ArticleSocial psychiatry and psychiatric epidemiology2015
One-year incidence and prevalence of seclusion: Dutch findings in an international perspective.
Article in Social psychiatry and psychiatric epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 32 papers, 2 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Post-incident debriefing for people with schizophrenia after coercive measures.The Cochrane database of systematic reviews · 2025Pooled it
- Mechanical restraint in inpatient psychiatric settings: A systematic review of international prevalence, associations, outcomes, and reduction strategies.European psychiatry : the journal of the Association of European Psychiatrists · 2025Pooled it
- Clinical and Demographic Characteristics of Patients Subjected to Physical Restraint in a Psychiatric Intensive Care Unit: A Retrospective Descriptive Cross-Sectional Study.The Eurasian journal of medicine · 2026Article
- Incidence of Using Physical, Mechanical Restraints and Seclusion in Saudi Mental Health Settings: A Prospective Cohort Study.Healthcare (Basel, Switzerland) · 2026Article
- Prevalence of restraint use in psychiatric inpatient care facilities in India: A systematic review.Indian journal of psychiatry · 2025Review
- Prevalence and risk factors for seclusion and restraint: results of a retrospective analysis.BMC psychiatry · 2025Article
- Effect of video-based trauma-informed care training for nursing staff on seclusion and restraint of psychiatric inpatients: A non-randomized controlled study.International journal of nursing studies advances · 2025Article
- Identifying predictors of adverse outcomes after termination of seclusion in psychiatric intensive care units.BJPsych open · 2024Article
- Reducing use of seclusion on a male medium secure forensic ward.BMJ open quality · 2024Article
- Seclusion and mechanical restraint in the wake of the COVID-19 pandemic: an increased use in mental health settings.Frontiers in psychiatry · 2024Article
- Effect of coercive measures on treatment outcome in involuntarily admitted patients in Amsterdam.Frontiers in psychiatry · 2023Article
- Characteristics and outcomes of patients admitted to the first psychiatric intensive care unit in Egypt.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2021Article
- The Compulsory Care Act: Early Observations and Expectations of In- or Outpatient Involuntary Treatment.Frontiers in psychiatry · 2021Article
- Reduction of coercive measures under routine conditions in psychiatric hospitals 2004-2019: Strong effects in old age psychiatry, much less in general psychiatry.European psychiatry : the journal of the Association of European Psychiatrists · 2020Article
- Does high and intensive care reduce coercion? Association of HIC model fidelity to seclusion use in the Netherlands.BMC psychiatry · 2020Article
- Implementation of Guidelines on Prevention of Coercion and Violence (PreVCo) in Psychiatry: Study Protocol of a Randomized Controlled Trial (RCT).Frontiers in psychiatry · 2020Article
- Aims to Reduce Coercive Measures in Forensic Inpatient Treatment: A 9-Year Observational Study.Frontiers in psychiatry · 2020Article
- Trends in the use of coercive measures in Finnish psychiatric hospitals: a register analysis of the past two decades.BMC psychiatry · 2019Article
- Open doors by fair means: Study protocol for a 3-year prospective controlled study with a quasi-experimental design towards (or to implement) an open Ward policy in acute care units.BMC psychiatry · 2019Article
- Text Analysis of Electronic Medical Records to Predict Seclusion in Psychiatric Wards: Proof of Concept.Frontiers in psychiatry · 2019Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Netherlands started a nationwide coercion reduction program in 2007. In 2011, accurate registration of coercive measures became obligatory by law.
objectiveThe aim of this study was to compare number and duration of coercive measures in the Netherlands with international data.
methods2011 data on coercive measures were collected, using a system developed in Germany. To understand determinants of coercion, multilevel logistic regression was performed.
results12.0 % (n = 5169) of patients (n = 42.960) in 2011 experienced at least one coercive measure. Exposure to coercion was comparable to other countries, and duration was higher. Medication use seemed to half average times in seclusion. In the Netherlands, coercion mainly constituted of seclusion and occurred in bipolar and psychotic disorders. In Germany, coercion was mostly mechanical restraint and occurred in organic disorders and schizophrenia.
conclusionsGathering comprehensive data allows comparisons between countries, increasing our understanding of the impact of different cultures, legislation and health care systems on coercion. In the Netherlands, seclusion is still the main type of coercion, despite significant improvements in the last few years. It is shorter when applied in combination with enforced medication.
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