Stanje ugroženog ili neugroženoga tjelesnog zdravlja koje snažno remeti njegovu psihosocijalnu egzistenciju i nalaže hitnu terapijsku
intervenciju hitno je stanje u psihijatriji. Hitno stanje karakteriziraju akutni poremećaji mišljenja, raspoloženja, ponašanja ili socijalnih
odnosa. Najčešće se radi o stanjima suicidalnosti, akutne psihotične epizode, akutne anksioznosti, nasilnog ili impulzivnog ponašanja, psihomotorne agitacije ili uzbuđenosti, delirija, intoksikacije psihoaktivnim tvarima te o malignome neuroleptičkom sindromu. U radu je opisano svako od navedenih hitnih stanja pojedinačno uz preporuke za terapijski pristup u specifičnim situacijama. Cilj je psihofarmakologije hitnih stanja u psihijatriji u što kraćem vremenu postići smirivanje bolesnika te sniziti rizik od ozljeđivanja i njega i okoline. Najčešće se primjenjuju kombinacije antipsihotika i benzodiazepina.Emergency conditions in psychiatry are characterized by acute disorders of cognition, affectivity, behaviour and interpersonal functioning. Symptoms and conditions behind psychiatric emergencies require immediate psychiatric interventions. Emergency conditions requiring psychiatric interventions may include attempted suicide, acute psychotic episodes, acute anxiety attacks, violence or other rapid changes in behaviour, psychomotoric agitation or aggression, delirium, drug intoxication and malignant neuroleptic syndrome. In this paper, the mentioned emergency conditions as well as the treatment recommendations are explained in detail. The therapeutic aim in emergency psychiatry encompasses crisis stabilization and prevention of potentially life-threatening conditions in a shortest time possible. The mostly used emergency medication consists of a combination of antipsychotics and benzodiazepines
