Accumulated coercion and short-term outcome of inpatient psychiatric care

BMC Psychiatry

Research Article

Tuula Wallsten¹  Lars Kjellin² 

[1] Centre for Clinical Research, Uppsala University, Central Hospital, Västerås, Sweden;School of Health and Medical Sciences, Psychiatric Research Centre, Örebro University, Örebro, Sweden;

关键词: Mood Disorder;    Psychiatric Inpatient;    Coercive Measure;    Coercive Intervention;    Outpatient Commitment;   

DOI  :  10.1186/1471-244X-10-53

 received in 2009-10-28, accepted in 2010-06-28,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundThe knowledge of the impact of coercion on psychiatric treatment outcome is limited. Multiple measures of coercion have been recommended. The aim of the study was to examine the impact of accumulated coercive incidents on short-term outcome of inpatient psychiatric careMethods233 involuntarily and voluntarily admitted patients were interviewed within five days of admission and at discharge or after maximum three weeks of care. Coercion was measured as number of coercive incidents, i.e. subjectively reported and in the medical files recorded coercive incidents, including legal status and perceived coercion at admission, and recorded and reported coercive measures during treatment. Outcome was measured both as subjective improvement of mental health and as improvement in professionally assessed functioning according to GAF. Logistic regression analyses were performed with patient characteristics and coercive incidents as independent and the two outcome measures as dependent variablesResultsNumber of coercive incidents did not predict subjective or assessed improvement. Patients having other diagnoses than psychoses or mood disorders were less likely to be subjectively improved, while a low GAF at admission predicted an improvement in GAF scoresConclusionThe results indicate that subjectively and professionally assessed mental health short-term outcome of acute psychiatric hospitalisation are not predicted by the amount of subjectively and recorded coercive incidents. Further studies are needed to examine the short- and long-term effects of coercive interventions in psychiatric care.

【 授权许可】

CC BY   
© Kjellin and Wallsten; licensee BioMed Central Ltd. 2010