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Commentary: seclusion and mechanical restraint of psychiatric patients in Israel - an update
- Source :
- Israel Journal of Health Policy Research, Israel Journal of Health Policy Research, Vol 8, Iss 1, Pp 1-3 (2019)
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- Background Restraint or seclusion measures in acute psychiatric care are used as a last resort when all other methods for removal of physical threat have failed. The purpose of this study is to find a correlation between coercive measures, demographic characteristics within this patient group, and factors associated with shortened periods of restriction. Methods This is a one-year retrospective study conducted in a male acute closed ward of a psychiatric hospital in Israel. The data from January 1, 2014 to December 31, 2014 were retrieved from the records of patients who underwent restraint and/or seclusion interventions during this period. The analyzed data included age, psychiatric diagnosis, marital status, education, race, ethnicity, length of hospital stay, legal status during admission, type of coercive measure (mechanical restraint, seclusion), number and duration of coercive episodes, reasons for coercion, time of event, number of previous hospitalizations, aggression in past and present treatment, and treatment during events. Results During this time period, there were 563 admissions in the study ward. Over this period, 176 subjects (31.3%) underwent 488 restraints and/or seclusions. 98% were aggressive in the past. (Although some results reached statistical significance, we prefer to emphasize here only the most important results, while the others will be presented in the text.) Patients with personality disorders were physically limited for the longest time, while schizophrenia patients were restricted for the shortest time compared with other diagnoses (p = 0.007). A negative correlation was found between the length of coercion and the number of academic female nurses on duty (p = 0.005), as well as the administration of sedative medications during the restricting procedure. Conclusions We believe that the presence of registered, academic female nurses on duty and medication administration during coercive measures can reduce the length of restriction.
- Subjects :
- Restraint, Physical
medicine.medical_specialty
Poison control
Restraint
Psychiatric diagnosis
Suicide prevention
Occupational safety and health
Patient Isolation
03 medical and health sciences
0302 clinical medicine
Mentally Ill Persons
medicine
Humans
Psychiatric hospital
Original Research Article
030212 general & internal medicine
Israel
Psychiatry
Health policy
Demography
Retrospective Studies
lcsh:R5-920
Inpatients
lcsh:Public aspects of medicine
Mental Disorders
Health Policy
Public health
Public Health, Environmental and Occupational Health
Health services research
lcsh:RA1-1270
humanities
030227 psychiatry
Seclusion
lcsh:Medicine (General)
Psychology
Mechanical restraint
Subjects
Details
- ISSN :
- 20454015
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Israel Journal of Health Policy Research
- Accession number :
- edsair.doi.dedup.....3b461fb70be86027b68f799f9b80c71d