ArticleActa bio-medica : Atenei Parmensis2018
Demographic and clinical characteristics of patients involuntarily hospitalized in an Italian psychiatric ward: a 1-year retrospective analysis.
Article in Acta bio-medica : Atenei Parmensis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinical and social factors associated with increased risk for involuntary psychiatric hospitalisation: a systematic review, meta-analysis, and narrative synthesis.The lancet. Psychiatry · 2019Pooled it
- Staff Attitude Towards Coercive Measures in Hospital and Community Psychiatric Settings.Journal of clinical medicine · 2025Article
- Leveraging deep neural network and language models for predicting long-term hospitalization risk in schizophrenia.Schizophrenia (Heidelberg, Germany) · 2025Article
- The Revolving Door Phenomenon in the Romanian Mental Health System.Alpha psychiatry · 2025Article
- The benefits and harms of inpatient involuntary psychiatric treatment: a scoping review.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2025Article
- Involuntary Hospitalizations in an Italian Acute Psychiatric Ward: A 6-Year Retrospective Analysis.Patient preference and adherence · 2023Article
- Status and clinical influencing factors of involuntary admission in chinese patients with schizophrenia.BMC psychiatry · 2022Article
- Article
- Correlations between cortical gyrification and schizophrenia symptoms with and without comorbid hostility symptoms.Frontiers in psychiatry · 2022Article
- Urgent Psychiatric Consultations at Mental Health Center during COVID-19 Pandemic: Retrospective Observational Study.The Psychiatric quarterly · 2021Observational
- The impact of implementing a psychiatric emergency hotline on the reduction of acute hospitalizations in a Swiss tertiary hospital.BMC psychiatry · 2021Article
- Are patients improving during and after a psychiatric hospitalisation? Continuity of care outcomes of compulsory and voluntary admissions to an Italian psychiatric ward.Journal of public health research · 2021Article
- 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
- Factors associated with involuntary admissions: a register-based cross-sectional multicenter study.Annals of general psychiatry · 2021Article
- Factors Related to the Length of Stay for Patients With Schizophrenia: A Retrospective Study.Frontiers in psychiatry · 2021Article
- Identification of risk factors for involuntary psychiatric hospitalization: using environmental socioeconomic data and methods of machine learning to improve prediction.BMC psychiatry · 2020Article
- Retrospective Analysis of Factors Associated with Long-Stay Hospitalizations in an Acute Psychiatric Ward.Risk management and healthcare policy · 2020Article
- Prevalence and Associated Factors of Violence against Hospital Staff at Amanuel Mental Specialized Hospital in Addis Ababa, Ethiopia.Psychiatry journal · 2019Article
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5 authors.
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Abstract
backgroundIn Italy, psychiatric compulsory treatments are regulated by Law 180 of 13-5-1978 that establishes three criteria: 1) acute psychiatric conditions requiring urgent treatment, 2) patient's refusal of treatment, 3) inpatient treatment is necessary and cannot be postponed.
aimTo highlight demographic and clinical risk factors for involuntary treatments.
methodsWe retrospectively collected all hospitalizations in the Service of Psychiatric Diagnosis and Treatment of a northern Italian town from 1-1-2015 to 31-12-2015. We statistically compared demographic and clinical variables related to voluntarily and involuntarily admitted patients and their hospitalizations.
resultsWe divided our sample into patients voluntarily hospitalized (PVH=236) and involuntarily (PIH=160) according to their voluntary (VH= 304) and involuntary (IH=197) hospitalizations. PIH were older than PVH and, more frequently, lived alone and were unemployed (p<0.001). "Acute worsening of psychopathology" for IH and "Suicidality" for VH were the prevalent reasons (p<0.001). IH was longer than VH (p<0.001). Among PIH, the most frequent diagnoses were "Schizophrenia and Other Psychosis" (ICD-9-CM) and "Ineffective Impulse Control + Disturbed Personal Identity" (NANDA-I) (p<0.001). During hospitalizations, PIH more often than PVH presented aggressive behavior (p<0.001). At discharge, PIH were more frequently sent to another psychiatric ward or protected facility with long-acting injectable antipsychotics (p<0.001).
conclusionsOur involuntarily admitted patients were affected by severe psychiatric disorders with social maladjustment and required complex therapeutic and rehabilitative programs to counteract aggressive behaviour, poor therapeutic compliance and prolonged hospitalizations. The assessment of patients' characteristics can help clinicians recognize who are at risk for compulsory treatment and prevent it.
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