ArticleSocial psychiatry and psychiatric epidemiology2013
Long-term effects of involuntary hospitalization on medication adherence, treatment engagement and perception of coercion.
Article in Social psychiatry and psychiatric epidemiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 63 citations in OpenAlex.
- Comparing brief interventions for suicidal individuals not engaged in treatment: A randomized clinical trial.Journal of affective disorders · 2017Trial
- Perceived coercion in psychiatric inpatients: a validation study of the Romanian-language version of the Admission Experience Survey.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026Article
- Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Factors that influence hospitalization stress in patients with chronic schizophrenia: A cross-sectional study in psychiatric hospitals.Journal of psychiatric and mental health nursing · 2025Article
- 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
- Predictors of rehospitalization due to violent behavior in patients with psychotic disorders with a history of violent behavior.Frontiers in psychiatry · 2025Article
- Measurement of perceived pressures in psychiatry: paper-and-pencil and computerized adaptive version of the P-PSY35 scale.Annals of general psychiatry · 2024Article
- 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
- Satisfaction and Perceived Coercion in Voluntary Hospitalisations: Impact of Past Coercive Experiences.The Psychiatric quarterly · 2022Article
- Time to rehospitalization in involuntarily hospitalized individuals suffering from schizophrenia discharged on long-acting injectable antipsychotics or oral antipsychotics.Therapeutic advances in psychopharmacology · 2022Article
- Investigating the impact of involuntary psychiatric hospitalization on youth and young adult trust and help-seeking in pathways to care.Social psychiatry and psychiatric epidemiology · 2021Article
- Ethnicity and power in the mental health system: experiences of white British and black Caribbean people with psychosis.Epidemiology and psychiatric sciences · 2021Article
- Coercive Measures in Psychiatry: A Review of Ethical Arguments.Frontiers in psychiatry · 2021Review
- 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
- Reducing coercion in mental healthcare.Epidemiology and psychiatric sciences · 2019Review
- Trends in the use of coercive measures in Finnish psychiatric hospitals: a register analysis of the past two decades.BMC psychiatry · 2019Article
- Psychometric properties of the French-language version of the Coercion Experience Scale (CES).Annals of general psychiatry · 2019Article
- Factors associated with involuntary hospitalisation for psychiatric patients in Switzerland: a retrospective study.BMC psychiatry · 2018Article
- Characteristics of Psychiatric Emergency Situations and the Decision-Making Process Leading to Involuntary Admission.Frontiers in psychiatry · 2018Article
- Perceived coercion in psychiatric hospital admission: validation of the French-language version of the MacArthur Admission Experience Survey.BMC psychiatry · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of the study was to examine the long-term influence of involuntary hospitalization on medication adherence, engagement in out-patient treatment and perceived coercion to treatment participation.
methodsIn a naturalistic observational multi-centre study, 290 voluntarily and 84 involuntarily hospitalized patients with schizophrenia or schizoaffective disorder had been followed up over a period of 2 years with half-yearly assessments. Assessments included self-rated medication adherence, externally judged medication adherence by blood levels, engagement in treatment and perceived coercion. The statistical analyses were based on multilevel hierarchical modelling of longitudinal data. Level and development of the outcome was controlled for involuntariness, for sociodemographic characteristics and clinical history.
resultsInvoluntariness of the index-hospitalization did not have an effect on the development of treatment engagement or medication adherence judged by blood levels in the course of the follow-up period when the models were controlled for sociodemographic variables and clinical history. It was associated, though, with a continuously lower self-rated medication adherence. Moreover, former involuntarily hospitalized patients more often felt coerced in several treatment aspects at the follow-up assessments. Yet, there was no difference between the voluntary and involuntary group with regard to the development of the levels of adherence or coercion experiences over time.
conclusionsInvoluntary hospitalization does not seem to impair future treatment engagement in patients with schizophrenia, but formerly involuntarily hospitalized patients continue to be more sensitive to subjective or real coercion in their treatment and more vulnerable to medication non-adherence. Hereby, their risk of future involuntary hospitalization might be increased.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.