit SmiA erweitern. Die Kommunikation mit Patienten mit SmiA muss empathisch, klar und transparent und mit konkreten Hilfsangeboten verkn\u00fcpft sein. Die Dokumentation der Behandlung von Patienten mit SmiA, die nicht station\u00e4r aufgenommen bzw. aus station\u00e4rer Behandlung entlassen werden, muss zumindest enthalten: diagnostische Einsch\u00e4tzung, Abw\u00e4gung erwogener Alternativen, angebotene Hilfen sowie die Kommunikation mit dem Patienten. Neben station\u00e4rer Behandlung existieren f\u00fcr Patienten mit SmiA zahlreiche teilstation\u00e4re oder ambulante Hilfsangebote.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00115-026-01990-3","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T13:15:47Z","timestamp":1785158147000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Suizidalit\u00e4t mit instrumentellen Anteilen bei station\u00e4rer psychiatrischer Aufnahme oder Entlassung: klinische, ethische und juristische Implikationen sowie Handlungsempfehlungen","Suicidal ideation with instrumental components at inpatient psychiatric admission or discharge: clinical, ethical and judicial implications and recommendations for action"],"prefix":"10.1007","author":[{"given":"D.","family":"Schwerth\u00f6ffer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Sch\u00e4fer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Zimmermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"1990_CR1","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1055\/s-0038-1628810","volume":"29","author":"TTS Steinert","year":"2010","unstructured":"Steinert\u00a0TTS, Uhlmann\u00a0C (2010) Umgang mit selbstverletzendem Verhalten, Suizidalit\u00e4t und manipulativer Suizidalit\u00e4t: Station\u00e4re Behandlung von Patientinnen mit Borderline Pers\u00f6nlichkeitsst\u00f6rung. 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