Predictors of involuntary hospitalizations to acute psychiatry

Hustoft, Kjetil; Larsen, Tor Ketil; Auestad, Bjørn; Joa, Inge; Johannessen, Jan Olav; Ruud, Torleif

doi:10.1016/j.ijlp.2013.01.006

Cited by 98 publications

(122 citation statements)

References 18 publications

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“…Regarding the characteristics of our sample, it is not surprising that the majority of our sample was single, as seen in previous studies (8, 29, 30), since patients with more severe psychopathology might have difficulties establishing a relationship. Furthermore, most of them had multiple previous admissions and were non-adherent before our index hospitalization.…”

Section: Discussionmentioning

confidence: 77%

“…As yet associations were found for male gender (8–12), single status (8, 9, 11), a diagnosis of psychosis (9–12), higher aggressive behavior at admission (8, 11), severe psychopathology (8, 11), and low level of social functioning (8), although results are not always consistent. Surprisingly, religion is usually neglected in these studies, even though it is often recognized as an important aspect regarding mental health (13).…”

Section: Introductionmentioning

confidence: 85%

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Religious Affiliation as a Predictor of Involuntary Psychiatric Admission: A Brazilian 1-Year Follow-Up Study

Casella

Loch

2014

Front. Public Health

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Objective: The aim of this study was to analyze factors associated with the legal status at psychiatric admission of individuals with psychosis or bipolar disorder in a Latin-American cultural setting.Methods: Prospective observational study was conducted in São Paulo, Brazil. We analyzed 169 individuals with bipolar or psychotic disorder in need of hospitalization. Sociodemographic data, data on the psychiatric disorder, information about the hospital stay, and data at time of discharge were collected. Their families were also contacted by telephone and interviews were conducted at 1, 2, 6, and 12 months post-discharge as a follow-up.Results: Eighty-eight patients (52%) had a voluntary admission and 81 (48%) had an involuntary admission (IA). The average length of admission was similar in both groups (17.4 vs. 17.3 days, p = 0.22). It was significantly more common for IA patients to be admitted because of other-directed aggressiveness (47.7 vs. 65.4%, p = 0.02). The percentage of individuals that needed physical restraint during hospital stay among IA patients was also significantly higher (11.4 vs. 25.9%, p = 0.01). Having any religious affiliations was significantly related to an IA status as well (OR = 4–6.48).Conclusion: Our results suggest that cultural factors related to religious affiliations might play an important role in determining psychiatric hospitalization legal status. Religion might possibly influence someone’s judgment and insight about his/her psychiatric disorder. This study restates the importance of dealing with the subject of religion with patients.

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Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 85%

Religious Affiliation as a Predictor of Involuntary Psychiatric Admission: A Brazilian 1-Year Follow-Up Study

Casella

Loch

2014

Front. Public Health

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“…In Norway, general practitioners or other physicians not working in a psychiatric hospital may conduct the assessment for involuntary commitment; however, a psychiatrist (or a physician and clinical psychologist approved for this) finally decides whether the patient's admission should be voluntary or involuntary after the patient arrives at the acute psychiatric unit [18] .…”

Section: R E Q U Imentioning

confidence: 99%

“…After a patient arrives in a hospital's acute ward, a psychiatrist (or a physician and a clinical psychologist approved for Mental Health Act decisionmaking) is required to evaluate, within 24 h, the necessity for compulsory hospitalization [18] .…”

Section: Maximum Length Of a Compulsory Admissionmentioning

confidence: 99%

Involuntary admission and treatment of patients with mental disorder

et al. 2015

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“…Hospital treatment of patients with mental disorders is required in the practice of today's scientific medicine. There is a need for continuous modernization, reorganization and improvement of hospital treatment for mental patients [10,11,12]. Given that, in the mentally ill, cognitive dysfunction, and often the loss of free will occur, the state is competent and entitled to compel these patients to hospital treatment [1,12,14].…”

Section: Introductionmentioning

confidence: 99%

Necessity and frequency of involuntary hospitalization in psychiatric institution

Nenadović¹

2014

Praxis Med

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Involuntary hospitalization for treatment of mental patients is a necessity in modern scientific psychiatric practice. Hospitalization is generally an act of psychological and social disruption of individual's homeostasis, which is a very important and complex problem for the mentally ill. The goal of the study was to confirm the necessity of involuntary treatment of mental patients in a medical institution, in the interest of patients and the society. The research was conducted as a cross sectional study of hospitalized patients in 2012 at the Clinic for psychiatric disorders "Dr Laza Lazarevic" in Belgrade. It included 2286 inpatients, especially involuntarily hospitalized 236 and 719 admitted for hospital treatment with the assistance of the police. The data were statistically analysed by methods of descriptive statistics: χ2 -test and multiple logistic regression analysis, using the software package SPSS v. 20. The results show that 255 patients were admitted to the hospital for the first time with the assistance of the police. Patients hospitalized with the assistance of the police in compared to those hospitalized without the assistance of the police were, with statistical significance: younger, more frequently males, most frequently in the diagnostic group of schizophrenia and less frequently in the group of organic and affective disorders, most often it was their first, and involuntary hospitalization. During the studied period, 236 (10%) of the total number treated patients were involuntarily hospitalized. There were 176 (74.58%) patients detained for treatment by force, with the assistance of police. There is a necessity for involuntary hospitalization of mental patients. The justification of detaining patients in the health institution by such measures is accomplished through legislation in the best interest of the patient.

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Predictors of involuntary hospitalizations to acute psychiatry

Cited by 98 publications

References 18 publications

Religious Affiliation as a Predictor of Involuntary Psychiatric Admission: A Brazilian 1-Year Follow-Up Study

Religious Affiliation as a Predictor of Involuntary Psychiatric Admission: A Brazilian 1-Year Follow-Up Study

Involuntary admission and treatment of patients with mental disorder

Necessity and frequency of involuntary hospitalization in psychiatric institution

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