{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:58:42Z","timestamp":1780963122492,"version":"3.54.1"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr Neurol Psychiatr"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Notfallsituationen k\u00f6nnen zu einer sofortig-vorl\u00e4ufigen,\n                        \u00f6ffentlich-rechtlichen Unterbringung (\u00d6RU) f\u00fchren. F\u00fcr den Geltungsbereich\n                        der Psychisch-Kranken-Hilfegesetzes in Bayern (BayPsychKHG) wurde noch nie\n                        untersucht, welche Unterschiede mit den zugrundeliegenden Gef\u00e4hrdungsarten\n                        verbunden sind. Deshalb gruppierten wir die Patienten nach Eigen- oder\n                        Fremdgef\u00e4hrdung oder aber einer Kombination beider Gr\u00fcnde und analysierten\n                        assoziierte epidemiologische und klinische Eigenschaften.<\/jats:p>\n                  <jats:p>Aus fallbasiert pseudonymisierten Daten einer gro\u00dfen, pflichtversorgenden\n                        Klinik wurde untersucht, wie sich die Gruppen hinsichtlich Alter,\n                        Geschlecht, Diagnosen, Zwangsma\u00dfnahmen und Modus der Beendigung\n                        unterscheiden.<\/jats:p>\n                  <jats:p>2153 Aufnahmen unter \u00d6RU der Klinik f\u00fcr Psychiatrie, Psychotherapie und\n                        Psychosomatik Ansbach stellen 16,8% aller vollstation\u00e4r behandelten F\u00e4lle\n                        (N=12\u2009787) der Jahre 2021 bis 2023 dar. Gef\u00e4hrdung der eigenen Person ist\n                        signifikant h\u00e4ufiger mit Alkoholabh\u00e4ngigkeit, depressiven Episoden, akuten\n                        Belastungsreaktionen und Pers\u00f6nlichkeitsst\u00f6rungen assoziiert und endet\n                        h\u00e4ufiger mit Entlassung am Folgetag. Fremdgef\u00e4hrdung ist bei gleichem\n                        mittleren Alter h\u00e4ufiger mit m\u00e4nnlichem Geschlecht, Diagnosen im\n                        Suchtspektrum bezogen auf Cannabinoide und Stimulantien, ferner im Spektrum\n                        schizophrener Psychosen, und manischen Episoden verbunden. Es kommt h\u00e4ufiger\n                        zu Zwangsma\u00dfnahmen und gerichtlich angeordneten Unterbringungen. Die Gruppe\n                        mit kombinierter Eigen- und Fremdgef\u00e4hrdung wurde als M\u00f6glichkeit genutzt,\n                        den Zweigruppenvergleich durch konservative Annahmen zu \u00fcberpr\u00fcfen.<\/jats:p>\n                  <jats:p>Diese differentiellen Eigenschaften machen spezifische pr\u00e4ventive und\n                        therapeutische Ma\u00dfnahmen vor der Aufnahme, w\u00e4hrend und nach der station\u00e4ren\n                        Behandlung m\u00f6glich. Die Ergebnisse der pseudonymisierten Analyse best\u00e4tigen\n                        den Mehrwert einer Abkehr von streng anonymisierter Erfassung auf der\n                        bayerischen Landeseben<\/jats:p>","DOI":"10.1055\/a-2878-1904","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:05:12Z","timestamp":1780959912000},"source":"Crossref","is-referenced-by-count":0,"title":["Differentielle Profile bei akuter Eigen- oder Fremdgef\u00e4hrdung in\n                    \u00f6ffentlich-rechtlicher Unterbringung"],"prefix":"10.1055","author":[{"given":"Franziska","family":"Abelein","sequence":"additional","affiliation":[{"name":"Bezirkskliniken Mittelfranken, Germany","place":["Ansbach"],"department":["Psychiatrie, Psychotherapie und Psychosomatik"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Kabuya-Mulamba","sequence":"additional","affiliation":[{"name":"Bezirkskliniken Mittelfranken, Germany","place":["Ansbach"],"department":["Psychiatrie, Psychotherapie und Psychosomatik"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Enders","sequence":"additional","affiliation":[{"name":"Bezirkskliniken Mittelfranken, Germany","place":["Ansbach"],"department":["Psychiatrie, Psychotherapie und Psychosomatik"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Zink","sequence":"additional","affiliation":[{"name":"Bezirkskliniken Mittelfranken, Germany","place":["Ansbach"],"department":["Psychiatrie, Psychotherapie und Psychosomatik"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"ref2","doi-asserted-by":"crossref","first-page":"100770","DOI":"10.1016\/j.lanepe.2023.100770","article-title":"Implementation of guidelines on prevention of coercion and violence (PreVCo) in\n                    psychiatry: a multicentre randomised controlled trial","volume":"35","author":"T Steinert","year":"2023","journal-title":"Lancet Reg Health Eur"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1016\/S2215-0366(19)30406-7","article-title":"Clinical and social factors associated with increased risk for involuntary\n                    psychiatric hospitalisation: a systematic review, meta-analysis, and narrative\n                    synthesis","volume":"6","author":"S Walker","year":"2019","journal-title":"Lancet Psychiatry"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/S0193-953X(18)30823-2","article-title":"Demographic and nondemographic characteristics of psychiatric emergency\n                    patients","volume":"6","author":"R Gomez","year":"1983","journal-title":"Psychiatr Clin North Am"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"e18014","DOI":"10.7717\/peerj.18014","article-title":"Risk factors for violent crime in patients with schizophrenia: a retrospective\n                    study","volume":"12","author":"R Lin","year":"2024","journal-title":"PeerJ"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1093\/schbul\/sbae010","article-title":"Systematic Review and Meta-analysis: Rates of Violence During First-Episode\n                    Psychosis (FEP)","volume":"50","author":"S Youn","year":"2024","journal-title":"Schizophr Bull"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1778865","DOI":"10.3389\/fpsyt.2026.1778865","article-title":"Five-year trends in psychiatric inpatient care: insights from\n                    5,887 patients on substance use, involuntary admissions, and treatment\n                    approaches","volume":"17","author":"E M Akdag","year":"2026","journal-title":"Front Psychiatry"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s13033-018-0189-z","article-title":"Involuntary admission in Norwegian adult psychiatric hospitals: a systematic\n                    review","volume":"12","author":"R Wynn","year":"2018","journal-title":"Int J Ment Health Syst"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1001\/jamapsychiatry.2019.4275","article-title":"Risk of Subjection to Violence and Perpetration of Violence in Persons With\n                    Psychiatric Disorders in Sweden","volume":"77","author":"A Sariaslan","year":"2020","journal-title":"JAMA Psychiatry"},{"key":"ref10","first-page":"467","article-title":"Factors associated with admission to hospital following emergency psychiatric\n                    assessment","volume":"54","author":"J Taylor","year":"1996","journal-title":"Health Bull (Edinb)"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"e167","DOI":"10.1017\/S0033291725100846","article-title":"Predicting involuntary admission following inpatient psychiatric treatment using\n                    machine learning trained on electronic health record data \u2013 CORRIGENDUM","volume":"55","author":"E Perfalk","year":"2025","journal-title":"Psychol Med"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1017\/S0033291724002642","article-title":"Predicting involuntary admission following inpatient psychiatric treatment using\n                    machine learning trained on electronic health record data","volume":"54","author":"E Perfalk","year":"2024","journal-title":"Psychol Med"},{"key":"ref13","first-page":"274","article-title":"Predictors and Frequency of Coercive Measures in Adult Psychiatry: A Four-Year\n                    Retrospective Analysis","volume":"52","author":"J Meier","year":"2025","journal-title":"Psychiatr Prax"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"102191","DOI":"10.1016\/j.ijlp.2026.102191","article-title":"Analysing risk factors for involuntary admission from an intersectional\n                    perspective: A latent class analysis","volume":"105","author":"J Carlet","year":"2026","journal-title":"Int J Law Psychiatry"},{"key":"ref16","first-page":"133","article-title":"Involuntary admissions in accordance to the Mental Health Act (PsychKG) \u2013 what\n                    are the strongest predictors?]","volume":"42","author":"G Juckel","year":"2015","journal-title":"Psychiatr Prax"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1186\/s12888-020-02803-w","article-title":"Identification of risk factors for involuntary psychiatric hospitalization:\n                    using environmental socioeconomic data and methods of machine learning to\n                    improve prediction","volume":"20","author":"O Karasch","year":"2020","journal-title":"BMC Psychiatry"},{"key":"ref18","first-page":"1105","article-title":"Monitoring of coercive measures and compulsory treatment in Germany","volume":"93","author":"T Steinert","year":"2022","journal-title":"Nervenarzt"},{"key":"ref19","first-page":"20","article-title":"Gender 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Prax"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1016\/S0140-6736(18)33135-0","article-title":"Gender equality in science, medicine, and global health: where are we at and why\n                    does it matter?","volume":"393","author":"G Shannon","year":"2019","journal-title":"The Lancet"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5498\/wjp.v12.i1.1","article-title":"Prevalence and correlates of aggressive behavior in psychiatric inpatient\n                    populations","volume":"12","author":"H Girasek","year":"2022","journal-title":"World J Psychiatry"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/S2215-0366(20)30262-5","article-title":"Violence and mental disorders: a structured review of associations by individual\n                    diagnoses, risk factors, and risk assessment","volume":"8","author":"D Whiting","year":"2021","journal-title":"Lancet Psychiatry"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.cpr.2017.10.012","article-title":"Sex and gender differences in substance use disorders","volume":"66","author":"R K McHugh","year":"2018","journal-title":"Clin Psychol Rev"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1186\/1471-244X-13-257","article-title":"Gender differences in coerced patients with schizophrenia","volume":"13","author":"A Nawka","year":"2013","journal-title":"BMC Psychiatry"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1186\/s12888-024-05892-z","article-title":"Involuntary psychiatric hospitalisation \u2013 differences and similarities between\n                    patients detained under the mental health act and according to the legal\n                    guardianship legislation","volume":"24","author":"S J Peters","year":"2024","journal-title":"BMC Psychiatry"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"3051","DOI":"10.1017\/S0033291714000695","article-title":"Schizophrenia and violent crime: a population-based study","volume":"44","author":"A Fleischman","year":"2014","journal-title":"Psychol Med"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"e57","DOI":"10.1192\/j.eurpsy.2025.2453","article-title":"Mechanical restraint in inpatient psychiatric settings: A systematic review of\n                    international prevalence, associations, outcomes, and reduction strategies","volume":"68","author":"D Whiting","year":"2025","journal-title":"Eur Psychiatry"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"791333","DOI":"10.3389\/fpsyt.2022.791333","article-title":"\u201cOur Patients Are Different\u201d: Predictors of Seclusion and Restraint in 31\n                    Psychiatric Hospitals","volume":"13","author":"E Flammer","year":"2022","journal-title":"Front 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