Evidence map›Paper›PMID 31666805›Full record

ArticleInternational journal of mental health systems2019

Comparing legislation for involuntary admission and treatment of mental illness in four South Asian countries.

Sangeeta Dey, Graham Mellsop, Kate Diesfeld, Vajira Dharmawardene, Susitha Mendis, Sreemanti Chaudhuri, Aniruddha Deb, Nafisa Huq, Helal Uddin Ahmed, Mohammad Shuaib and 1 more

Abstract read
In one paragraph

Article in International journal of mental health systems, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

11 authors.

Sangeeta Dey1Waikato Hospital, Waikato District Health Board, 222 Pembroke Street, Hamilton, 3240 New Zealand.ORCID 0000-0001-7202-4085
Graham Mellsop2Waikato Clinical Campus Waikato DHB, Auckland University, Auckland, New Zealand.
Kate Diesfeld3Auckland University of Technology, Auckland, New Zealand.
Vajira DharmawardeneDistrict General Hospital, Matara, Sri Lanka.
Susitha Mendis5Teaching Hospital, Galle, Sri Lanka.
Sreemanti ChaudhuriPsychiatric Nursing Home Trust, Kolkata, West Bengal India.
Aniruddha DebPsychiatric Nursing Home Trust, Kolkata, West Bengal India.
Nafisa Huq7School of Public Health, Independent University, Dhaka, Bangladesh.
Helal Uddin AhmedDepartment of Child, Adolescent and Family Psychiatry, National Institute of Mental Health, Agargaon, Dhaka, Bangladesh.
Mohammad Shuaib9Waikato Hospital, Hamilton, New Zealand.
Faisal Rashid Khan10Al Nafees Medical College, ISRA University, Islamabad, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvoluntary admission or treatment for the management of mental illness is a relatively common practice worldwide. Enabling legislation exists in most developed and high-income countries. A few of these countries have attempted to align their legislation with the United Nations Convention on the Rights of Persons with Disabilities. This review examined legislation and associated issues from four diverse South Asian countries (Bangladesh, India, Pakistan and Sri Lanka) that all have a British colonial past and initially adopted the

methodA questionnaire based on two previous studies and the World Health Organization checklist for mental health legislation was developed requesting information on the criteria and process for involuntary detention of patients with mental illness for assessment and treatment. The questionnaire was completed by psychiatrists (key informants) from each of the four countries. The questionnaire also sought participants' comments or concerns regarding the legislation or related issues.

resultsThe results showed that relevant legislation has evolved differently in each of the four countries. Each country has faced challenges when reforming or implementing their mental health laws. Barriers included legal safeguards, human rights protections, funding, resources, absence of a robust wider health system, political support and sub-optimal mental health literacy.

conclusionClinicians in these countries face dilemmas that are less frequently encountered by their counterparts in relatively more advantaged countries. These dilemmas require attention when implementing and reforming mental health legislation in South Asia.

Indexed as

ComparisonLawMental health legislationSouth AsiaTrend

Identifiers

PMID31666805
PMCPMC6813093

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.