ArticleBMC psychiatry2017
Crucial factors preceding compulsory psychiatric admission: a qualitative patient-record study.
Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 22 citations in OpenAlex.
- An intensive multimodal group programme for patients with psychotic disorders at risk of rehospitalization: a controlled intervention study.BMC psychiatry · 2019Trial
- The perception of judges regarding compulsory admission of people with severe mental illness in Portugal: a qualitative study.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026Article
- Development of a machine learning model for predicting compulsory psychiatric care using clinical notes.BMC psychiatry · 2025Article
- Understanding the intersections between ethnicity, area-level deprivation, and inpatient-related features amongst patients with psychotic disorders: a mental health electronic records analysis.Social psychiatry and psychiatric epidemiology · 2025Article
- Determinants of compulsory admission in detainees with acute psychiatric symptoms in the French speaking counties of Switzerland.BMC psychiatry · 2025Article
- Ranking important predictors of the need for a high-acuity psychiatry unit among 2,064 inpatients admitted to psychiatric emergency hospitals: a random forest model.Frontiers in psychiatry · 2024Article
- Cognitive impairment in adults under compulsory psychiatric care: association with psychotic symptoms and high-dose antipsychotics.BJPsych open · 2023Article
- Predicting involuntary hospitalization in psychiatry: A machine learning investigation.European psychiatry : the journal of the Association of European Psychiatrists · 2021Article
- Factors associated with involuntary psychiatric hospitalization in Portugal.International journal of mental health systems · 2021Article
- Use of Acute Psychiatric Hospitalisation: A Study of the Factors Influencing Decisions to Arrange Acute Admission to Inpatient Mental Health Facilities.Frontiers in psychiatry · 2021Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCompulsory admissions have a strong effect on psychiatric patients and represent a deprivation of personal liberty. Although the rate of such admissions is tending to rise in several Western countries, there is little qualitative research on the mental health-care process preceding compulsory admission. The objective of the study was to identify crucial factors in the mental health-care process preceding compulsory admission of adult psychiatric patients.
methodsThis retrospective, qualitative multiple-case study was based on the patient records of patients with severe mental illness, mainly schizophrenia and other psychotic disorders. Twenty two patient records were analyzed. Patients' demographic and clinical characteristics were heterogeneous. All were treated by Flexible Assertive Community Treatment teams (FACT teams) at two mental health institutions in the greater Rotterdam area in the Netherlands and had a compulsory admission in a predefined inclusion period. The data were analyzed according to the Prevention and Recovery System for Monitoring and Analysis (PRISMA) method, assessing acts, events, conditions, and circumstances, failing protective barriers and protective recovery factors.
resultsThe most important patient factors in the process preceding compulsory admission were psychosis, aggression, lack of insight, care avoidance, and unauthorized reduction or cessation of medication. Neither were health-care professionals as assertive as they could be in managing early signs of relapse and care avoidance of these particular patients.
conclusionThe health-care process preceding compulsory admission is complex, being influenced by acts, events, conditions and circumstances, failing barriers, and protective factors. The most crucial factors are patients' lack of insight and cessation of medication, and health-care professionals' lack of assertiveness.
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