Trends in involuntary psychiatric hospitalization in Israel 1991–2000

Bauer, Arie; Rosca, Paola; Grinshpoon, Alexander; Khawaled, Razek; Mester, Roberto; Yoffe, Rinat; Ponizovsky, Alexander M.

doi:10.1016/j.ijlp.2006.02.002

Cited by 37 publications

(28 citation statements)

References 39 publications

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“…In the present study, the proportion of IH was 13.3% which is consistent with the mean rate of 15-20% reported in literature 5,7,8 . Since 2001, following approval of Law 10,216, rates of IH progressively increased, mainly because notifications have been improved.…”

Section: Discussionsupporting

confidence: 92%

“…Indeed, rates of IH as high as 58% have been reported among patients with psychosis 12 . Psychosis may be related to a lack of treatment engagement, resistance to treatment, and/or impaired insight, thereby inducing involuntariness 5 . Moreover, a psychotic state may increase IH rates due to clinical severity and danger to self or others 7 .…”

Section: Discussionmentioning

confidence: 99%

“…Recent research has highlighted an association between IH and low educational level, unemployment, social deprivation, poor social support, being unmarried for men or married for women, diagnosis (schizophrenia, delusional disorders, and substance misuse), and treatment engagement 4,5,6 . Also, involuntariness is associated with the severity of the disorder, lack of insight, and violent behavior 7 .…”

Section: Clinical and Demographic Differences Between Voluntary And Imentioning

confidence: 99%

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Clinical and demographic differences between voluntary and involuntary psychiatric admissions in a university hospital in Brazil

Chang

Ferreira

et al. 2013

Cad. Saúde Pública

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To assess the frequency of involuntary psychiatric hospitalizations from 2001 to 2008 and to determine associated clinical and socio-demographic characteristics, a retrospective cohort study was conducted. Adult admission data were collected from a university hospital in Brazil. Hospitalizations were classified as voluntary (VH) or involuntary (IH). Groups were compared using chi-square test for categorical variables and Mann-Whitney test for continuous non-parametric variables. The relative risk of certain events was estimated by the odds ratio statistic. Of 2,289 admissions, 13.3% were IH. The proportion of IH increased from 2.5% to 21.2% during the eight year period. IH were more frequently associated with female gender, unmarried status, unemployment, and more than 9 years of schooling. Psychotic symptoms were more common among IH. There were no differences in age, duration of hospitalization, or rate of attendance at first appointment after hospital discharge. Understanding of the characteristics associated with IH is necessary to improve the treatment of psychiatric disorders.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Clinical and Demographic Differences Between Voluntary And Imentioning

confidence: 99%

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Clinical and demographic differences between voluntary and involuntary psychiatric admissions in a university hospital in Brazil

Chang

Ferreira

et al. 2013

Cad. Saúde Pública

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“…Second, the most frequent diagnoses among involuntary admissions were bipolar disorder and related disorders and schizophrenia and other psychosis. Several authors confirmed our findings regarding both schizophrenia and other psychoses (Craw & Compton 2006;Bauer et al 2007;Pantusa et al 2007;Zhou et al 2015) and bipolar and related disorders (Lee et al 2007;Schuepbach et al 2008;Amr & Volpe 2012). Third, analyzing the monthly distribution of admissions, we observed a significant increase of involuntary hospitalizations during changes of season in particular in spring/summer with a peak in June.…”

Section: Discussionsupporting

confidence: 88%

“…The criteria for involuntary admission in psychiatric ward are (a) the patient experiences mental changes that require an urgent therapeutic intervention; (b) the patient does not accept treatment; (c) there are no conditions enabling them to take other timely and adequate therapeutic measures outside those achieved in hospitals. The Law states that compulsory admissions need to be formally authorized by the Mayor of the Municipality where the patient lives and can be only undertaken in acute psychiatric wards located in public general hospitals (Amaddeo et al 2012;Bauer et al 2007;Pantusa et al 2007;Zhou et al 2015;Donisi et al 2016). On the other hand, some studies have considered bipolar disorder, especially mixed and manic episodes, as one of the main diagnosis related to the involuntary admission (Lee et al 2007;Schuepbach et al 2008;Amr & Volpe 2012).…”

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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