Involuntary admission and treatment of patients with mental disorder

Zhang, Simei; Mellsop, Graham; Brink, Johann; Wang, Xiaoping

doi:10.1007/s12264-014-1493-5

Cited by 80 publications

(80 citation statements)

References 30 publications

(31 reference statements)

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“…During hospitalization, the status of an inpatient can shift from involuntary to voluntary, and after 7 days a reassessment is required to maintain involuntary hospitalization status. 22 After the study's aim and procedures had been thoroughly explained to them, recruited patients expressed their willingness to participate by signing a written consent form. The study design was reviewed by the local Ethics Committee.…”

Section: Samplementioning

confidence: 99%

Bipolar disorders: is there an influence of seasonality or photoperiod?

Aguglia

Borsotti

Maina

2017

Rev. Bras. Psiquiatr.

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Objective: To increase understanding of the influence of photoperiod variation in patients with bipolar disorders. Methods: We followed a sample of Italian bipolar patients over a period of 24 months, focusing on inpatients. All patients admitted to the Psychiatric Inpatient Unit of San Luigi Gonzaga Hospital in Orbassano (Turin, Italy) between September 1, 2013 and August 31, 2015 were recruited. Sociodemographic and clinical data were collected. Results: Seven hundred and thirty patients were included. The admission rate for bipolar patients was significantly higher during May, June and July, when there was maximum sunlight exposure, although no seasonal pattern was found. Patients with (hypo)manic episodes were admitted more frequently during the spring and during longer photoperiods than those with major depressive episodes. Conclusions: Photoperiod is a key element in bipolar disorder, not only as an environmental factor but also as an important clinical parameter that should be considered during treatment.

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Section: Samplementioning

confidence: 99%

Bipolar disorders: is there an influence of seasonality or photoperiod?

Aguglia

Borsotti

Maina

2017

Rev. Bras. Psiquiatr.

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“…Nowadays, involuntary admission and treatment generally have been accepted as a necessary measure to treat and protect subjects with mental disorders. However, it remains a controversial and complex ethical and legal issue, and sometimes it is difficult to balance the rights of patients with the mandatory need to care (Zhang et al 2015). In Italy, similarly to other countries, psychiatric hospitalizations can be voluntary or involuntary.…”

Section: Objectivementioning

confidence: 99%

Involuntary admissions in Italy: the impact of seasonality

Aguglia

Moncalvo

Solia

et al. 2016

International Journal of Psychiatry in Clinical Practice

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Objective: The aim of this study is to assess the prevalence of involuntary admissions with regard to seasonality and clinical associated features, in a sample of patients admitted to a psychiatric unit in a period of 24 months. Methods: All subjects consecutively admitted to the Psychiatric Inpatient Unit of the San Luigi Gonzaga Hospital, Orbassano (University of Turin, Italy) from September 2013 to August 2015 were recruited. Socio-demographic and clinical characteristics were collected. Results: Seven hundred and thirty admissions in psychiatric ward were recognized. The prevalence of involuntary admission was 15.4%. Patients with involuntary hospitalizations showed a higher education level, a higher prevalence of admission in spring/summer with a significant peak in June, a longer duration of hospitalization and a lower suicide ideation. Among involuntary admissions, physical restraint and suicide attempts were more prevalent during spring compared to the other seasons. Conclusions: Seasonality has an important role in the psychopathology of psychiatric disorders, particularly in bipolar and related disorder, and may represent an influencing factor in hospital admissions and hospitalizations. Seasonal pattern must be considered while managing diagnosis and treatment of mental disorders, with regard to prevention and psychoeducation of patients.

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“…Deve-se ficar atento a situações abusivas, negligência, inclusive pela possibilidade de ocorrência de experiências traumáticas, com consequências não desejáveis, como a recusa do paciente em procurar serviço psiquiátrico no futuro 5 .…”

Section: Sr Editorunclassified

Internação involuntária para dependente químico

Teixeira

Pacheco

Paranhos

et al. 2019

J. bras. psiquiatr.

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Dependentes químicos tendem a recusar tratamento por negação de sua doença, desesperança ou visão negativa do tratamento, mesmo cientes da gravidade. Em alguns casos, a internação involuntária pode ser uma das poucas ferramentas para garantir ainda a integridade e a saúde do paciente 1 .Na Europa, o modelo de tratamento psiquiátrico involuntário varia muito entre os países, sem padronização e ainda em discussão na União Europeia 2 . Nos Estados Unidos, a internação involuntária deve preencher dois critérios: perigo iminente e completa incapacidade de exercer o autocuidado, contudo ainda sem consenso nacional e com muitas diferenças entre os estados americanos 3 .No Brasil, a Lei nº 10.216/2001 considera três tipos de internação psiquiátrica: voluntária (com o consentimento do paciente); involuntária (sem o consentimento); compulsória (determinada pela justiça).Considerando que no Brasil o uso de drogas tem aumentado nos últimos anos, constituindo um sério problema de saúde pública 4 , e que a internação involuntária, apesar de ainda controversa, pode ser a última possiblidade de intervenção terapêutica para determinados casos, relatamos abaixo um caso que recebeu essa abordagem.Trata-se de J. B., 36 anos, sexo masculino, dependente de drogas, F19.2, com fracasso recorrente dos tratamentos prévios e grave prejuízo psicossocial. A internação involuntária foi solicitada pela família após o paciente passar longo período dormindo em via pública. A internação foi realizada em enfermaria psiquiátrica de hospital geral com abordagem multidisciplinar.O paciente era totalmente contra sua internação e nos primeiros dias apresentava risco de fuga e agressividade. Sentia-se injustiçado e traído pela família. Após a terceira semana, apresentava-se mais ajustado ao projeto terapêutico e já manifestava concordância parcial em relação à internação. Recebeu alta após 45 dias com melhora do insight, reconhecimento da gravidade e da necessidade de internação. Após seis meses, como parte de um estudo

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Involuntary admission and treatment of patients with mental disorder

Cited by 80 publications

References 30 publications

Bipolar disorders: is there an influence of seasonality or photoperiod?

Bipolar disorders: is there an influence of seasonality or photoperiod?

Involuntary admissions in Italy: the impact of seasonality

Internação involuntária para dependente químico

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