Evidence map›Paper›PMID 23689838›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2014

Emotional reactions to involuntary psychiatric hospitalization and stigma-related stress among people with mental illness.

Nicolas Rüsch, Mario Müller, Barbara Lay, Patrick W Corrigan, Roland Zahn, Thekla Schönenberger, Marco Bleiker, Silke Lengler, Christina Blank, Wulf Rössler

Abstract read
PubMed Publisher
In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Psychiatric hospitalisation; transitioning from consenting to involuntarily admitting-re-conceptualisation and a procedural framework.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026
    Article
  6. Article
  7. Is the continuum of coercion in psychiatry really a continuum? A statistical implication analysis.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026
    Article
  8. Review
  9. Article
  10. Observational
  11. Article
  12. Review
  13. Article
  14. Article
  15. Exploring the stigma against people with mental illness in Bangladesh.Global mental health (Cambridge, England) · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Impact of compulsory admission on treatment and outcome: A propensity score matched analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2022
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nicolas RüschDepartment of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric University Hospital Zürich, Militärstr. 8, PO 1930, 8021, Zürich, Switzerland, nicolas.ruesch@dgsp.uzh.ch.
Mario Müller
Barbara Lay
Patrick W Corrigan
Roland Zahn
Thekla Schönenberger
Marco Bleiker
Silke Lengler
Christina Blank
Wulf Rössler

Funding

Medical Research Council G0902304
6 · The paper itself

Abstract

Compulsory admission to psychiatric inpatient treatment can be experienced as disempowering and stigmatizing by people with serious mental illness. However, quantitative studies of stigma-related emotional and cognitive reactions to involuntary hospitalization and their impact on people with mental illness are scarce. Among 186 individuals with serious mental illness and a history of recent involuntary hospitalization, shame and self-contempt as emotional reactions to involuntary hospitalization, the cognitive appraisal of stigma as a stressor, self-stigma, empowerment as well as quality of life and self-esteem were assessed by self-report. Psychiatric symptoms were rated by the Brief Psychiatric Rating Scale. In multiple linear regressions, more self-stigma was predicted independently by higher levels of shame, self-contempt and stigma stress. A greater sense of empowerment was related to lower levels of stigma stress and self-contempt. These findings remained significant after controlling for psychiatric symptoms, diagnosis, age, gender and the number of lifetime involuntary hospitalizations. Increased self-stigma and reduced empowerment in turn predicted poorer quality of life and reduced self-esteem. The negative effect of emotional reactions and stigma stress on quality of life and self-esteem was largely mediated by increased self-stigma and reduced empowerment. Shame and self-contempt as reactions to involuntary hospitalization as well as stigma stress may lead to self-stigma, reduced empowerment and poor quality of life. Emotional and cognitive reactions to coercion may determine its impact more than the quantity of coercive experiences. Interventions to reduce the negative effects of compulsory admissions should address emotional reactions and stigma as a stressor.

Indexed as

Social StigmaAdultAgedCoercionEmotionsFemaleHospitalizationHospitals, PsychiatricHumansMaleMental DisordersMiddle AgedPsychiatric Status Rating ScalesQuality of LifeRegression AnalysisSelf Concept

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.