Nicht-dringliche psychiatrische Notfälle in deutschen ZNAs: Vergleich der Jahre 2019 vs. 2022 im Kontext der COVID-19-Pandemie

Zusammenfassung

Ziel

Die COVID-19-Pandemie stellte eine erhebliche Belastung für die Bevölkerung dar. Während der frühen Phasen der Pandemie wurden in ZNAs bei psychiatrischen Notfällen Veränderungen im Hinblick auf das Diagnosespektrum und die Fallzahlen beobachtet, jedoch über psychiatrische nicht-dringliche Notfälle in ZNAs zum Ende der Pandemie in 2022 ist wenig bekannt. Diese Studie betrachtet daher die möglichen Veränderungen nicht-dringlicher psychiatrischer Notfälle in den Jahren 2019 vs. 2022.

Methodik

Bundesweit wurden ZNA-Abrechnungsdaten von ambulanten psychiatrischen Notfallkontakten (ICD-10 F12, F32, F41) in Allgemeinkrankenhäusern analysiert.

Ergebnisse

Es ergaben sich keine signifikanten Unterschiede zwischen 2019 und 2022 hinsichtlich Fallzahlen, Altersstruktur und Geschlecht.

Schlussfolgerung

Mit Auslaufen der Pandemie 2022 traten keine weiteren Veränderungen im Hinblick auf Fallzahlen, Altersstruktur und Geschlecht zum Referenzjahr 2019 auf.

Abstract

Objective

The COVID-19 pandemic placed a burden on people. During the early phases of the pandemic, changes in the range of diagnoses and case numbers were observed in mental health emergencies at EDs, but little is known about nonurgent psychiatric emergencies toward the end of the pandemic in 2022. This study compares possible changes of nonurgent psychiatric emergencies in the years 2019 and 2022.

Methods

Nationwide billing data from emergency departments in general hospitals were analyzed, focusing on outpatient psychiatric emergency contacts with diagnoses (ICD-10) F12, F32, and F41. The analysis included case numbers, age distribution, and gender distribution.

Results

No significant differences were found between 2019 and 2022 in terms of case numbers, age structure, or gender.

Conclusion

With the end of the pandemic in 2022, contrary to the authors’ hypothesis, no further changes were observed in case numbers, age distribution, or sex compared with the reference year 2019.

Schlüsselwörter

Covid-19 Pandemie - Notaufnahme - Psychiatrie - Notfall - Allgemeinkrankenhaus

Keywords

COVID19 pandemic - emergency department - General Hospital - psychiatry - nonurgent

Publication History

Received: 02 March 2025

Accepted: 24 October 2025

Article published online:
21 January 2026

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