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<p>There is a&#xa0;significantly higher risk for schizophrenic patients to commit severe acts of violence and homicide than for non-criminal people in overall good health. In this context, it is crucial to distinguish between lifelong risk factors and acute risk factors. Stable dynamic and persistent risk factors deducible from the patient history are widely known and briefly recapitulated; however, knowledge thereof does not replace the current assessment of whether a&#xa0;high-risk situation is developing in each case.</p><p>An emerging risk is only detectable if the patient is still in a&#xa0;relationship with another person at all, possibly to merely one individual who has stayed by his or her side, the mother or a&#xa0;loyal friend. Whoever is left, though, is often unable to cope when high tension states arise, as they themselves are often the target of aggression. Ultimately, for the patient establishing a&#xa0;therapeutic relationship to a&#xa0;third person is indispensable. This person must possess specific personal and professional qualities, which are examined with respect to a)&#xa0;detecting and b)&#xa0;managing an imminent risk situation in a&#xa0;timely manner.</p>

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Die akute Gefährlichkeit eines schizophren Erkrankten rechtzeitig erkennen – die Bedeutung der therapeutischen Beziehung

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  • 发表日期：

    2026年1月21日

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  • Hans-Ludwig Kröber

摘要

There is a significantly higher risk for schizophrenic patients to commit severe acts of violence and homicide than for non-criminal people in overall good health. In this context, it is crucial to distinguish between lifelong risk factors and acute risk factors. Stable dynamic and persistent risk factors deducible from the patient history are widely known and briefly recapitulated; however, knowledge thereof does not replace the current assessment of whether a high-risk situation is developing in each case.

An emerging risk is only detectable if the patient is still in a relationship with another person at all, possibly to merely one individual who has stayed by his or her side, the mother or a loyal friend. Whoever is left, though, is often unable to cope when high tension states arise, as they themselves are often the target of aggression. Ultimately, for the patient establishing a therapeutic relationship to a third person is indispensable. This person must possess specific personal and professional qualities, which are examined with respect to a) detecting and b) managing an imminent risk situation in a timely manner.