Differences in perceived coercion at admission to psychiatric hospitals in the Nordic countries

Kjellin, Lars; Høyer, Georg; Engberg, Marianne; Kaltiala-Heino, R.; Sigurjónsdóttir, María

doi:10.1007/s00127-005-0024-0

Cited by 38 publications

(32 citation statements)

References 27 publications

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“…As in other areas of Europe (Rittmannsberger et al 2004), but not England (Thompson et al 2004), nonaffective psychoses prevail among the diagnoses of admitted patients, although with a different proportion in the public and in the private system (more than one-third in the former, just one-quarter of admitted patients in the latter) ; they also represent a large majority of the compulsory admissions (Kjellin et al 2006). Admissions peaked at around 40 years old, and a large percentage of patients were not in paid employment (whether unemployed or retired).…”

Section: Discussionmentioning

confidence: 93%

Patterns of admission to acute psychiatric in-patient facilities: a national survey in Italy

et al. 2008

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Section: Discussionmentioning

confidence: 93%

Patterns of admission to acute psychiatric in-patient facilities: a national survey in Italy

et al. 2008

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“…Therefore, data in addition to LOS, including clinical information, need to be employed when using DRGs as an assessment tool for psychiatric care [14]. Previous findings related to admission type, prevalence of coercive admissions, and relationship to LOS [19][20][21] have relied on the subjective experiences of patients who experienced coercive admissions [22,23]. At the same time, no study has examined the relationship between various types of admission and outcome measures other than LOS and cost.…”

Section: Introductionmentioning

confidence: 98%

Assessment of Psychiatric Outcomes in Japan Based on Diagnostic Procedure Combination Information

et al. 2010

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We evaluated psychiatric care in terms of relationships between patient characteristics and a comprehensive measurement of psychiatric outcomes among inpatients with lengths of stay (LOSs) of 90 days or fewer in a psychiatric hospital in Japan. The sample consisted of inpatients discharged from an acute care psychiatric hospital between September 1 and December 31, 2007. Multivariate analyses were performed to identify patient characteristics related to the outcome of acute psychiatric care. The type of admission was related to difference in Global Assessment of Functioning (GAF) scores (P < 0.001), health care cost (P < 0.001), length of time spent in seclusion (P < 0.001), and length of time spent in restraints (P < 0.01). Diagnosis showed a minimal or non-existent relationship to the outcome variables. The GAF scores of involuntary patients with initially low scores on this axis were greatly improved at discharge. Patients who were admitted involuntarily received more coercive interventions and treatments, such as seclusion and restraints, than did patients with who were admitted voluntarily. Diagnostic groups did not differ in terms of GAF scores. Further studies utilizing diagnostic procedure combination (DPC) data from multiple medical institutions are necessary to verify the present findings.

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“…A pooled odds ratio for this comparison is reported based on these papers alone for comparison with the meta-regression. Likewise, for one paper 21 data were reported from several Nordic countries which were treated as four independent samples.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of perceived coercion among psychiatric patients: literature review and meta-regression modelling

Newton‐Howes

Stanley

2012

Psychiatrist

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Aims and methodTo assess how common the subjective experience of coercion is in psychiatric care and what affects its prevalence. A review of published data was undertaken to assess prevalence of coercion and potential confounding variables. The heterogeneity of results was studied using meta-regression to quantify the relative impact of four potential explanatory variables.ResultsThe raw prevalence of perceived coercion ranged from 16 to 90%. A quarter of legally detained patients did not feel coerced into psychiatric care, whereas a quarter of voluntary in-patients reported coercion in care. Coercion was more common in studies outside the USA, among patient populations subject to legal detention and populations studied using the MacArthur Perceived Coercion Scale as opposed to other measures. Timing of the interview was not associated with coercion.Clinical implicationsCoercion in psychiatric care remains highly prevalent but varies widely by study. Consistency in measurement is necessary to allow better comparison between studies.

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Differences in perceived coercion at admission to psychiatric hospitals in the Nordic countries

Abstract: For committed patients, differences in national legal prerequisites among countries were reflected in differences in perceived coercion. The results from Sweden also indicate that local care traditions may account for variation among centres within countries.

Cited by 38 publications

References 27 publications

Patterns of admission to acute psychiatric in-patient facilities: a national survey in Italy

Patterns of admission to acute psychiatric in-patient facilities: a national survey in Italy

Assessment of Psychiatric Outcomes in Japan Based on Diagnostic Procedure Combination Information

Prevalence of perceived coercion among psychiatric patients: literature review and meta-regression modelling

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