ArticleThe Psychiatric quarterly2013
Impact of psychiatrists' qualifications on the rate of compulsory admissions.
Article in The Psychiatric quarterly, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical and social factors associated with increased risk for involuntary psychiatric hospitalisation: a systematic review, meta-analysis, and narrative synthesis.The lancet. Psychiatry · 2019Pooled it
- Experiences in Accessing Treatment Among Females with Schizophrenia: A Qualitative Study from Turkey.Healthcare (Basel, Switzerland) · 2025Article
- Determinants of compulsory admission in detainees with acute psychiatric symptoms in the French speaking counties of Switzerland.BMC psychiatry · 2025Article
- Coercion in psychiatry: psychometric validation of the Portuguese Staff Attitudes to Coercion Scale (SACS).Discover mental health · 2024Article
- Beyond Patient Characteristics: A Narrative Review of Contextual Factors Influencing Involuntary Admissions in Mental Health Care.Healthcare (Basel, Switzerland) · 2023Review
- Compulsory psychiatric admissions in the canton of Basel-Stadt between September 2013 and April 2022: Analysis of the cantonal database of the Health Department of Basel-Stadt.The International journal of social psychiatry · 2023Article
- Trends in Involuntary Psychiatric Hospitalization in British Columbia: Descriptive Analysis of Population-Based Linked Administrative Data from 2008 to 2018.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023Article
- Article
- Predicting involuntary hospitalization in psychiatry: A machine learning investigation.European psychiatry : the journal of the Association of European Psychiatrists · 2021Article
- Factors associated with involuntary psychiatric hospitalization in Portugal.International journal of mental health systems · 2021Article
- Antipsychotic Polypharmacy and High-Dose Antipsychotics in Involuntary Patients: a Seven-Year Audit of Discharge Prescriptions in an Acute Care Unit.The Psychiatric quarterly · 2021Article
- Identification of risk factors for involuntary psychiatric hospitalization: using environmental socioeconomic data and methods of machine learning to improve prediction.BMC psychiatry · 2020Article
- Preventing and reducing 'coercion' in mental health services: an international scoping review of English-language studies.Acta psychiatrica Scandinavica · 2020Article
- Changing patterns and influencing factors of involuntary admissions following the implementation of China's mental health law: A 4-year longitudinal investigation.Scientific reports · 2019Article
- A retrospective analysis of determinants of involuntary psychiatric in-patient treatment.BMC psychiatry · 2019Article
- Factors associated with involuntary hospitalisation for psychiatric patients in Switzerland: a retrospective study.BMC psychiatry · 2018Article
- Cross-Cultural Notions of Risk and Liberty: A Comparison of Involuntary Psychiatric Hospitalization and Outpatient Treatment in New York, United States and Zurich, Switzerland.Frontiers in psychiatry · 2018Article
- Factors associated with disallowance of compulsory mental healthcare referrals.Acta psychiatrica Scandinavica · 2016Article
- Coercion in mental healthcare: time for a change in direction.BJPsych international · 2016Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite efforts to reduce coercion in psychiatry, involuntary hospitalizations remain frequent, representing more than half of all admissions in some European regions. Since October 2006, only certified psychiatrists are authorized to require a compulsory admission to our facility, while before all physicians were, including residents. The aim of the present study is to assess the impact of this change of procedure on the proportion compulsory admissions. All medical records of patients admitted respectively 4 months before and 4 month after the implementation of the procedure were retrospectively analyzed. This search retrieved a total of 2,227 hospitalizations for 1,584 patients. The overall proportions of compulsory and voluntary admissions were 63.9 % and 36.1 % respectively. The average length of stay was 32 days (SD ± 64.4). During the study period, 25 % of patients experienced two hospitalizations or more. The most frequent patients' diagnoses were affective disorders (30 %), psychotic disorders (18.4 %) and substance abuse disorders (15.7 %). Compared with the period before October 2006, patients hospitalized from October 2006 up were less likely to be hospitalized on a compulsory basis (OR = 0.745, 95 % CI: 0.596-0.930). Factors associated with involuntary admission were young age (20 years or less), female gender, a diagnosis of psychotic disorder and being hospitalized for the first time. Our results strongly suggest that limiting the right to require compulsory admissions to fully certified psychiatrists can reduce the rate of compulsory versus voluntary admissions.
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