ArticleBMC health services research2018
A cross-sectional study of experienced coercion in adolescent mental health inpatients.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Effectiveness of Psychological Treatment for Anorexia Nervosa in Adolescents: A Critical Review of Randomized Controlled Trials.The International journal of eating disorders · 2026Pooled it
- Informal Coercion Experienced by Adolescents in Mental Health Care-A Systematic Review.International journal of mental health nursing · 2026Pooled it
- The use and impact of surveillance-based technology initiatives in inpatient and acute mental health settings: a systematic review.BMC medicine · 2024Pooled it
- Experiences of restrictive practices in child and adolescent mental health inpatient care: an integrative review.Child and adolescent psychiatry and mental health · 2026Review
- 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
- Perceived determinants of the use of coercion in inpatient child and adolescent psychiatry: a qualitative interview study with staff.BMC psychiatry · 2025Article
- Detention of children and adolescents under mental health legislation: a scoping review of prevalence, risk factors, and legal frameworks.BMC pediatrics · 2024Article
- Perceived Coercion Among Patients Admitted in Psychiatric Wards: Italian Results of the EUNOMIA Study.Frontiers in psychiatry · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInvoluntary care and coercive measures are frequently present in mental healthcare for adolescents. The purpose of this study was to examine to what extent adolescents perceive or experience coercion during inpatient mental health care, and to examine predictors of experienced coercion.
methodsA cross-sectional sample of 96 adolescent inpatients from 10 Norwegian acute and combined (acute and sub-acute) psychiatric wards reported their experienced coercion on Coercion Ladder and the Experienced Coercion Scale in questionnaires. Staff reported use of formal coercion, diagnoses, and psychosocial functioning. We used two tailed t-tests and mixed effects models to analyze the impact from demographics, alliance with parents, use of formal coercion, diagnostic condition, and global psychosocial functioning.
resultsHigh experienced coercion was reported by a third of all patients. In a mixed effects model, being under formal coercion (involuntary admission and / or coercive measures); a worse relationship between patient and parent; and lower psychosocial functioning, significantly predicted higher experienced coercion. Twenty-eight percent of the total sample of patients reported a lack of confidence and trust both in parents and staff.
conclusionsRoughly one third of patients in the sample reported high experienced coercion. Being under formal coercion was the strongest predictor. The average scores of experienced coercion in subgroups are comparable with adult scores in similar care situations. There was one exception: Adolescents with psychosis reported low experienced coercion and almost all of them were under voluntary care.
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