Investigating the impact of involuntary psychiatric hospitalization on youth and young adult trust and help-seeking in pathways to care

Jones, Nev; Gius, Becky K.; Shields, Morgan C.; Collings, Shira; Rosen, Cherise; Munson, Michelle R.

doi:10.1007/s00127-021-02048-2

Cited by 43 publications

(73 citation statements)

References 68 publications

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“…Involuntary practices often also have negative impacts on trust, including an unwillingness to seek help and engage with practitioners. 4 A frank discussion on these issues and more efforts to move forward with a human-rights-based approach in mental healthcare are needed.…”

Section: Qualityrights Position On Involuntary Practicesmentioning

confidence: 99%

The WHO QualityRights initiative: building partnerships among psychiatrists, people with lived experience and other key stakeholders to improve the quality of mental healthcare

et al. 2021

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Section: Qualityrights Position On Involuntary Practicesmentioning

confidence: 99%

The WHO QualityRights initiative: building partnerships among psychiatrists, people with lived experience and other key stakeholders to improve the quality of mental healthcare

et al. 2021

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“…From the cancer literature, large effect sizes are found for "third wave" CBT interventions focussed on cultivating attributes of acceptance, compassion, and commitment to valued activities amongst people experiencing fear of cancer recurrence [54]. However, the impact of involuntary or otherwise coercive treatment should be considered in schizophrenia intervention development [55] which may involve trauma focussed interventions [56] on an individual level, and development of general trauma-informed services at an organisational level. Fear of relapse may be a promising therapeutic target for intervention development in people with a diagnosis of schizophrenia that merits further investigation.…”

Section: Future Research and Clinical Implicationsmentioning

confidence: 99%

Fear of relapse in schizophrenia: a mixed-methods systematic review

Żukowska

Allan

Eisner

et al. 2022

Soc Psychiatry Psychiatr Epidemiol

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Introduction Fears of relapse in people diagnosed with schizophrenia have long been recognised as an impediment to recovery and wellbeing. However, the extent of the empirical basis for the fear of relapse concept is unclear. A systematic review is required to collate available evidence and define future research directions. Methods A pre-registered systematic search (PROSPERO CRD42020196964) of four databases (PubMED, MEDLINE-Ovid, PsycINFO-Ovid, and Cochrane Central Register of Controlled Trials) was conducted from their inception to 05/04/2021. Results We found nine eligible studies. Five were quantitative (4 descriptive and 1 randomised controlled trial), and four were qualitative. The available quantitative evidence suggests that fear of relapse may have concurrent positive relationships with depression (r = 0.72) and suicide ideation (r = 0.48), and negative relationship with self-esteem (r = 0.67). Qualitative synthesis suggests that fear of relapse is a complex phenomenon with behavioural and emotional components which has both direct and indirect effects on wellbeing. Conclusions Evidence in this area is limited and research with explicit service user and carer involvement is urgently needed to develop new and/or refine existing measurement tools, and to measure wellbeing rather than psychopathology. Nonetheless, clinicians should be aware that fear of relapse exists and appears to be positively associated with depression and suicide ideation, and negatively associated with self-esteem. Fear of relapse can include fears of losing personal autonomy and/or social/occupational functioning. It appears to impact carers as well as those diagnosed with schizophrenia.

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“…For example, Podlogar et al (2021) found that respondents who had been in a hospital in the past were more likely to deny suicidal thoughts than respondents who had outpatient psychotherapy only– consistent with an interpretation that a fear of hospitalization reduced willingness to be honest. Also, youths (ages 16 to 27) reported the selective nondisclosure of suicidal thoughts following an involuntary hospitalization (Jones et al, 2021). Even patients who were never involuntarily hospitalized may not understand laws concerning involuntary hospitalizations or confidentiality, and fear that even the disclosure of fleeting thoughts of suicide alone could trigger an involuntary hospitalization, forced medication, or a loss of privacy.…”

Section: Fear Of Punishment or Adverse Consequencesmentioning

confidence: 99%

Six strategies to help reluctant patients to disclose their suicidal thoughts.

Knapp¹

2022

Practice Innovations

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Investigating the impact of involuntary psychiatric hospitalization on youth and young adult trust and help-seeking in pathways to care

Cited by 43 publications

References 68 publications

The WHO QualityRights initiative: building partnerships among psychiatrists, people with lived experience and other key stakeholders to improve the quality of mental healthcare

The WHO QualityRights initiative: building partnerships among psychiatrists, people with lived experience and other key stakeholders to improve the quality of mental healthcare

Fear of relapse in schizophrenia: a mixed-methods systematic review

Six strategies to help reluctant patients to disclose their suicidal thoughts.

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