Correlates of seclusion and restraint of patients admitted to psychiatric inpatient treatment via a German emergency room
| Autor: | Lieselotte Mahler, Angelika Vandamme, Alexandre Wullschleger, Klara Czernin, Celline Cole, Felix Bermpohl |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Hospitals
Psychiatric Restraint Physical medicine.medical_specialty Younger age Referral Coercion Patient characteristics Patient Isolation German 03 medical and health sciences 0302 clinical medicine Humans Medicine Psychiatry Biological Psychiatry Retrospective Studies Inpatients business.industry Aggression Mental Disorders humanities language.human_language 030227 psychiatry Psychiatry and Mental health language Emergency psychiatry medicine.symptom Emergency Service Hospital business Seclusion 030217 neurology & neurosurgery |
| Zdroj: | Journal of Psychiatric Research. 130:201-206 |
| ISSN: | 0022-3956 |
| Popis: | Coercive measures in psychiatry are associated with negative consequences for both patients and staff. When it comes to preventing coercive measures, innovative models of care like the Weddinger Modell focusing on recovery, participation and supported decision-making have proven successful. However, observations from clinical practice show that emergency admissions to psychiatric facilities pose a great challenge in this regard and that most coercive measures take place during or shortly after emergency admission. This study retrospectively examined all cases (N = 1477) admitted to inpatient treatment at the Department of Psychiatry of the Charité at St. Hedwig Hospital in Berlin via the emergency room in 2018 aiming to identify patient characteristics that serve as predictors for coercive measures. Physical aggression, involuntary admission, police referral and younger age were found to be significant predictors (p .001). Of 218 cases who experienced coercive measures, 81.2% (n = 177) were subjected to seclusion or restraint within the first 24 h of their hospital stay and 56.9% (n = 124) of cases only experienced coercive measures within these first 24 h and were not subjected to any coercive measures after. These results show that certain patient characteristics put individuals at higher risk of being secluded or restrained and that the risk of experiencing coercive measures is highest at the time during and shortly after emergency admission. To prevent coercive measures, it is crucial to target more resources and put in place measures specifically tailored to these emergency situations and the most vulnerable patient groups. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect