[Alcohol Intoxication - a Psychiatric Emergency].

Fortschr Neurol Psychiatr 2019 Jul 18;87(7):361-366. Epub 2019 Mar 18.

Alcohol intoxication is the most common psychiatric cause of admission to German emergency rooms. Many of these patients refuse inpatient observation or treatment. Therefore, the physician in charge will have to decide on how to proceed. The capacity to consent has to be clarified, especially if the patient insists on being discharged. In this context, the risks of injuries, complicated alcohol withdrawal, and aggressive or suicidal behaviour have to be evaluated. In this article, the juridical aspects and the necessary mental and physical assessments, especially in case of discharge of the patient against medical advice, are presented. Essential aspects are summarized in checklists.

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-0832-8404DOI Listing
July 2019

Publication Analysis

Top Keywords

complicated alcohol
4
injuries complicated
4
risks injuries
4
alcohol withdrawal
4
withdrawal aggressive
4
suicidal behaviour
4
aggressive suicidal
4
context risks
4
discharged context
4
proceed capacity
4
decide proceed
4
will decide
4
capacity consent
4
consent clarified
4
insists discharged
4
clarified patient
4
behaviour evaluated
4
evaluated article
4
advice presented
4
medical advice
4