COAGULOPATHY AFTER MIXED INTOXICATION WIT H PHENPROCOUMON IN SUICIDALINTENTION

The psychiatrist is very often confronted with patients after intoxica tion in suicidal intention. A fast transfer from an intensive care uni t to the psychiatric hospital is very important, especially for patien ts which show continual suicidal tendencies. Delayed intoxication-effe cts are rare, but they can represent a vital threat to the patient. Su bstances with a hepatical metabolism can cause organic complications a fter a latent period. They can also interact with the given psychotrop ic drugs (CYP-P450-system). We present a 37-year-old female patient wh ich developed a coagulopathy after a mixed intoxication with Phenproco umon. After detoxication of suicidal patients on intensive-care-units, the frequent control of somatic parameters in the psychiatric hospita l is very important.