ArticleEClinicalMedicine2019
Psychosocial Interventions to Reduce Compulsory Psychiatric Admissions: A Rapid Evidence Synthesis.
Article in EClinicalMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- A qualitative meta-synthesis of service users' and carers' experiences of assessment and involuntary hospital admissions under mental health legislations: a five-year update.BMC psychiatry · 2024Pooled it
- Clinical and social factors associated with involuntary psychiatric hospitalisation in children and adolescents: a systematic review, meta-analysis, and narrative synthesis.The Lancet. Child & adolescent health · 2021Pooled 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
- Feasibility testing and preliminary trial of a crisis planning and monitoring intervention to reduce compulsory readmissions: the FINCH Study.BMC medicine · 2025Trial
- Psychiatric advance directives facilitated by peer workers among people with mental illness: economic evaluation of a randomized controlled trial (DAiP study).Epidemiology and psychiatric sciences · 2023Trial
- Social inclusion of people with severe mental illness: a review of current practices, evidence and unmet needs, and future directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- [Psychosocial crisis services-A special case of transsectoral healthcare].Der Nervenarzt · 2025Review
- Exploring pathways to compulsory detention and ways to prevent repeat compulsory detentions in England; clinician perspectives.PLOS mental health · 2025Article
- Exploring pathways to compulsory detention in psychiatric hospital and ways to prevent repeat detentions; Service user perspectives.PLOS mental health · 2025Article
- Article
- A crisis planning and monitoring intervention to reduce compulsory hospital readmissions (FINCH study): protocol for a randomised controlled feasibility study.Pilot and feasibility studies · 2024Article
- Ethical Issues in Clinical Decision-Making about Involuntary Psychiatric Treatment: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Advance statements in mental healthcare: time to close the evidence to practice gap.Epidemiology and psychiatric sciences · 2023Article
- Ethnic inequalities in involuntary admission under the Mental Health Act: an exploration of mediation effects of clinical care prior to the first admission.The British journal of psychiatry : the journal of mental science · 2023Article
- Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022Article
- Factors associated with involuntary psychiatric hospitalization in Portugal.International journal of mental health systems · 2021Article
- Socio-Demographic and Clinical Characteristics of Adults With Psychotic Symptomatology Under Involuntary Admission and Readmission for Compulsory Treatment in a Referral Psychiatric Hospital in Cyprus.Frontiers in psychiatry · 2021Article
- Professionals' perspectives on factors within primary mental health services that can affect pathways to involuntary psychiatric admissions.International journal of mental health systems · 2020Article
- Differences in access and utilisation of mental health services in the perinatal period for women from ethnic minorities-a population-based study.BMC medicine · 2020Article
- Understanding increasing rates of psychiatric hospital detentions in England: development and preliminary testing of an explanatory model.BJPsych open · 2020Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCompulsory mental health hospital admissions are increasing in several European countries but are coercive and potentially distressing. It is important to identify which mental health service models and interventions are effective in reducing compulsory admissions.
methodsWe conducted a rapid evidence synthesis to explore whether there is any evidence for an effect on compulsory admissions for 15 types of psychosocial intervention, identified by an expert group as potentially relevant to reducing compulsory admission. A search for randomised controlled trials (RCTs) reporting compulsory admission as a primary or secondary outcome or adverse event was carried out using clinical guidelines, recent systematic reviews, and database searches postdating these reviews.
findingsWe found 949 RCTs reporting on the interventions of interest, of which 19 reported on compulsory admission. Our narrative synthesis found some evidence for the effectiveness of crisis planning and self-management, while evidence for early intervention services was mixed. We did not find evidence to support adherence therapy, care from crisis resolution teams and assertive community treatment, but numbers of relevant studies were very small. We found no trials which tested effects on compulsory admission of the nine other intervention types.
interpretationCrisis planning and self-management interventions with a relapse prevention element are most promising for preventing compulsory admissions. Given our broad search strategy, the lack of evidence demonstrates that there is an urgent need for more research on interventions which may reduce compulsory admissions.
fundingIndependent research commissioned and funded by the National Institute for Health Research Policy Research Programme.
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Registered trials
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.