2013
DOI: 10.1111/pcn.12078
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Abstract: Aim:The aim of this study was to investigate the current state of duration of seclusion/restraint in acute psychiatric settings in Japan and the effect of patient characteristics on duration of seclusion/ restraint. Methods:During an 8-month period starting from November 2008, duration of seclusion/restraint and patient characteristics were investigated in 694 psychiatric inpatients who experienced seclusion/ restraint in three emergency and three acute wards at four psychiatric hospitals. Reasons for starting… Show more

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Cited by 39 publications
(43 citation statements)
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References 30 publications
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“…With regard to behavioural precursors, aggressive, disruptive and chaotic behaviour, acute psychosis, absconsion and self-harm are all strongly associated with both PICU and seclusion (Bowers, 2006;Van Der Merwe et al 2009). Consistent with these findings, 'hurting others' (Noda et al 2013) and aggressive behaviour prior to admission (Flammer et al 2013) have been reported as common precipitants of seclusion in Japanese and German samples, respectively.…”
Section: Introductionsupporting
confidence: 76%
“…With regard to behavioural precursors, aggressive, disruptive and chaotic behaviour, acute psychosis, absconsion and self-harm are all strongly associated with both PICU and seclusion (Bowers, 2006;Van Der Merwe et al 2009). Consistent with these findings, 'hurting others' (Noda et al 2013) and aggressive behaviour prior to admission (Flammer et al 2013) have been reported as common precipitants of seclusion in Japanese and German samples, respectively.…”
Section: Introductionsupporting
confidence: 76%
“…Agitation and disorientation have been shown to be common reasons for using seclusion and restraint (Keski‐Valkama et al ); other common reasons for use of seclusion and restraint include aggression towards other people, objects, or themselves, and uncontrolled or excitable behaviour (Meehan et al ). Noda et al ( also reported that hurting others (37.9% of 694 patients) was the most common reason for starting seclusion or restraint. Aggressive behaviour in psychiatric inpatients can be caused by various triggers and can be explained according to three conceptual models: internal (patient), external (ward), and situational/interactional (staff) models (Duxbury ; Duxbury & Whittington ; Nijman et al ).…”
Section: Introductionmentioning
confidence: 97%
“…; Noda et al . ; Tyner et al . ), most were undertaken in specific hospital settings, with wide variations attributed to localized contextual factors, which make comparisons difficult (Janssen et al .…”
Section: Introductionmentioning
confidence: 99%
“…Yet little is known about the duration of restrictive interventions in the broader context, or the factors that contribute to the prolonged use. Although studies have focussed on the duration of restrictive interventions (Happell & Gaskin 2011;Janssen et al 2013;Noda et al 2013;Tyner et al 2012), most were undertaken in specific hospital settings, with wide variations attributed to localized contextual factors, which make comparisons difficult (Janssen et al 2011). Studies of the duration of restrictive interventions for entire jurisdictions are scarce (Steinert et al 2010).…”
Section: Introductionmentioning
confidence: 99%