SynthesisCanadian journal of psychiatry. Revue canadienne de psychiatrie2018
Variables Associated With the Subjective Experience of Coercive Measures in Psychiatric Inpatients: A Systematic Review.
Synthesis in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis 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
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Post-incident debriefing for people with schizophrenia after coercive measures.The Cochrane database of systematic reviews · 2025Pooled it
- Relationship between perceived coercion and perceived justification of coercive measures - secondary analysis of a randomized-controlled trial.BMC psychiatry · 2023Trial
- Implementing modular competence-oriented psychotherapy in inpatient psychiatry: a three-year analysis of restraint and seclusion.BMC psychiatry · 2026Article
- Informing the redesign of psychiatric seclusion rooms: a mixed-methods pre-evaluation with individuals with lived experience.BMC psychiatry · 2026Article
- Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Coercive Measures in Psychiatry Can Hardly Be Justified in Principle Any Longer-Ethico-Legal Requirements Versus Empirical Research Data and Conceptual Issues.Journal of psychiatric and mental health nursing · 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
- An Exploratory Study about Factors and Outcomes Associated with the Experience of Coercive Measures in Mental Health Settings.The Psychiatric quarterly · 2025Article
- Needs Expressed in Peer-to-Peer Web-Based Interactions Among People With Depression and Anxiety Disorders Hospitalized in a Mental Health Facility: Mixed Methods Study.Journal of medical Internet research · 2024Article
- Risk factors for coercion length at psychiatric hospitals in Israel: Relationship with staff.Indian journal of psychiatry · 2024Article
- Inpatient Psychiatric Care in the United States: Former Patients' Perspectives on Opportunities for Quality Improvement.Journal of patient experience · 2024Article
- Patients' experiences with coercive mental health treatment in Flexible Assertive Community Treatment: a qualitative study.BMC psychiatry · 2023Article
- Attitudes about Mechanical Restraint Use in Mental Health Hospitalization Services: A Spanish Survey.Healthcare (Basel, Switzerland) · 2023Article
- Factors associated with perceived coercion in adults receiving psychiatric care: a scoping review protocol.BMJ open · 2022Article
- A two-center pilot study on the effects of clinical ethics support on coercive measures in psychiatry.BMC psychiatry · 2022Article
- Former Inpatient Psychiatric Patients' Past Experiences With Traditional Frontline Staff and Their Thoughts on the Benefits of Peers as Part of Frontline Staff.Journal of psychosocial nursing and mental health services · 2022Article
- Post-incident reviews-a gift to the Ward or just another procedure? Care providers' experiences and considerations regarding post-incident reviews after restraint in mental health services. A qualitative study.BMC health services research · 2020Article
- Nursing Perspectives: Reflecting History and Informal Coercion in De-escalation Strategies.Frontiers in psychiatry · 2019Article
- Seclusion and Restraint: The Voice of the Patient.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2018Article
- Clinician attitude and perspective on the use of coercive measures in clinical practice from tertiary care mental health establishment - A cross-sectional study.Indian journal of psychiatryArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis systematic review presents evidence regarding factors that may influence the patient's subjective experience of an episode of mechanical restraint, seclusion, or forced administration of medication.
methodTwo authors searched CINAHL, PubMed, SCOPUS, Web of Science, and Psych-Info, considering published studies between 1 January 1992 and 1 February 2016. Based on the inclusion criteria and methodological quality, 34 studies were selected, reporting a total sample of 1,869 participants.
resultsThe results showed that the provision of information, contact and interaction with staff, and adequate communication with professionals are factors that influence the subjective experience of these measures. Humane treatment, respect, and staff support are also associated with a better experience, and debriefing is an important procedure/technique to reduce the emotional impact of these measures. Likewise, the quality of the working and physical environment and some individual and treatment variables were related to the experience of these measures. There are different results in relation to the most frequently associated experiences and, despite some data that indicate positive experiences, the evidence shows such experiences to be predominantly negative and frequently with adverse consequences. It seems that patients find forced medication and seclusion to be more tolerable than mechanical restraint and combined measures.
conclusionsIt appears that the role of the staff and the environmental conditions, which are potentially modifiable, affect the subjective experience of these measures. There was considerable heterogeneity among studies in terms of coercive measures experienced by participants and study designs.
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Registered trials
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