ReviewFrontiers in psychiatry2016
Clinical Relevance of Informal Coercion in Psychiatric Treatment-A Systematic Review.
Review in Frontiers in psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled 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.
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
42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.
- Informal Coercion Experienced by Adolescents in Mental Health Care-A Systematic Review.International journal of mental health nursing · 2026Pooled it
- Effects of Seclusion and Restraint in Adult Psychiatry: A Systematic Review.Frontiers in psychiatry · 2019Pooled it
- Exploring Routine Practices of Coercion in Acute Child and Adolescent Psychiatry - Reflections for Practice.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · 2026Article
- Types of Coercive Practices, Disability and Days in Crisis in People With Suicide Attempts in Latin American.Community mental health journal · 2026Article
- 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 · 2026Article
- Involuntary psychiatric treatment in Reggio Emilia: local findings from the SIEP multicenter study.Frontiers in psychiatry · 2026Article
- 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
- 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 · 2026Article
- "It's really about something! I can save the patient a lot of suffering if I get him to do it": between care and coercion in the use of non-invasive ventilation.BMC health services research · 2025Article
- Attitudes of psychiatric staff toward coercion: nationwide AttCo study.BJPsych open · 2025Article
- Exploring the ruling relations of eating disorder treatment in Ontario.Journal of eating disorders · 2025Article
- Prevalence of Current Clinical Leverage and Association with Perceived Coercion in Outpatient and Community Psychiatric Settings: A First in Canada Study.Community mental health journal · 2025Article
- Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Users' Experience of Treatment and Coercion in an Inpatient Medium-Stay Psychiatric Rehabilitation Unit: A Mixed Methods Study.Journal of psychiatric and mental health nursing · 2025Article
- Perceived determinants of the use of coercion in inpatient child and adolescent psychiatry: a qualitative interview study with staff.BMC psychiatry · 2025Article
- Exploring Nurses' and Nursing Students' Attitudes Toward Coercive and Technological Measures in Mental Health: A Conceptual Framework and Study Protocol.Nursing reports (Pavia, Italy) · 2024Article
- Pathways to experienced coercion during psychiatric admission: a network analysis.BMC psychiatry · 2024Article
- Strategies to promote treatment compliance: a grounded theory study with relatives of people with a serious mental health condition.BMC psychiatry · 2024Article
- The ethics of coercion in mental healthcare: the role of structural racism.Journal of medical ethics · 2024Article
- Measurement of perceived pressures in psychiatry: paper-and-pencil and computerized adaptive version of the P-PSY35 scale.Annals of general psychiatry · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough informal coercion is frequently applied in psychiatry, its use is discussed controversially. This systematic review aimed to summarize literature on attitudes toward informal coercion, its prevalence, and clinical effects.
methodsA systematic search of PubMed, Embase, PsycINF, and Google Scholar was conducted. Publications were included if they reported original data describing patients' and clinicians' attitudes toward and prevalence rates or clinical effects of informal coercion.
resultsTwenty-one publications out of a total of 162 articles met the inclusion criteria. Most publications focused on leverage and inducements rather than persuasion and threat. Prevalence rates of informal coercion were 29-59%, comparable on different study sites and in different settings. The majority of mental health professionals as well as one-third to two-third of the psychiatric patients had positive attitudes, even if there was personal experience of informal coercion. We found no study evaluating the clinical effect of informal coercion in an experimental study design. DISCUSSION: Cultural and ethical aspects are associated with the attitudes and prevalence rates. The clinical effect of informal coercion remains unclear and further studies are needed to evaluate these interventions and the effect on therapeutic relationship and clinical outcome. It can be hypothesized that informal coercion may lead to better adherence and clinical outcome but also to strains in the therapeutic relationship. It is recommendable to establish structured education about informal coercion and sensitize mental health professionals for its potential for adverse effects in clinical routine practice.
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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.