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German Psychiatry Society Proposes More Involuntary Commitments to Prevent Attacks

The DGPPN’s guidelines urge using existing laws to detain high-risk patients under mandatory medication with enforced drug abstinence

Trauer am Tatort des tödlichen Messerangriffs in Aschaffenburg, Januar 2025
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Overview

  • The DGPPN calls for more frequent involuntary psychiatric confinement of individuals deemed to have a high risk of violence due to conditions like schizophrenia, psychosis or substance addiction.
  • It recommends conditional releases linked to mandatory medication and abstinence requirements that can trigger rapid readmission if violated.
  • The association stresses that most people with mental illnesses are nonviolent and rejects proposals for registries or expanded data sharing as counterproductive to treatment trust.
  • The paper highlights critical shortfalls in outpatient, social and integration services that leave severely ill patients without continuous support.
  • Released after fatal knife attacks in Aschaffenburg and Hamburg, the position paper has won backing from major clinical and advocacy groups.