Do patient and ward-related characteristics influence the use of coercive measures? Results from the EUNOMIA international study
| Autor: | Georgi Onchev, Andrzej Kiejna, Alexander Nawka, Thomas W. Kallert, Andrea Fiorillo, Jorge A. Cervilla, Valeria Del Vecchio, Lucie Kališová, Gaia Sampogna, Stephan Priebe, Jiri Raboch, Tomasz Adamowski, Lars Kjellin, Anastasia Karastergiou, L. Cihal, Algirdas Dembinskas, Francisco Torres-Gonzales, Domenico Giacco |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Hospitals Psychiatric Male medicine.medical_specialty Health (social science) Social Psychology Epidemiology Coercion Hostility Psychiatric Department Hospital Sex Factors Sex factors Medicine Humans Psychiatry business.industry Mental Disorders Regression analysis Middle Aged Models Theoretical Multivariate logistic regression model Europe Hospitalization Psychiatry and Mental health Health Care Surveys Female Perception Poland medicine.symptom Involuntary commitment business Seclusion Clinical psychology |
| Zdroj: | Social psychiatry and psychiatric epidemiology. 49(10) |
| ISSN: | 1433-9285 |
| Popis: | This study aims to identify whether selected patient and ward-related factors are associated with the use of coercive measures. Data were collected as part of the EUNOMIA international collaborative study on the use of coercive measures in ten European countries. Involuntarily admitted patients (N = 2,027) were divided into two groups. The first group (N = 770) included patients that had been subject to at least one of these coercive measures during hospitalization: restraint, and/or seclusion, and/or forced medication; the other group (N = 1,257) included patients who had not received any coercive measure during hospitalization. To identify predictors of use of coercive measures, both patients’ sociodemographic and clinical characteristics and centre-related characteristics were tested in a multivariate logistic regression model, controlled for countries’ effect. The frequency of the use of coercive measures varied significantly across countries, being higher in Poland, Italy and Greece. Patients who received coercive measures were more frequently male and with a diagnosis of psychotic disorder (F20–F29). According to the regression model, patients with higher levels of psychotic and hostility symptoms, and of perceived coercion had a higher risk to be coerced at admission. Controlling for countries’ effect, the risk of being coerced was higher in Poland. Patients’ sociodemographic characteristics and ward-related factors were not identifying as possible predictors because they did not enter the model. The use of coercive measures varied significantly in the participating countries. Clinical factors, such as high levels of psychotic symptoms and high levels of perceived coercion at admission were associated with the use of coercive measures, when controlling for countries’ effect. These factors should be taken into consideration by programs aimed at reducing the use of coercive measures in psychiatric wards. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink