INDICATORS OF CARE PATTERNS AND MORTALITY OF MENTAL DISORDERS
Indicator	Operationalisation	Data body or holder	Publication
Area of care: Crisis service
Calls to telephone counselling	Number of calls to telephone counselling	Telephone counselling (nationwide)	[46]
Contacts to telephone counselling	Number of contacts to telephone counselling per day (telephone and online)	Telephone counselling (nationwide)	[47]
Reasons for contacting telephone counselling	Central counselling topics for each contact to telephone counselling	Telephone counselling (nationwide)	[47]
Area of care: Outpatient care
Utilisation of outpatient care by medical and psychological psychotherapists and specialists in psychosomatic medicine and psychotherapy	Number of treatment cases	Contractual physician billing data from the Central Research Institute of Ambulatory Health Care in Germany	[48]
Utilisation of outpatient psychotherapy	Number of treatment cases for psychotherapeutic services for individual therapy (section 35.2.1 EBM) and group therapy (section 35.2.2. EBM)	Contractual physician billing data from the Central Research Institute of Ambulatory Health Care in Germany	[48]
Utilisation of outpatient substitution treatment	Number of treatment cases for substitution treatment for drug dependence (section 1.8 EBM)	Contractual physician billing data from the Central Research Institute of Ambulatory Health Care in Germany	[48]
Outpatient diagnostic incidence and prevalence of anxiety disorders in GP practices	Number of persons with (first) diagnosis of F41.0–3 or F41.8–9	Physician billing data from the practice panel of the Disease Analyser Database (IQVIA)	[49]
Outpatient diagnostic incidence of anxiety disorders in GP practices by age	Number of persons with first diagnosis of F41.0–3 or F41.8–9 by age	Physician billing data from the practice panel of the Disease Analyser Database (IQVIA)	[49]
Comorbidity of outpatient incident diagnoses in general practitioners of anxiety disorders	Number of persons with first diagnosis of F41.0–3 or F41.8–9 and diagnosis of 9 somatic disorders	Physician billing data from the practice panel of the Disease Analyser Database (IQVIA)	[49]
Utilisation of outpatient care by psychiatric/neurological practices among persons aged ≥65 years	Number of physician contacts in psychiatric/neurological practices	Physician billing data from the practice panel of the Disease Analyser Database (IQVIA)	[50]
Referral or admission to outpatient or inpatient care by psychiatric/neurological practices among persons aged ≥65 years	Number of referrals or admissions in outpatient or inpatient care by psychiatric/neurological practices	Physician billing data from the practice panel of the Disease Analyser Database (IQVIA)	[50]
Outpatient diagnosis of depression for persons aged ≥65 years	Number of persons with first diagnosis F32–33	Physician billing data from the practice panel of the Disease Analyser Database (IQVIA)	[50]
Area of care: Incapacity to work
Incapacity to work cases	Number of cases with incapacity to work due to F-diagnosis	Data about incapacity to work from KKH	[51]
Duration of incapacity to work by gender	Number of days per case of incapacity to work due to F-diagnosis	Data about incapacity to work from KKH	[52]
Duration of incapacity to work	Number of days per case of incapacity to work due to F-diagnosis	Data about incapacity to work from KKH	[53]
Number of work days lost due to sickness	Proportion of days per case of incapacity to work due to F-diagnosis	Data about incapacity to work from BARMER	[54]
Number of work days lost due to sickness	Proportion of days per case of incapacity to work due to F-diagnosis	Data about incapacity to work from BKK	[55]
Incapacity to work cases	Number of cases of incapacity to work due to F-diagnosis 100 per insured persons	Data about incapacity to work from DAK	[56]
Duration of incapacity to work	Number of days per case of incapacity to work due to F-diagnosis	Data about incapacity to work from DAK	[56]
Work incapacity cases according to diagnosis	Number of days of incapacity to work due to F-diagnosis per 100 insured persons according to individual diagnoses	Data about incapacity to work from DAK	[56]
Incapacity to work cases	Number of cases of incapacity to work due to F-diagnosis per 100 insured persons	Data about incapacity to work from AOK	[57]
