Evidence map›Paper›PMID 31073672›Full record

ReviewDer Nervenarzt2019

[What replaces the locked door? : Conceptual and ethical considerations regarding open door policies, formal coercion and treatment pressures].

Jakov Gather, Matthé Scholten, Tanja Henking, Jochen Vollmann, Georg Juckel

Abstract readReview
PubMed Publisher
In one paragraph

Review in Der Nervenarzt, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Physical Restraint in Psychiatric Care: Soon to Fall Out of Use?Psychiatry and clinical psychopharmacology · 2021
    Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jakov GatherKlinik für Psychiatrie, Psychotherapie und Präventivmedizin, LWL-Universitätsklinikum, Ruhr-Universität Bochum, Alexandrinenstr. 1-3, 44791, Bochum, Deutschland. jakov.gather@rub.de.
Matthé ScholtenInstitut für Medizinische Ethik und Geschichte der Medizin, Ruhr-Universität Bochum, Bochum, Deutschland.
Tanja HenkingHochschule für angewandte Wissenschaften Würzburg-Schweinfurt, Würzburg, Deutschland.
Jochen VollmannInstitut für Medizinische Ethik und Geschichte der Medizin, Ruhr-Universität Bochum, Bochum, Deutschland.
Georg JuckelKlinik für Psychiatrie, Psychotherapie und Präventivmedizin, LWL-Universitätsklinikum, Ruhr-Universität Bochum, Alexandrinenstr. 1-3, 44791, Bochum, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health professionals use various strategies to prevent involuntarily committed persons from absconding under an open door policy.

objectiveTo provide an ethical framework for the evaluation of the replacement of locked ward doors by formal coercion or treatment pressures.

methodsEmpirically informed conceptual and ethical analysis.

resultsThe replacement of locked ward doors by formal coercive measures applied to individual persons, such as mechanical restraint or seclusion, is ethically problematic. The use of treatment pressures, for example in the context of intensified observational measures, requires a differentiated ethical evaluation and does not necessarily constitute the milder means in comparison to locked ward doors.

conclusionUnexplored conceptual, empirical and ethical issues surrounding open door policies and treatment pressures should be clarified by means of psychiatric and ethical research. In clinical practice, the choice of the least burdensome and least restrictive measures for involuntarily committed persons should be facilitated by appropriate ethical support services.

Indexed as

CoercionPsychotherapeutic ProcessesMental DisordersPatient IsolationPsychiatryCoercive measuresInformal coercionIntensified observational measuresMedical ethicsOpen door policy

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.