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Background <p>Psychiatric emergency situations (PES) account for almost 10% of all prehospital emergency medical calls. In 2004, the subjectively assessed competencies of and their specific challenges for nonmedical emergency personnel (paramedics, emergency medical technicians [EMT]) in PES were investigated and the need for further training was identified. The aim of the present study was to examine changes in the assessment of psychiatric emergencies after 20&#xa0;years.</p> Methods <p>The questionnaire used in 2004 was modified and updated, and sent via an online survey to emergency medical personnel. It contained mainly multiple-choice questions and open-ended questions, asking about sociodemographic data, personal knowledge, frequency and stress levels of PES, the need for further training and awareness of the S2k guideline on emergency psychiatry.</p> Results <p>Of the 226 participants (male/female/diverse: 61.9%/38.1%/0%; average age: 30.1 years; 34.1% paramedics, 33.6% emergency medical technicians with 3&#xa0;years of training) more than 80% assessed that PES have increased “much” or “very much” in recent years. Less than half (43.8%) had attended continuing educational courses on psychiatric topics; however, a&#xa0;large proportion of participants (85.4%) expressed a&#xa0;high willingness to participate in such trainings. Psychiatric knowledge is considered “important” or “very important” by 88.1%, with most participants rating their own knowledge as “average” (35.8%) to “good” (32.6%). No difference between qualifications could be identified, but knowledge was rated higher when participants had attended specific trainings.</p> Conclusion <p>Psychiatric emergency situations are highly relevant for the prehospital emergency medical services. Knowledge has increased, but this cannot be necessarily attributed to the new training for emergency medical technicians, but rather to participation in psychiatric training courses. A&#xa0;high level of willingness to participate in such courses shows that there is still a&#xa0;need for training on psychiatric topics.</p>

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Selbst wahrgenommene Kompetenzen von Rettungskräften in psychiatrischen Notfällen – ein Follow-up nach 20 Jahren

  • 期刊论文

  • 发表日期：

    2025年12月2日

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  • Oliver Freh,
  • Frank-Gerald B. Pajonk

摘要

Background

Psychiatric emergency situations (PES) account for almost 10% of all prehospital emergency medical calls. In 2004, the subjectively assessed competencies of and their specific challenges for nonmedical emergency personnel (paramedics, emergency medical technicians [EMT]) in PES were investigated and the need for further training was identified. The aim of the present study was to examine changes in the assessment of psychiatric emergencies after 20 years.

Methods

The questionnaire used in 2004 was modified and updated, and sent via an online survey to emergency medical personnel. It contained mainly multiple-choice questions and open-ended questions, asking about sociodemographic data, personal knowledge, frequency and stress levels of PES, the need for further training and awareness of the S2k guideline on emergency psychiatry.

Results

Of the 226 participants (male/female/diverse: 61.9%/38.1%/0%; average age: 30.1 years; 34.1% paramedics, 33.6% emergency medical technicians with 3 years of training) more than 80% assessed that PES have increased “much” or “very much” in recent years. Less than half (43.8%) had attended continuing educational courses on psychiatric topics; however, a large proportion of participants (85.4%) expressed a high willingness to participate in such trainings. Psychiatric knowledge is considered “important” or “very important” by 88.1%, with most participants rating their own knowledge as “average” (35.8%) to “good” (32.6%). No difference between qualifications could be identified, but knowledge was rated higher when participants had attended specific trainings.

Conclusion

Psychiatric emergency situations are highly relevant for the prehospital emergency medical services. Knowledge has increased, but this cannot be necessarily attributed to the new training for emergency medical technicians, but rather to participation in psychiatric training courses. A high level of willingness to participate in such courses shows that there is still a need for training on psychiatric topics.