ArticleFrontiers in psychiatry2019
Perceived Coercion Among Patients Admitted in Psychiatric Wards: Italian Results of the EUNOMIA Study.
Article in Frontiers in psychiatry, 2019. 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.
- Variations in definitions used for describing restrictive care practices (seclusion and restraint) in adult mental health inpatient units: a systematic review and content analysis.Social psychiatry and psychiatric epidemiology · 2025Pooled it
- Stepping into day treatment approach versus inpatient treatment for adults with anorexia nervosa: the DAISIES RCT.Health technology assessment (Winchester, England) · 2025Trial
- Types of Coercive Practices, Disability and Days in Crisis in People With Suicide Attempts in Latin American.Community mental health journal · 2026Article
- Prevalence and factors associated with restraints in mental health in-patient wards.BJPsych bulletin · 2025Article
- Factors Associated with Perceived Coercion in Adults Receiving Psychiatric Care: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Attitudes Toward Coercion Among Mental Healthcare Workers in Italy: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Prevalence and risk factors for seclusion and restraint: results of a retrospective analysis.BMC psychiatry · 2025Article
- 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
- 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
- Pathways to experienced coercion during psychiatric admission: a network analysis.BMC psychiatry · 2024Article
- Article
- Exploring Patients' Feeling of Being Coerced During Psychiatric Hospital Admission: A Qualitative Study.The Psychiatric quarterly · 2023Article
- [Coercion in psychiatric hospitalizations in Chile: madness and suffering in the 21st century].Salud colectiva · 2023Article
- Review
- Experiences of coercion amongst involuntary mental health care users in KwaZulu-Natal, South Africa.Frontiers in psychiatry · 2023Article
- Factors associated with perceived coercion in adults receiving psychiatric care: a scoping review protocol.BMJ open · 2022Article
- Article
- Mental health service users' responses to anticipated discrimination and the Time to Change program in England.European psychiatry : the journal of the Association of European Psychiatrists · 2020Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The decision to use coercive measures (restraint, seclusion and forced medication) in psychiatric practice is controversial in mental health care. The EUNOMIA study was funded by the European Commission and carried out in 11 countries in order to develop European recommendations for good clinical practice on the use of coercive measures. The aim of the study is to identify sociodemographic and clinical predictors of the levels of perceived coercion in a sample of Italian patients with severe mental disorders at hospital admission. A total of 294 patients were recruited in five Italian psychiatric hospitals and screened with the MacArthur Perceived Coercion Scale to explore the levels of perceived coercion. Patients were assessed three times: within the first seven days after admission as well as after 1 and 3 months. At each time point, data on changes of perceived coercion, assessed by the Cantril Ladder of Perceived Coercion Scale, information on coercive measures received during hospitalization and the levels of satisfaction with the received treatments were collected. According to the multivariable regression model, being compulsorily admitted (OR: 2.5; 95% CI: 1.3-3.3, p < .000), being male (OR: 0.7; 95% CI: 0.9-1.4; p < .01), being older (OR: 0.03; 95% CI: 0.01-0.06) and less satisfied with received treatments (OR: -0.2; 95% CI: -0.3 to -0.1; p < .05) are all associated with higher levels of perceived coercion, even after controlling for the use of any coercive measure during hospitalization. Satisfaction with received treatment predicts the levels of perceived coercion and this should represent an important challenge for mental health professionals.
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