ArticlePloS one2016
Use of Coercive Measures during Involuntary Psychiatric Admission and Treatment Outcomes: Data from a Prospective Study across 10 European Countries.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
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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
36 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Involuntary Clozapine Treatment: A Systematic Review.Acta psychiatrica Scandinavica · 2026Pooled it
- Post-incident debriefing for people with schizophrenia after coercive measures.The Cochrane database of systematic reviews · 2025Pooled it
- Effects of Seclusion and Restraint in Adult Psychiatry: A Systematic Review.Frontiers in psychiatry · 2019Pooled it
- Evaluating the efficacy of the WHO QualityRights e-training in promoting the rights of persons with mental health conditions and psychosocial disabilities: a cluster randomised controlled trial in Ghana.BMJ global health · 2025Trial
- Psychiatric advance directives facilitated by peer workers among people with mental illness: economic evaluation of a randomized controlled trial (DAiP study).Epidemiology and psychiatric sciences · 2023Trial
- Effect of standardized post-coercion review session on symptoms of PTSD: results from a randomized controlled trial.European archives of psychiatry and clinical neuroscience · 2021Trial
- "Something is clashing" - intentions to offer Medication-Free services within a traditional mental health ward.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
- Area-level factors associated with variation in involuntary psychiatric hospitalisation across England: a cross-sectional, ecological study.Social psychiatry and psychiatric epidemiology · 2025Article
- A call for upstream solutions to the unregulated drug crisis in British Columbia, Canada: Locked up or locked out.Canadian journal of public health = Revue canadienne de sante publique · 2025Article
- Relative efficiency of psychiatric clinics in treating cases without coercion and achieving symptom reduction.European psychiatry : the journal of the Association of European Psychiatrists · 2025Article
- Exploring how mindfulness enhances attentiveness: a qualitative study with South African mental health nurses.BMC nursing · 2025Article
- Investigating the association of mechanical restraint with somatic harmful outcomes: national register-based study.BJPsych open · 2024Article
- Effect of coercive measures on mental health status in adult psychiatric populations: a nationwide trial emulation.Epidemiology and psychiatric sciences · 2024Article
- Seclusion and mechanical restraint in the wake of the COVID-19 pandemic: an increased use in mental health settings.Frontiers in psychiatry · 2024Article
- Characteristics and correlates of seclusion and mechanical restraint measures in a Parisian psychiatric hospital group.Frontiers in psychiatry · 2024Article
- Physical Restraint Experience of Patients with Mental Disorders in Mainland China: A Qualitative Study.Journal of multidisciplinary healthcare · 2024Article
- Psychiatrists' occupational stigma conceptualization, measurement, and intervention: A literature review.World journal of psychiatry · 2023Review
- The Patient Journey of Schizophrenia in Mental Health Services: Results from a Co-Designed Survey by Clinicians, Expert Patients and Caregivers.Brain sciences · 2023Article
- Ethnic disparities in the use of restrictive practices in adult mental health inpatient settings: a scoping review.Social psychiatry and psychiatric epidemiology · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To assess the association between different types of coercive measures (forced medication, seclusion, and restraint) used during involuntary psychiatric admission and two treatment outcomes: retrospective views of patients towards their admission and length of inpatient stay. A secondary analysis was conducted of data previously gathered by the EUNOMIA study (n = 2030 involuntarily detained inpatients across 10 European countries, of whom 770 were subject to one or more coercive measures). Associations between coercive measures and outcomes were tested through multivariable regression models adjusted for patients' socio-demographic and clinical characteristics. Use of forced medication was associated with patients being significantly less likely to justify their admission when interviewed after three months. All coercive measures were associated with patients staying longer in hospital. When the influence of other variables was considered in a multi-variate analysis, seclusion remained as a significant predictor of longer inpatient stay, adding about 25 days to the average admission. Of the three coercive measures, forced medication appears to be unique in its significant impact on patient disapproval of treatment. While all coercive measures are associated with patients staying longer in hospital, only use of seclusion is associated with longer inpatient stays independently of coerced patients' having higher symptom scores at the time of admission.
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