19 research outputs found
Coerced Hospital Admission and Symptom Change-A Prospective Observational Multi-Centre Study
PMCID: PMC3227658 Freely available online via CCplosone.org
Gender differences in coerced patients with schizophrenia
European Commission (Quality of life and
Management of Living Resources Programme, contract number QLG4-CT-
2002-01036), Czech Ministry of Education research grant MSM002160849,
and research grants PRVOUKâP26/LF1/4 and PRVOUKâP03/LF1/
Psichikos sutrikimais serganÄiĹł pacientĹł padarytos nusikalstamos veikos sunkumÄ lemianÄiĹł veiksniĹł analizÄ
Analysis of the Clinical-Nosological and Criminal Structure of Insanity in Lithuania (1985-2009)
Comparison of the clinical use of individual coercitive measures during hospitalisation across the eunomia study sites
Use of Coercive Measures During Involuntary Hospitalization: Findings From Ten European Countries
OBJECTIVE:Involuntary treatment in mental health care is a sensitive but rarely studied issue. This study was part of the European Evaluation of Coercion in Psychiatry and Harmonization of Best Clinical Practice (EUNOMIA) project. It assessed and compared the use of coercive measures in psychiatric inpatient facilities in ten European countries.
METHODS:The sample included 2,030 involuntarily admitted patients. Data were obtained on coercive measures (physical restraint, seclusion, and forced medication).
RESULTS:In total, 1,462 coercive measures were used with 770 patients (38%). The percentage of patients receiving coercive measures in each country varied between 21% and 59%. The most frequent reason for prescribing coercive measures was patient aggression against others. In eight of the countries, the most frequent measure used was forced medication, and in two of the countries mechanical restraint was the most frequent measure used. Seclusion was rarely administered and was reported in only six countries. A diagnosis of schizophrenia and more severe symptoms were associated with a higher probability of receiving coercive measures.
CONCLUSIONS:Coercive measures were used in a substantial group of involuntarily admitted patients across Europe. Their use appeared to depend on diagnosis and the severity of illness, but use was also heavily influenced by the individual country. Variation across countries may reflect differences in societal attitudes and clinical traditions
The EUNOMIA project on coercion in psychiatry: study design and preliminary data
Previous national research has shown significant variation in several aspects of coercive treatment measures in psychiatry. The EUNOMIA project, an international study funded by the European Commission, aims to assess the clinical practice of these measures and their outcomes. Its naturalistic and epidemiological design is being implemented at 13 centres in 12 European countries. This article describes the design of the study and provides preliminary data on the catchment areas, staff, available facilities and modalities of care at the participating centres