Duration of incapacity to work	Number of days per case of incapacity to work due to F-diagnosis	Data about incapacity to work from AOK	[57]
Days of incapacity to work	Number of days of incapacity to work due to F-diagnosis per 100 years of insured persons	Data about incapacity to work from TK	[58]
Change in sick leave from 2019 to 2020 compared to 2018 to 2019	Change in number of days with incapacity to work due to F-diagnosis	Data about incapacity to work from TK	[59]
Area of care: Stationary care
Psychiatric emergencies according to clinical characteristics	Number of cases with F-diagnosis, after repeated presentations within one month and suicide attempts before presentation	Routine data from the emergency department of the psychiatric clinic of the Medizinische Hochschule Hannover	[60]
Psychiatric emergencies according to diagnoses	Number of diagnoses of mental disorders in the main diagnostic groups F1–F4 and F6, as well as ‘other’ (F0, F5, and F7–9)	Routine data from the emergency department of the psychiatric clinic of the Medizinische Hochschule Hannover	[60]
Aspects of the psychopathological findings	Documentation of 65 selected symptoms of psychopathological findings according to AMDP system	Routine data from the emergency department of the psychiatric clinic of the Medizinische Hochschule Hannover	[60]
Linking the psychiatric emergency to the COVID-19 pandemic	Explicit documentation of the association of the case with the COVID-19 pandemic by the treating psychiatrist	Routine data from the emergency department of the psychiatric clinic of the Medizinische Hochschule Hannover	[60]
Presentations in psychiatric emergency admission	Number of presentations in psychiatric emergency admission	Routine data of emergency admission of the Central Institute of Mental Health Mannheim	[61]
Presentations in psychiatric emergency admission after diagnosis	Number of presentations in psychiatric emergency admission by main diagnosis group	Routine data of emergency admission of the Central Institute of Mental Health Mannheim	[61]
Psychiatric emergencies	Number of cases with corresponding coding according to Manchester Triage System or ICD-10	Routine data of emergency admission and inpatient care of the Klinikum rechts der Isar, Technische Universität München	[62]
Psychiatric consultation requirements, connection with the COVID-19 pandemic	Proportion of cases with psychiatric consultation requests with content related to the COVID-19 pandemic and with suicide attempts	Routine data of emergency admission and inpatient care of the Klinikum rechts der Isar, Technische Universität München	[62]
Psychiatric emergencies	Number of cases with main diagnosis F00–F69	Routine data of emergency admission and inpatient care in HELIOS-Clinic	[63]
Length of stay for psychiatric diagnosis	Number of days of inpatient treatment for cases with main diagnosis F00–F69	Routine data of emergency admission and inpatient care in HELIOS-Clinic	[63]
Inpatient treatment cases	Number of inpatient treatment cases for F-diagnoses	Data about incapacity to work from AOK	[64]
Inpatient cases in psychiatric, psychotherapeutic and psychosomatic clinics and departments	Number of treatment cases in specialised hospitals or departments for psychiatry and psychotherapy, child and adolescent psychiatry and psychotherapy, and psychosomatic medicine and psychotherapy that bill according to the PEPP system	Data about incapacity to work from AOK	[65]
Day-clinic and inpatient admissions per day	Number of admitted cases to day-clinic and inpatient care (planned admissions and emergencies) per day in clinics for psychiatry, child and adolescent psychiatry, psychosomatic medicine, geriatrics and addiction treatment	LVR clinics inpatient care data	[66]
Day-clinic and inpatient cases by diagnosis	Discharge diagnosis according to main diagnosis groups	LVR clinics inpatient care data	[66]
Subject area: Mortality
Deaths due to narcotics use	Total number of deaths in all federal states	Statistics on narcotics-related deaths from the Land Offices of Criminal Investigation	[67]
Suicide rate	Number of suicides per 100,000 life years	Cause of death statistics of the city of Leipzig	[68]
Suicide	Total number of suicides (cause of death ICD X60-X84)	Cause of death statistics (nationwide) of the Federal Statistical Office	[69]
5 Care or subject areas		18 Data sources	[46-69]