Back to Search
Start Over
Coerced Hospital Admission and Symptom Change—A Prospective Observational Multi-Centre Study
- Source :
- PLoS ONE, Vol 6, Iss 11, p e28191 (2011), PLoS ONE, Digibug. Repositorio Institucional de la Universidad de Granada, instname
- Publication Year :
- 2011
- Publisher :
- Public Library of Science (PLoS), 2011.
-
Abstract
- [Introduction] Coerced admission to psychiatric hospitals, defined by legal status or patient's subjective experience, is common. Evidence on clinical outcomes however is limited. This study aimed to assess symptom change over a three month period following coerced admission and identify patient characteristics associated with outcomes. [Method] At study sites in 11 European countries consecutive legally involuntary patients and patients with a legally voluntary admission who however felt coerced, were recruited and assessed by independent researchers within the first week after admission. Symptoms were assessed on the Brief Psychiatric Rating Scale. Patients were re-assessed after one and three months. [Results] The total sample consisted of 2326 legally coerced patients and 764 patients with a legally voluntary admission who felt coerced. Symptom levels significantly improved over time. In a multivariable analysis, higher baseline symptoms, being unemployed, living alone, repeated hospitalisation, being legally a voluntary patient but feeling coerced, and being initially less satisfied with treatment were all associated with less symptom improvement after one month and, other than initial treatment satisfaction, also after three months. The diagnostic group was not linked with outcomes. [Discussion] On average patients show significant but limited symptom improvements after coerced hospital admission, possibly reflecting the severity of the underlying illnesses. Social factors, but not the psychiatric diagnosis, appear important predictors of outcomes. Legally voluntary patients who feel coerced may have a poorer prognosis than legally involuntary patients and deserve attention in research and clinical practice.<br />he multi-site research project (Acronym: EUNOMIA) “European Evaluation of Coercion in Psychiatry and Harmonisation of Best Clinical Practise” was funded by the European Commission (Quality of Life and Management of Living Resources Programme, contract no. QLG4-CT-2002-01036).
- Subjects :
- Male
Multivariate analysis
Non-Clinical Medicine
Psychometrics
Coercion
Medical ethics
Social and Behavioral Sciences
Patient Admission
Brief Psychiatric Rating Scale
Law and legal sciences
Psychology
Prospective Studies
Multi centre
Prospective cohort study
Psychiatry
Multidisciplinary
Anxiety Disorders
Hospitals
Hospitalization
Mental Health
Hospital admission
Medicine
Female
Research Article
Employment
Adult
medicine.medical_specialty
Science
Legislation
MEDLINE
Models, Biological
medicine
Humans
Psychological and Psychosocial Issues
Health Care Policy
business.industry
Patient Selection
Diagnostic medicine
Psychotherapy
Therapies
Multivariate Analysis
Emergency medicine
Schizophrenia
Linear Models
Observational study
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....080ab2a6e09a93fc7d7d1a0432bab017