Between being healthy and becoming comatose: the neuropsychiatric landscape of critical illness with a focus on delirium, DSM-5 and ICD-11

• Published in: BMC psychiatry 2019-07, Vol.19 (1), p.222-222, Article 222
• Main Authors: Schieveld, Jan N M, van de Riet, Emma H C W, Strik, Jacqueline J M H
• Format: Article
• Language: English
• Subjects: Anesthesia; Apathy; Care and treatment; Classification; Classification systems; Coma; Coma - psychology; Consciousness; Critical illness; Critical Illness - psychology; Critically ill persons; Debate; Delirium; Delirium - diagnosis; Delirium - etiology; Diagnostic and Statistical Manual of Mental Disorders; DSM-5; Executive function; Health aspects; Health Status; Humans; ICD-11; Intensive care; International Classification of Diseases; Mental disorders; Neuropsychiatry; Post traumatic stress disorder; Prevention; Psychiatry; Psychological aspects; Psychotropic drugs; Traumatic brain injury
• ISSN: 1471-244X; 1471-244X
• DOI: 10.1186/s12888-019-2201-9

One of the most important questions remaining in matters of critical illness in the year 2019 is arguably how to address the diverse neuropsychiatric complications of critical illness. The ICD-11 and DSM-5, two of the world's leading classification systems, disagree regarding important aspects of delirium; moreover, they do not mention critical illness and its neuropsychiatric complications at all. It would have been desirable for the committees revising the DSM-IV-TR and ICD-10 to have joined forces in order to generate classification systems that complement each other and, moreover, that address the "The Neuro-Psychiatry of Critical Illness".