ArticleSocial psychiatry and psychiatric epidemiology2014
Do patient and ward-related characteristics influence the use of coercive measures? Results from the EUNOMIA international study.
Article in Social psychiatry and psychiatric epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 3 of them syntheses that pooled it.
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Who cites it
61 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Association Between Nurse Staffing and Conflict and Containment in Acute Mental Health Care: A Systematic Review.International journal of mental health nursing · 2025Pooled it
- Systematic literature review of the use of Staff Attitudes to Coercion Scale (SACS).Frontiers in psychiatry · 2023Pooled it
- Effects of Seclusion and Restraint in Adult Psychiatry: A Systematic Review.Frontiers in psychiatry · 2019Pooled it
- 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
- Implementing modular competence-oriented psychotherapy in inpatient psychiatry: a three-year analysis of restraint and seclusion.BMC psychiatry · 2026Article
- Psychiatric Care Pathways and the Use of Coercion: From Pre-Hospital to Inpatient Settings.Community mental health journal · 2026Article
- Involuntary psychiatric treatment in Reggio Emilia: local findings from the SIEP multicenter study.Frontiers in psychiatry · 2026Article
- Use of antipsychotic medication with weight-inducing potential in first-episode psychosis.Frontiers in psychiatry · 2026Article
- Patient-related characteristics or local tradition: what predicts the admission to a locked ward or the use of coercive measures in psychiatric inpatient treatment?European archives of psychiatry and clinical neuroscience · 2025Observational
- Prevalence and factors associated with restraints in mental health in-patient wards.BJPsych bulletin · 2025Article
- Attitudes of psychiatric staff toward coercion: nationwide AttCo study.BJPsych open · 2025Article
- Attitudes Toward Coercion Among Mental Healthcare Workers in Italy: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Prevalence and risk factors for seclusion and restraint: results of a retrospective analysis.BMC psychiatry · 2025Article
- Staff Attitude Towards Coercive Measures in Hospital and Community Psychiatric Settings.Journal of clinical medicine · 2025Article
- Development of a novel instrument to measure Japanese psychiatric nurses' technological competency as caring in nursing.Belitung nursing journal · 2025Article
- Measurement of perceived pressures in psychiatry: paper-and-pencil and computerized adaptive version of the P-PSY35 scale.Annals of general psychiatry · 2024Article
- Physical restraint within the prehospital Emergency Medical Care Environment: A scoping review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2023Article
- Predicting coercion during the course of psychiatric hospitalizations.European psychiatry : the journal of the Association of European Psychiatrists · 2023Article
- The association between the admission to wards with open- vs. closed-door policy and the use of coercive measures.Frontiers in psychiatry · 2023Article
- Preventing, reducing, and attenuating restraint: A prospective controlled trial of the implementation of peer support in acute psychiatry.Frontiers in psychiatry · 2023Article
1 more citing papers are in PubMed but not listed here.
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Authors and funding
18 authors.
Funding
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Abstract
purposeThis study aims to identify whether selected patient and ward-related factors are associated with the use of coercive measures. Data were collected as part of the EUNOMIA international collaborative study on the use of coercive measures in ten European countries.
methodsInvoluntarily admitted patients (N = 2,027) were divided into two groups. The first group (N = 770) included patients that had been subject to at least one of these coercive measures during hospitalization: restraint, and/or seclusion, and/or forced medication; the other group (N = 1,257) included patients who had not received any coercive measure during hospitalization. To identify predictors of use of coercive measures, both patients' sociodemographic and clinical characteristics and centre-related characteristics were tested in a multivariate logistic regression model, controlled for countries' effect.
resultsThe frequency of the use of coercive measures varied significantly across countries, being higher in Poland, Italy and Greece. Patients who received coercive measures were more frequently male and with a diagnosis of psychotic disorder (F20-F29). According to the regression model, patients with higher levels of psychotic and hostility symptoms, and of perceived coercion had a higher risk to be coerced at admission. Controlling for countries' effect, the risk of being coerced was higher in Poland. Patients' sociodemographic characteristics and ward-related factors were not identifying as possible predictors because they did not enter the model.
conclusionsThe use of coercive measures varied significantly in the participating countries. Clinical factors, such as high levels of psychotic symptoms and high levels of perceived coercion at admission were associated with the use of coercive measures, when controlling for countries' effect. These factors should be taken into consideration by programs aimed at reducing the use of coercive measures in psychiatric wards.
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