Evidence map›Paper›PMID 31101956›Full record

Observational studyDer Nervenarzt2019

[Six years of open-door policy at the University Psychiatric Hospital Basel].

Eva Kowalinski, Lisa Hochstrasser, Andres R Schneeberger, Stefan Borgwardt, Undine E Lang, Christian G Huber

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Der Nervenarzt, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
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

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. General and Case-Specific Approval of Coercion in Psychiatry in the Public Opinion.International journal of environmental research and public health · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

6 authors at 2 institutions in 2 countries.

Eva KowalinskiKlinik für Erwachsene, Universitäre Psychiatrische Kliniken Basel, Universität Basel, Kornhausgasse 7, 4051, Basel, Schweiz. eva.kowalinski@upk.ch.
Lisa HochstrasserKlinik für Erwachsene, Universitäre Psychiatrische Kliniken Basel, Universität Basel, Kornhausgasse 7, 4051, Basel, Schweiz.
Andres R SchneebergerKlinik für Erwachsene, Universitäre Psychiatrische Kliniken Basel, Universität Basel, Kornhausgasse 7, 4051, Basel, Schweiz.
Stefan BorgwardtKlinik für Erwachsene, Universitäre Psychiatrische Kliniken Basel, Universität Basel, Kornhausgasse 7, 4051, Basel, Schweiz.
Undine E LangKlinik für Erwachsene, Universitäre Psychiatrische Kliniken Basel, Universität Basel, Kornhausgasse 7, 4051, Basel, Schweiz.
Christian G HuberKlinik für Erwachsene, Universitäre Psychiatrische Kliniken Basel, Universität Basel, Kornhausgasse 7, 4051, Basel, Schweiz.
Universitäre Psychiatrische Kliniken Basel · CHUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoercive measures in psychiatry have well-known negative consequences for the patients and their treatment. They are considered ethically problematic and must only be used as a last resort. Locked wards may promote a threatening atmosphere leading to more aggression and a subsequent higher use of coercive measures. The aim of this was to investigate the frequency of seclusion and forced medication during clinic-wide implementation of an open-door policy. MATERIAL AND

methodsIn this 6‑year longitudinal observational study (2010-2015) the frequencies of seclusion and forced medication were investigated on the basis of 17,359 cases treated in the University Psychiatric Hospital Basel. During the observational period, six formerly permanently locked wards were opened.

resultsThe examined data showed a clinically relevant decrease in the frequency of seclusion (from 8.2% to 3.5%) and forced medication (from 2.4% to 1.2%) during the observational period.

conclusionThese results underline the potential of a less restrictive policy in psychiatry to reduce the frequency of coercive measures.

Indexed as

Hospitals, PsychiatricHospitals, UniversityAggressionCoercionHumansMental DisordersSwitzerlandCoercionForced medicationLocked doorsOpen door policySeclusion

Identifiers

PMID31101956
OpenAlexW2946364910

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.