ArticlePloS one2011
Coerced hospital admission and symptom change--a prospective observational multi-centre study.
Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Effect of standardized post-coercion review on subjective coercion: Results of a randomized-controlled trial.European psychiatry : the journal of the Association of European Psychiatrists · 2021Trial
- Trial
- Challenges in the End-of-Life Care for Patients With Severe Persistent Mental Illness: A Case Series.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2026Article
- The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2025Article
- Geographical variation in compulsory hospitalisation - ethical challenges.BMC health services research · 2022Article
- Outcome of Voluntary vs Involuntary Admissions in Greece over 2 years after Discharge: A Cohort Study in the Psychiatric Hospital of Attica "Dafni".Community mental health journal · 2022Article
- The role ofThe South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2021Article
- A Key, Not a Straitjacket: The Case for Interim Mental Health Legislation Pending Complete Prohibition of Psychiatric Coercion in Accordance with the Convention on the Rights of Persons with Disabilities.Health and human rights · 2020Article
- Factorial structure of the Manchester Short Assessment of Quality of Life in patients with schizophrenia-spectrum disorders.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- "It's a matter of building bridges…" - feasibility of a carer involvement intervention for inpatients with severe mental illness.BMC psychiatry · 2019Article
- Giving Patients Choices During Involuntary Admission: A New Intervention.Frontiers in psychiatry · 2019Article
- Reduction of Involuntary Admissions in Patients With Severe Psychotic Disorders Treated in the ACCESS Integrated Care Model Including Therapeutic Assertive Community Treatment.Frontiers in psychiatry · 2019Article
- Mandated Treatment and Its Impact on Therapeutic Process and Outcome Factors.Frontiers in psychiatry · 2019Review
- Shared decision-making with involuntary hospital patients: a qualitative study of barriers and facilitators.BJPsych open · 2018Article
- Involuntary admission in Norwegian adult psychiatric hospitals: a systematic review.International journal of mental health systems · 2018Review
- Development of an instrument to measure patients' attitudes towards involuntary hospitalization.World journal of psychiatry · 2017Article
- Quality criteria of involuntary psychiatric admissions - before and after the revision of the civil code in Switzerland.BMC psychiatry · 2016Article
- Subjective experience of coercion in psychiatric care: a study comparing the attitudes of patients and healthy volunteers towards coercive methods and their justification.European archives of psychiatry and clinical neuroscience · 2016Article
- Coercion in mental healthcare: time for a change in direction.BJPsych international · 2016Article
- Article
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Authors and funding
15 authors.
Funding
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Abstract
introductionCoerced 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.
methodAt 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.
resultsThe 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.
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