Predictors of compulsory admission in schizophrenia-spectrum patients: Excitement, insight, emotion perception

Montemagni, Cristiana; Badà, A.; Castagna, Filomena; Frieri, Tiziana; Rocca, Giuseppe; Scalese, Mara; Villari, Vincenzo; Rocca, Paola

doi:10.1016/j.pnpbp.2010.10.005

Cited by 26 publications

(21 citation statements)

References 87 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…No other significant gender differences emerged in the other 9 dimensions that we analysed. An association between IPH, male gender and aggression has already been reported (Canova Mosele et al, 2018), our results confirm these data on a larger sample, such as the role of bipolar spectrum disorder symptoms in predicting compulsory admissions (Montemagni et al, 2011;Walker et al, 2019), using a methodologically different approach.…”

Section: Discussionsupporting

confidence: 91%

Involuntary psychiatric hospitalization in Italy: critical issues in the application of the provisions of law

Ferracuti

Parmigiani

Catanesi

et al. 2020

International Review of Psychiatry

View full text Add to dashboard Cite

Involuntary psychiatric hospitalisation in Italy raises some critical forensic issues. We analysed the sociodemographic, psychopathological, and behavioural characteristics of involuntarily hospitalised psychiatric patients, and the effectiveness of the juridical procedure of guarantee. Case files (n ¼ 2796) related to involuntary psychiatric hospitalisation (IPH) at the Office of the Tutelary Judge of the Ordinary Court of Rome (Italy) between January 2013 and May 2016 were analysed. For each case file sociodemographic, clinical and procedural information were collected. The sample included 53.7% men, patients had a mean age of 41.8 ± 13.9. Most of the IPH proposal certificates reported more than one reason, among which the most frequent were symptoms referring to a psychotic dimension (54.8%), agitation (38.0%), and symptoms of bipolar and related disorders (26.3%) Female patients showed a higher prevalence of symptoms of the bipolar spectrum (F ¼ 29.7%, M ¼ 23.3%; p < 0.05), while male patients showed a higher prevalence of aggressive behaviour (F ¼ 7.7%, M ¼ 12.6%; p < 0.01). Over 85% of the IPH proposal certificates did not explicitly mention issues related to adherence to care, which is the second criterium requested for IH (treatment refusal) and up to 7.3% of the proposals were not properly motivated. However, only 0.8% cases were not validated by the Tutelary Judge. Possible issues in the IPH procedures emerged since a significant number of certifications showed poor concordance with law-criteria for involuntary psychiatric hospitalisation. Despite this evidence, the low rate of unvalidated procedures by the Tutelary Judge, suggests a possible limitation of this form of guarantee.

show abstract

Section: Discussionsupporting

confidence: 91%

Involuntary psychiatric hospitalization in Italy: critical issues in the application of the provisions of law

Ferracuti

Parmigiani

Catanesi

et al. 2020

International Review of Psychiatry

View full text Add to dashboard Cite

show abstract

“…Patients who had been involuntarily admitted, however, had lower Stigma Resistance scores than did those who had been voluntarily admitted, which meant that the former believed that they could fight stigma more easily than could the latter. This might be because patients who have been involuntarily admitted have lesser insight and higher levels of excitement than do those who have been voluntarily admitted (Montemagni et al, 2011). Therefore, they may exaggerate their ability to fight stigma.…”

Section: Discussionmentioning

confidence: 99%

Comparing Self-stigma Between People With Different Mental Disorders in Taiwan

Chang

Chen

et al. 2016

J Nerv Ment Dis

View full text Add to dashboard Cite

Internalized stigma (or self-stigma), one of the most painful effects of stigma, causes people with mental health problems profound negative consequences, for example, psychological adversity, demoralization, and feelings of hopelessness. However, knowledge about self-stigma in people with different mental disorders is insufficient. We hypothesized that people with different psychiatric diagnoses have different levels of self-stigma. Through convenience sampling, we used the Internalized Stigma of Mental Illness Scale to compare people diagnosed with schizophrenia (n = 161), depressive disorder (n = 98), bipolar disorder (n = 43), and anxiety disorder (n = 45) in southern Taiwan. We found that people with schizophrenia (mean, 2.09-2.30) and those with bipolar disorder (mean, 2.16-2.38) had significantly higher levels of self-stigma, except for the Stigma Resistance, than did those with anxiety disorder (mean, 1.74-1.87). Our results suggest that clinicians should use different interventions to reduce self-stigma for populations with different psychiatric diagnoses.

show abstract

“…A Dutch study among psychiatric crisis patients found the following factors to be associated with a higher risk of compulsory admission: previous compulsory admission, living alone, and patients’ dissatisfaction with the mental health care they received [ 15 ]. An Italian study among schizophrenia-spectrum patients found that previous compulsory admission, drop-out from mental health care, severity of illness, positive symptoms, excitement, emotion perception, and insight all differed significantly between patients who had been admitted compulsorily and those admitted voluntarily, This study stressed the importance of giving patients proper attention during the phase in which their emotional perception and insight are diminished [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Crucial factors preceding compulsory psychiatric admission: a qualitative patient-record study

et al. 2017

View full text Add to dashboard Cite

BackgroundCompulsory admissions have a strong effect on psychiatric patients and represent a deprivation of personal liberty. Although the rate of such admissions is tending to rise in several Western countries, there is little qualitative research on the mental health-care process preceding compulsory admission. The objective of the study was to identify crucial factors in the mental health-care process preceding compulsory admission of adult psychiatric patients.MethodsThis retrospective, qualitative multiple-case study was based on the patient records of patients with severe mental illness, mainly schizophrenia and other psychotic disorders. Twenty two patient records were analyzed. Patients’ demographic and clinical characteristics were heterogeneous. All were treated by Flexible Assertive Community Treatment teams (FACT teams) at two mental health institutions in the greater Rotterdam area in the Netherlands and had a compulsory admission in a predefined inclusion period. The data were analyzed according to the Prevention and Recovery System for Monitoring and Analysis (PRISMA) method, assessing acts, events, conditions, and circumstances, failing protective barriers and protective recovery factors.ResultsThe most important patient factors in the process preceding compulsory admission were psychosis, aggression, lack of insight, care avoidance, and unauthorized reduction or cessation of medication. Neither were health-care professionals as assertive as they could be in managing early signs of relapse and care avoidance of these particular patients.ConclusionThe health-care process preceding compulsory admission is complex, being influenced by acts, events, conditions and circumstances, failing barriers, and protective factors. The most crucial factors are patients’ lack of insight and cessation of medication, and health-care professionals’ lack of assertiveness.Electronic supplementary materialThe online version of this article (10.1186/s12888-017-1512-y) contains supplementary material, which is available to authorized users.

show abstract

Predictors of compulsory admission in schizophrenia-spectrum patients: Excitement, insight, emotion perception

Cited by 26 publications

References 87 publications

Involuntary psychiatric hospitalization in Italy: critical issues in the application of the provisions of law

Involuntary psychiatric hospitalization in Italy: critical issues in the application of the provisions of law

Comparing Self-stigma Between People With Different Mental Disorders in Taiwan

Crucial factors preceding compulsory psychiatric admission: a qualitative patient-record study

Contact Info

Product

Resources

About